High-resolution circuit for the diagnosis of faecal incontinence. Patient satisfaction. / Circuito de alta resolución en el diagnóstico de la incontinencia fecal. Satisfacción de los pacientes.

INTRODUCTION: Despite its high prevalence, faecal incontinence (FI) is still underrated and underdiagnosed. Moreover, diagnosis and subsequent treatment can be a challenge for the colorectal surgeon because of its associated social taboo and embarrassment, and the wide range of symptoms. The aim of the present study is to describe a new high-resolution circuit (HRC) for FI diagnosis, that was implemented at our center and to evaluate patient satisfaction. METHODS: The structure and organization of the HRC are described. Demographic and clinical data of the patients included in the HRC between February 2014 and June 2016 were collected. Moreover, patients' satisfaction was measured through a structured survey. RESULTS: A total of 321 patients were evaluated in our pelvic floor outpatients clinic during the study period: 65% (210) of them had FI (81% women, median age 66 years). The mean time since FI onset was 24 (range 4-540) months. A total of 79% (165) of the patients were included in the HRC. 62% of them responded to the survey. Of these, only 32% (33) had consulted for FI before coming to our centre. The majority, 88% (90) considered that performing the 2diagnostic tests the same day of the visit was a very good option. And 94% (96) were satisfied with the information received on their FI, with a median satisfaction value of 10 (5-10). CONCLUSION: With the HRC, the patient spends about 2h in the outpatient clinic of the hospital, but leaves with the complete diagnostic process performed. The satisfaction survey confirms that most patients prefer this system.

Circuito de alta resolución en el diagnóstico de la incontinencia fecal. Satisfacción de los pacientes / High-resolution circuit for the diagnosis of faecal incontinence. Patient satisfaction

Introducción: La incontinencia fecal (IF), pese a su elevada prevalencia, sigue estando infravalorada e infradiagnosticada. La potencial afectación psicológica, el tabú asociado y el amplio abanico de síntomas hacen del diagnóstico y tratamiento un reto para el cirujano colorrectal. El objetivo de este estudio es describir un nuevo circuito de atención especializado, el circuito de alta resolución (CAR) para tratar la IF, y evaluar la satisfacción de los pacientes. Métodos: Se realiza una descripción de la organización del CAR. Se analizan los datos demográficos y clínicos de los pacientes incluidos en el CAR entre febrero de 2014 y junio de 2016. Se reportan, además, los resultados de una encuesta de satisfacción sobre el CAR realizada a los pacientes incluidos. Resultados: Durante el periodo de estudio se realizaron 321 primeras visitas: 65% (210) por IF (81% mujeres; mediana de edad 66 años). El tiempo mediano de evolución de la IF fue de 24 (rango 4-540) meses. El 79% de los pacientes (165) realizaron el CAR. El 62% respondieron a la encuesta. De estos, solo un 32% (33) habían consultado por este problema en otros centros. La mayoría, 88% (90) consideró preferible el hecho de que hicieran las pruebas diagnósticas el mismo día de la visita. El 94% (96) quedó satisfecho con la información recibida sobre la IF, valorando la consulta con una mediana de 10 (5-10) sobre 10. Conclusión: Con el CAR, el paciente pasa alrededor de 2 h en las consultas externas del hospital, completando el proceso diagnóstico en el mismo día. Los resultados de satisfacción confirman que los pacientes en su mayoría prefieren este sistema (AU)

Introduction: Despite its high prevalence, faecal incontinence (FI) is still underrated and underdiagnosed. Moreover, diagnosis and subsequent treatment can be a challenge for the colorectal surgeon because of its associated social taboo and embarrassment, and the wide range of symptoms. The aim of the present study is to describe a new high-resolution circuit (HRC) for FI diagnosis, that was implemented at our center and to evaluate patient satisfaction. Methods: The structure and organization of the HRC are described. Demographic and clinical data of the patients included in the HRC between February 2014 and June 2016 were collected. Moreover, patients’ satisfaction was measured through a structured survey. Results: A total of 321 patients were evaluated in our pelvic floor outpatients clinic during the study period: 65% (210) of them had FI (81% women, median age 66 years). The mean time since FI onset was 24 (range 4-540) months. A total of 79% (165) of the patients were included in the HRC. 62% of them responded to the survey. Of these, only 32% (33) had consulted for FI before coming to our centre. The majority, 88% (90) considered that performing the 2diagnostic tests the same day of the visit was a very good option. And 94% (96) were satisfied with the information received on their FI, with a median satisfaction value of 10 (5-10). Conclusion: With the HRC, the patient spends about 2h in the outpatient clinic of the hospital, but leaves with the complete diagnostic process performed. The satisfaction survey confirms that most patients prefer this system (AU)