Baiona's Consensus Statement for Fecal Incontinence. Spanish Association of Coloproctology

Area of Science:

• Coloproctology
• Gastroenterology
• Evidence-Based Medicine

Background:

• Faecal incontinence (FI) presents substantial challenges for individuals and healthcare systems.
• Numerous diagnostic and treatment options for FI exist, but scientific evidence varies.
• There is a need for standardized, evidence-based guidelines to manage FI.

Purpose of the Study:

• To develop a consensus guideline for the diagnosis and treatment of faecal incontinence.
• To provide healthcare professionals with a framework for managing FI based on scientific evidence.
• To promote individualized treatment decisions for patients with faecal incontinence.

Main Methods:

• The Spanish Association of Coloproctology (AECP) convened experts to create the consensus.
• Nominal Group Technique methodology was employed for consensus development.
• Levels of Evidence and Grades of Recommendation followed Oxford Centre for Evidence-Based Medicine criteria.

Main Results:

• The consensus offers guidance on diagnostic tests and treatment options for FI.
• It highlights the importance of considering patient characteristics and healthcare team experience.
• Expert recommendations are integrated into the guideline for practical application.

Conclusions:

• This consensus serves as a valuable guide for health professionals managing faecal incontinence.
• It advocates for evidence-based practice and individualized patient care in FI management.
• The guideline aims to improve outcomes and reduce the burden of faecal incontinence.