Multiple sclerosis: prevalence and factors impacting bladder and bowel function in an Australian community cohort

Khan, Fary; Pallant, Julie; Shea, Tracey; Whishaw, Michael

doi:10.1080/09638280802639566

Cited by 57 publications

(61 citation statements)

References 30 publications

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“…Respondents are asked to rate the severity of each symptom using a 6 point scale (0-5). The total score ranges from 0 to 35 (asymptomatic to very symptomatic) with scores categorized as mild (symptom score \7), moderate (score range [8][9][10][11][12][13][14][15][16][17][18][19] and severe (score range 20-35).…”

Section: Impairment and Disabilitymentioning

confidence: 99%

“…As previously reported [12,13], 204 patients listed on the RMH MS Database were identified as being eligible for this study. All were contacted by mail and invited to participate in the project.…”

mentioning

confidence: 99%

“…participant selection criteria and methodology have been described previously [12,13]. Participants with 'definite' MS [14], and stage and severity category using Expanded Disability Status Scale (EDSS) [15] levels were recruited from the RMH MS database (sourced from membership of the MS Society or hospital clinics).…”

mentioning

confidence: 99%

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Sexual Dysfunction in Multiple Sclerosis

Khan

Pallant

et al. 2011

Sex Disabil

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To describe sexual dysfunction (SD) in persons with MS, its impact on quality of life and relationship with bladder function. Persons with definite MS (n = 73) from a tertiary hospital database, interviewed using standardized measures. For disability: Neurological Disability Scale (NDS), American Urological Association Index, Urogenital Distress Inventory (UDI6), Incontinence Impact Questionnaire (IIQ7) and Personal Experiences Questionnaire (PEQ); participation: Multiple Sclerosis Impact Scale (MSIS). Mean age 50 years, 73% female, 52% progressive MS and 60% with detrusor overactivity. Fifty-one (72%) had PEQ scores indicating SD. Women reported greater SD than men (p = .013). SD included: lack of enjoyment of sexual activity (32%), failure of arousal (30%) and anorgasmia (47%). Patients who reported MS impacted 'a great deal 'on their sex lives, compared with those who did not, showed significant differences on PEQ Sexual Frequency (p = .01), IIQ7 (p = .03), UDI6 (p = .04) and both MSIS subscales (Physical p = .04; Psychological p = .03). The PEQ Sexual Frequency scale significantly correlated with NDS (rho = -.30), QoL Bladder score (rho = -.35) and MSIS Physical subscale (rho = -.30). No association was found between SD and age, years since diagnosis, stage or severity of MS. SD is complex and often overlooked in clinical care. Improved management options for SD may improve QoL in these persons.

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Section: Impairment and Disabilitymentioning

confidence: 99%

mentioning

confidence: 99%

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Sexual Dysfunction in Multiple Sclerosis

Khan

Pallant

et al. 2011

Sex Disabil

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“…A total of 47 papers described the use of ICF in the contexts of a specific health condition, the most frequent being stroke [439,469,470,472,473], multiple sclerosis [444,464,465,467,477], rheumatoid arthritis [440,443,449,454,474], traumatic brain injury [455,457,459] and HIV/AIDS [441,446,447].…”

Section: Clinical Contextsmentioning

confidence: 99%

Systematic literature review on ICF from 2001 to 2009: its use, implementation and operationalisation

Černiauskaitė

Quintas

Boldt

et al. 2010

Disability and Rehabilitation

243

161

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Conclusions. The ICF contributed to the development of research on functioning and on disability in clinical, rehabilitation as well as in several other contexts, such as disability eligibility and employment. Diffusion of ICF research and use in a great variety of fields and scientific journals is a proof that a cultural change and a new conceptualisation of functioning and disability is happening.

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“…Bowel problems particularly fecal incontinence is often withheld from sharing the problem with health care providers due to feelings of embarrassment or shame (Khan, Pallant, Shea & Whishaw, 2009;Powell & Rigby, 2000;Wald, 2007). Therefore, since bowel dysfunction is relatively common among persons with MS it is important for health care providers to ask their MS patients in a careful supportive manner about their bowel function as accurate assessment of the presenting bowel problem is key to the successful treatment and management of bowel dysfunction (Irwin, 2003).…”

Section: Assessment Of Bowel Dysfunctionmentioning

confidence: 99%