首页|Development of a Bowel Management Scoring Tool in Pediatric Patients with Constipation
Development of a Bowel Management Scoring Tool in Pediatric Patients with Constipation
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NSTL
Elsevier
? 2022 The Author(s)Objective: To develop a reliable and valid scoring tool, the Pediatric Bowel Management Scoring Tool (PBMST), to better guide management of constipation in pediatric patients. Study design: The project comprised 2 stages, development of the questionnaire and construction of the bowel management score. Two questionnaires were created, one for children aged 8-18 years to self-report and one parent proxy-report for children aged 4-8 years. Questions regarding physical symptoms (n = 6), emotional aspects (n = 2), social activities/school (n = 1), and treatment (n = 1) were included. Patients (or parents of patients) with symptoms of constipation completed the questionnaire. The reproducibility of each question was computed using the Cohen weighted kappa coefficient (κ). A bowel management score was developed using logistic regression analysis, assessing the associations between the questions and impact on self-reported quality of life (QoL). Questions with adequate reproducibility and significantly associated with QoL were incorporated into the score. Results: The questionnaire was completed by 385 patients. Six questions met the inclusion criteria and were incorporated into the score: stool shape (range, 0-3 points), anorectal pain (0-4 points), abdominal pain (0-3 points), frequency of fecal incontinence (0-3 points), assistance of caregivers (0-3 points), and interference with social activities (0-6 points). Differences in bowel management scores among patients reporting no, little, some, or major impact on QoL were statistically significant (P < .001). Conclusions: The newly developed and validated PBMST is a reliable tool for evaluating bowel management strategies in children with constipation.
bowel managementchildrenconstipation
de Bruijn C.M.A.、Safder S.、Rolle U.、Mosiello G.、Marshall D.、Christiansen A.B.、Benninga M.A.
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Department of Pediatric Gastroenterology Hepatology and Nutrition Emma Children's Hospital
Department of Pediatric Gastroenterology Arnold Palmer Hospital for Children Orlando Health
Department of Pediatric Surgery and Pediatric Urology Frankfurt University Hospital
Neuro-Urology Unit Department of Surgery Bambino Gesù Pediatric Hospital
Department of Pediatric Surgery/Urology Royal Belfast Hospital for Sick Children
NSTL
Elsevier
