Factor analysis identifies subgroups of constipation

Philip Dinning, Michael Jones, Linda Hunt, S Fuentealba, Jamshid Kalanter, Denis King, David Lubowski, Nicholas Talley, Ian Cook

    Research output: Contribution to journalArticle

    13 Citations (Scopus)

    Abstract

    AIM: To determine whether distinct symptom groupings exist in a constipated population and whether such grouping might correlate with quantifiable pathophysiological measures of colonic dysfunction. METHODS: One hundred and ninety-one patients presenting to a Gastroenterology clinic with constipation and 32 constipated patients responding to a newspaper advertisement completed a 53-item, wide-ranging selfreport questionnaire. One hundred of these patients had colonic transit measured scintigraphically. Factor analysis determined whether constipation-related symptoms grouped into distinct aspects of symptomatology. Cluster analysis was used to determine whether individual patients naturally group into distinct subtypes. RESULTS: Cluster analysis yielded a 4 cluster solution with the presence or absence of pain and laxative unresponsiveness providing the main descriptors. Amongst all clusters there was a considerable proportion of patients with demonstrable delayed colon transit, irritable bowel syndrome positive criteria and regular stool frequency. The majority of patients with these characteristics also reported regular laxative use. CONCLUSION: Factor analysis identified four constipation subgroups, based on severity and laxative unresponsiveness, in a constipated population. However, clear stratification into clinically identifiable groups remains imprecise.

    Original languageEnglish
    Pages (from-to)1468-1474
    Number of pages7
    JournalWorld Journal of Gastroenterology
    Volume17
    Issue number11
    DOIs
    Publication statusPublished - 21 Mar 2011

    Keywords

    • Clusters
    • Constipation
    • Factor analysis
    • Laxatives
    • Symptoms

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  • Cite this

    Dinning, P., Jones, M., Hunt, L., Fuentealba, S., Kalanter, J., King, D., Lubowski, D., Talley, N., & Cook, I. (2011). Factor analysis identifies subgroups of constipation. World Journal of Gastroenterology, 17(11), 1468-1474. https://doi.org/10.3748/wjg.v17.i11.1468