{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T16:56:06Z","timestamp":1775148966442,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,1,8]],"date-time":"2018-01-08T00:00:00Z","timestamp":1515369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"CNARTS Clinical Research Group"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Renal Care"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The bowel health of those with chronic kidney disease (CKD) can be affected by medications, fluid\/dietary allowances, reduced activity and pre\u2010existing medical conditions. Patient perceptions of their bowel health can differ from those of health care professionals and the burden of gastrointestinal symptoms could be inaccurately reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Adults with CKD, including those undergoing haemodialysis, peritoneal dialysis and kidney transplant from four South Australian hospitals enrolled in the study. Participants completed a five\u2010item questionnaire, to investigate their perception of bowel health compared with clinical criteria for \u2018normal and abnormal\u2019 bowel health using the Bristol Stool Form Scale, bowel frequency and reported symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 324 individuals completed the questionnaire. Of those with clinically defined \u2018abnormal\u2019 bowel health (n\u2009=\u2009180), 50.6% perceived their bowels as \u2018normal\u2019 or \u2018more normal than abnormal\u2019. Only 6% of this clinically \u2018abnormal\u2019 group perceived their bowel health as abnormal. Of those with clinically defined \u2018normal\u2019 bowel health (n\u2009=\u2009144), 16% perceived their bowel health as \u2018abnormal\u2019, \u2018more abnormal than normal\u2018 or \u2018variable\u2019. Fifty\u2010seven percent of patients with clinically defined \u2018abnormal\u2019 bowel health were not taking any treatments. Peritoneal dialysis recipients were the highest users of treatments to improve bowel function, with 62% using 1 or more treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>It is common for patients with CKD to experience signs and symptoms of abnormal bowel health. There is a disconnect between patient perceptions and clinical definitions of normal or abnormal bowel health. Clinical care team members must carefully obtain and clarify patient\u2010reported symptoms related to bowel function in order to help ensure recommendations and use of appropriate treatments.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jorc.12230","type":"journal-article","created":{"date-parts":[[2018,1,10]],"date-time":"2018-01-10T06:06:50Z","timestamp":1515564410000},"page":"65-72","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Bowel health in chronic kidney disease: Patient perceptions differ from clinical definitions"],"prefix":"10.1111","volume":"44","author":[{"given":"Claire","family":"Trimingham","sequence":"first","affiliation":[{"name":"Central and Northern Adelaide Renal and Transplantation Service Royal Adelaide Hospital Adelaide Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"McDonald","sequence":"additional","affiliation":[{"name":"Central and Northern Adelaide Renal and Transplantation Service Royal Adelaide Hospital Adelaide Australia"},{"name":"ANZDATA South Australian Health and Medical Research Institute Adelaide South Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn","family":"Dansie","sequence":"additional","affiliation":[{"name":"ANZDATA South Australian Health and Medical Research Institute Adelaide South Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shilpa","family":"Jesudason","sequence":"additional","affiliation":[{"name":"Central and Northern Adelaide Renal and Transplantation Service Royal Adelaide Hospital Adelaide Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Randall","family":"Faull","sequence":"additional","affiliation":[{"name":"Central and Northern Adelaide Renal and Transplantation Service Royal Adelaide Hospital Adelaide Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phil","family":"Clayton","sequence":"additional","affiliation":[{"name":"Central and Northern Adelaide Renal and Transplantation Service Royal Adelaide Hospital Adelaide Australia"},{"name":"ANZDATA South Australian Health and Medical Research Institute Adelaide South Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace","family":"Liew","sequence":"additional","affiliation":[{"name":"Flinders University Adelaide Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4704-4943","authenticated-orcid":false,"given":"Richard","family":"Le Leu","sequence":"additional","affiliation":[{"name":"Central and Northern Adelaide Renal and Transplantation Service Royal Adelaide Hospital Adelaide Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Meade","sequence":"additional","affiliation":[{"name":"Central and Northern Adelaide Renal and Transplantation Service Royal Adelaide Hospital Adelaide Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,1,8]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfr692"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2007.01321.x"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1590-8658(14)60289-9"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwh072"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1744-9987.12229"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bone.2009.01.005"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2015.255"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfh632"},{"issue":"3","key":"e_1_2_14_10_1","first-page":"122","article-title":"Constipation in patients on peritoneal dialysis: a literature review","volume":"7","author":"Lee A","year":"2011","journal-title":"Ren Soc Aust J"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jorc.12157"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2011.04.100272"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.3109\/00365529709011203"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2005.11.061"},{"key":"e_1_2_14_15_1","first-page":"321","article-title":"[What people mean by constipation? 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