Factors Associated with Defecation Satisfaction among Japanese Adults with Chronic Constipation

Area of Science:

• Gastroenterology
• Public Health

Background:

• Constipation is a widespread condition causing significant global morbidity.
• Understanding factors influencing constipation management and patient satisfaction is crucial for improving care.

Purpose of the Study:

• To assess constipation-related factors in Japan using the Irritable Bowel Syndrome Quality of Life (IBS-QOL-J) instrument.
• To examine the relationships among laxative type, Bristol Stool Form Scale (BSFS) scores, treatment cost, and patient satisfaction.

Main Methods:

• A survey was conducted in Japan utilizing the Japanese version of the IBS-QOL-J.
• Data collected included laxative type, BSFS scores, and treatment expenses.
• Satisfaction scores were analyzed in relation to these factors.

Main Results:

• Higher IBS-QOL-J scores were observed in patients using salt and/or irritation laxatives.
• Patients spending over JPY 5000 (USD 50.00) reported the lowest IBS-QOL-J.
• Significantly lower IBS-QOL-J was associated with BSFS scores of 1 or 2 (indicating severe constipation).

Conclusions:

• Treatment type and cost are associated with defecation satisfaction.
• Hard stools, polypharmacy with laxatives, and higher treatment costs correlate with decreased satisfaction.
• Future strategies should focus on cost-effective therapies, appropriate laxative use, lifestyle modifications, and accurate diagnosis of constipation disorders.