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논문 기본 정보

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저자정보
Akio Tamura (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Jap) Toshihiko Tomita (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Tadayuki Oshima (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Fumihiko Toyoshima (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Takahisa Yamasaki (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Takuya Okugawa (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Takashi Kondo (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Tomoaki Kono (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Katsuyuki Tozawa (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Hisatomo Ikehara (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Yoshio Ohda (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Hirokazu Fukui (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Jiro Watari (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan) Hiroto Miwa (Division of Gastroenterology Department of Internal Medicine Hyogo College of Medicine Japan)
저널정보
대한소화관운동학회(현 대한소화기능성질환.운동학회) Journal of Neurogastroenterology and Motility (JNM) Journal of Neurogastroenterology and Motility (JNM) Vol.22 No.4
발행연도
2016.1
수록면
677 - 685 (9page)

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Background/AimsAlthough chronic constipation is a common symptom, to date no international consensus has been reached regarding its definition. The aims of this study were (1) to investigate defecation habits and (2) to examine the prevalence of constipation using the Japanese Society of Internal Medicine (JSIM) and the Rome III criteria using an online survey. MethodsAn online questionnaire composed of items on the frequency, interval, form of defecation, the management, and self-recognition of constipation (reference standard of constipation) was created. A total of 5155 valid responses were received. In addition, constipation symptoms were evaluated through a survey using the JSIM and the Rome III criteria. ResultsIn the internet survey, 28.4% of the respondents considered themselves to be constipated. Stratified by sex, significantly more females (37.5%) than males (19.1%) considered themselves to be constipated (P < 0.001). The prevalence of constipation among the respondents was 28.0% using the Rome III, but only 10.1% using the JSIM. The diagnostic accuracy was 73.2% for the Rome III and 78.1% for the JSIM, while the diagnostic specificity was 81.1% for the Rome III and 97.5% for the JSIM. However, the diagnostic sensitivities for both measures were low, at 52.2% and 29.2% for the Rome III and the JSIM, respectively. ConclusionsThe online survey developed for this study was able to provide clarification regarding defecation patterns. The results also suggest a discrepancy between the self-recognized prevalence of constipation in Japan and prevalence of constipation based on the JSIM criteria.

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참고문헌 (36)

참고문헌 신청
Koloski NA / 2002 / Epidemiology and health care seeking in the functional GI disorders: a population-based study / Am J Gastroenterol 97:2290~2299 google schola Drossman DA / 1993 / U.S. householder survey of functional gastrointestinal disorders. Prevalence, sociodemography, and health impact / Dig Dis Sci 38:1569~1580 google schola Stewart WF / 1999 / Epidemiology of constipation (EPOC) study in the United States: relation of clinical subtypes to sociodemographic features / Am J Gastroenterol 94:3530~3540 google schola Johanson JF / 2007 / constipation: a survey of the patient perspective / Aliment Pharmacol Ther 25:599~608 google schola Cummings JH / 1992 / Fecal weight, colon cancer risk, and dietary intake of nonstarch polysaccharides (dietary fiber) / Gastroenterology 103:1783~1789 google schola

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