Irritable bowel syndrome frequency and related factors in hemodialysis patients

Introduction Irritable bowel syndrome (IBS) is a functional bowel disease that is common in society, does not threaten life, impairs quality of life, and causes serious economic losses. Gastrointestinal system complaints and especially IBS are common in patients with chronic kidney disease. It has a...

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Bibliographic Details
Published in:Hemodialysis international 2020-07, Vol.24 (3), p.359-366
Main Authors: Özkul, Durmuş, Güney, İbrahim, Saçkan, Fatih, Coşkun Yavuz, Yasemin, Selcuk, Nedim Yilmaz, Tonbul, Halil Z.
Format: Article
Language:English
Subjects:
anxiety
calcium acetate
Cross-Sectional Studies
depression
Female
Hemodialysis
Humans
irritable bowel syndrome
Irritable Bowel Syndrome - etiology
Irritable Bowel Syndrome - physiopathology
lanthanum
Male
Middle Aged
Quality of Life - psychology
Renal Dialysis - adverse effects
Risk Factors
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Summary:Introduction Irritable bowel syndrome (IBS) is a functional bowel disease that is common in society, does not threaten life, impairs quality of life, and causes serious economic losses. Gastrointestinal system complaints and especially IBS are common in patients with chronic kidney disease. It has also been shown that psychiatric diseases are more common in patients with IBS. In this study, we aimed to determine the frequency of IBS in hemodialysis patients and to investigate the factors associated with IBS. Methods In this cross‐sectional study, the questionnaire prepared to evaluate depression, anxiety, and abdominal pain was administered face‐to‐face to 686 patients by the same researcher in seven dialysis centers; 404 patients without exclusion criteria were included in the study. The diagnosis of IBS was made according to Rome IV criteria. A multivariate logistic regression model was used to identify factors that are significantly related to IBS. Findings In 69 (17.1%) of the patients included in the study, symptoms were consistent with IBS. Binominal logistic regression analysis was performed to evaluate the effect of age, dialysis duration, diabetes, proton pump inhibitor, non‐steroidal anti‐inflammatory drugs, calcium acetate use, Hamilton depression and anxiety scores associated with IBS in the presence of IBS of the participants. The logistic regression model was statistically significant, χ2 (3) = 69.748, P 
ISSN:1492-7535
1542-4758
DOI:10.1111/hdi.12846