{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T06:05:51Z","timestamp":1779516351754,"version":"3.53.1"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the effectiveness of home biofeedback therapy in patients with dyssynergic defaecation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This single\u2010centre prospective cohort study was conducted in a tertiary general surgery outpatient clinic. Adult patients with dyssynergic defaecation confirmed according to Rome IV criteria and physiological testing were prospectively enrolled after ethical approval. Participants received training on the use of a home\u2010based anal biofeedback device and performed biofeedback exercises at home for 30\u2009min daily over a 12\u2010week period. Changes in Obstructed Defaecation Syndrome Score (ODS\u2010S) and Patient Assessment of Constipation Quality of Life (PAC\u2010QoL) score were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010four patients were included in the study. The median ODS\u2010S significantly improved from 17.5 (range, 13\u201320) at baseline to 3 (range, 0\u201312) after treatment (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). The median PAC\u2010QoL score also showed a significant improvement, decreasing from 104 (range, 65\u2013126) to 49 (range, 32\u201381) (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Clinical improvement, defined as an ODS\u2010S\u2009&lt;\u20099, was achieved in 75% of patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Home\u2010based biofeedback therapy is an effective and accessible treatment option for dyssynergic defaecation. Its low cost, ease of use and ability to preserve patient privacy suggest that this modality may serve as a practical first\u2010line therapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70475","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T04:03:21Z","timestamp":1778040201000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy of home biofeedback in dyssynergic defaecation: A prospective pilot study"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7108-9351","authenticated-orcid":false,"given":"Ahmet","family":"Omak","sequence":"first","affiliation":[{"name":"Department of General Surgery Marmara University Faculty of Medicine  Pendik Istanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3849-3333","authenticated-orcid":false,"given":"Alisina","family":"Bulut","sequence":"additional","affiliation":[{"name":"Department of General Surgery Marmara University Faculty of Medicine  Pendik Istanbul Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3179-4144","authenticated-orcid":false,"given":"Wafi","family":"Attaallah","sequence":"additional","affiliation":[{"name":"Department of General Surgery Anadolu Medical Center in Affiliation with Johns Hopkins Medicine  Gebze Kocaeli Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,5]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.5056\/jnm16060"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.12096"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-020-02230-9"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000000278"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1553350612446354"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.5152\/tjg.2015.0185"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(18)30266-8"},{"key":"e_1_2_14_9_1","article-title":"Biofeedback for treatment of chronic idiopathic constipation in adults","volume":"3","author":"Woodward S","year":"2014","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-006-0814-9"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-015-1292-7"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.5152\/tjg.2020.19678"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.5152\/tjg.2015.4689"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/00365520510012208"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02237190"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2022.05.030"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.70475","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/codi.70475","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.70475","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T05:24:28Z","timestamp":1779513868000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.70475"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1111\/codi.70475"],"URL":"https:\/\/doi.org\/10.1111\/codi.70475","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2026-01-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70475"}}