title: Factors affecting satisfaction with treatment in European women with chronic constipation: An internet survey.
abstract: BACKGROUND
  Data on factors affecting treatment satisfaction in European women with chronic constipation are limited.
  
  
  OBJECTIVE
  To assess factors associated with treatment satisfaction among European women with chronic constipation.
  
  
  METHODS
  A 2011-2012 internet survey was conducted in men and women from 12 European countries. Respondents analysed were female with self-reported chronic constipation (≥1 symptoms for ≥6 months of lumpy/hard stools, feeling of incomplete evacuation, and pain during defecation, as well as <3 bowel movements/week). For laxative users, satisfaction with treatment, factors affecting satisfaction, and interactions with healthcare professionals were collected.
  
  
  CONCLUSIONS
  In total, 4805/50,319 participants fulfilled the inclusion criteria (female with chronic constipation). Of the laxative users (1575/4805), 57% (n = 896) were satisfied with their treatment, while 26% were neutral, and 17% dissatisfied. Dissatisfied respondents visited their GP less frequently in the past 12 months, were more likely to obtain over-the-counter laxatives, and took a dose higher than recommended more frequently than those satisfied. Respondents were most satisfied with ease of use of treatment and least satisfied with relief from bloating. Newer treatments aimed at alleviating symptoms, particularly bloating, are required for respondents neutral or dissatisfied with their current treatment.
authors.affiliation: University College Hospital, London, UK.
authors.forename: Anton
authors.initials: A
authors.lastname: Emmanuel
authors.affiliation: University College Cork, Cork, Ireland.
authors.forename: Eamonn Mm
authors.initials: EM
authors.lastname: Quigley
authors.affiliation: University of Gothenburg, Gothenburg, Sweden.
authors.forename: Magnus
authors.initials: M
authors.lastname: Simrén
authors.affiliation: Across Health, Ghent, Belgium.
authors.forename: Yue
authors.initials: Y
authors.lastname: Feng
authors.affiliation: Park-Klinik Weissensee, Berlin, Germany.
authors.forename: Stefan
authors.initials: S
authors.lastname: Müller-Lissner
authors.affiliation: Vrije Universiteit Brussel, Brussels, Belgium.
authors.forename: Daniel
authors.initials: D
authors.lastname: Urbain
authors.affiliation: University of Leuven, Leuven, Belgium.
authors.forename: Jan
authors.initials: J
authors.lastname: Tack
authors.affiliation: Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: Albert J
authors.initials: AJ
authors.lastname: Bredenoord
authors.affiliation: Louis Mourier Hospital, Colombes, France ; University Paris Diderot, Paris, France.
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Sabaté
authors.affiliation: University Hospital of North Durham, Durham, UK.
authors.forename: Yan
authors.initials: Y
authors.lastname: Yiannakou
authors.affiliation: Israelitic Hospital, Hamburg, Germany.
authors.forename: Viola
authors.initials: V
authors.lastname: Andresen
authors.affiliation: University of Naples Federico II, Naples, Italy.
authors.forename: Rosario
authors.initials: R
authors.lastname: Cuomo
authors.affiliation: Complutense University, Madrid, Spain.
authors.forename: Enrique
authors.initials: E
authors.lastname: Rey
authors.affiliation: Shire-Movetis, Turnhout, Belgium.
authors.forename: Renate Specht
authors.initials: RS
authors.lastname: Gryp
authors.affiliation: Shire-Movetis, Turnhout, Belgium.
authors.forename: Lieve
authors.initials: L
authors.lastname: Vandeplassche
authors.affiliation: Shire Development, Wayne, Pennsylvania, USA.
authors.forename: Dory
authors.initials: D
authors.lastname: Solomon
keywords: Bloating; bulk-forming laxatives; chronic constipation treatment; dissatisfaction; incomplete evacuation; laxatives; osmotic laxatives; patient-reported outcome; satisfaction with chronic constipation treatment; stimulant laxatives