Mayo Clinic Scottsdale, Scottsdale, Arizona, USA.
University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.
Am J Gastroenterol. 2022 Apr 1;117(4S):S2-S5. doi: 10.14309/ajg.0000000000001708.
Chronic idiopathic constipation (CIC) and irritable bowel syndrome with constipation (IBS-C) are associated with significant social and economic burdens. To address these burdens, a deeper understanding of their root causes is required. A discrepancy exists between patients' and healthcare providers' (HCPs) perceptions of constipation symptoms and the impact of symptoms associated with CIC and IBS-C. Compared with the HCPs' perceptions of patients' symptoms, a greater percentage of patients report acceptance and feeling in control of their CIC or IBS-C symptoms. Unfortunately, only one-third of individuals with CIC or IBS-C formally consult an HCP about their constipation. Fewer than half take medications, and these are generally over-the-counter therapies rather than prescription therapies. For those who seek help, only one-fifth feel that their constipation symptoms are well managed. Notable sex and cultural differences exist regarding individuals consulting their HCP about constipation. Many individuals with CIC and IBS-C remain inadequately managed and unduly affected, contributing to the high social and economic burden of these conditions.
慢性特发性便秘（CIC）和便秘型肠易激综合征（IBS-C）与重大的社会和经济负担相关。为了应对这些负担，需要深入了解其根本原因。患者和医疗保健提供者（HCP）对便秘症状的认知以及与 CIC 和 IBS-C 相关症状的影响之间存在差异。与 HCP 对患者症状的认知相比，更多的患者报告对其 CIC 或 IBS-C 症状的接受程度和控制感。不幸的是，只有三分之一的 CIC 或 IBS-C 患者正式向 HCP 咨询其便秘问题。服用药物的人数不到一半，而且这些药物通常是非处方治疗药物，而不是处方治疗药物。对于那些寻求帮助的人，只有五分之一的人认为他们的便秘症状得到了很好的控制。在就便秘问题咨询 HCP 方面，存在明显的性别和文化差异。许多 CIC 和 IBS-C 患者的治疗仍不充分，且受到过度影响，导致这些疾病的社会和经济负担很高。
