Development of a bowel management scoring tool in pediatric patients with constipation
- 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.
Author: | Clara M. A. de BruijnORCiD, Shaista Safder, Udo RolleORCiDGND, Giovanni MosielloORCiD, David Marshall, Albert B. Christiansen, Marc A. BenningaORCiDGND |
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URN: | urn:nbn:de:hebis:30:3-785229 |
DOI: | https://doi.org/10.1016/j.jpeds.2022.01.036 |
ISSN: | 0022-3476 |
Pubmed Id: | https://pubmed.ncbi.nlm.nih.gov/35114289 |
Parent Title (English): | The journal of pediatrics |
Publisher: | Elsevier |
Place of publication: | Amsterdam |
Document Type: | Article |
Language: | English |
Date of Publication (online): | 2022/01/31 |
Date of first Publication: | 2022/01/31 |
Publishing Institution: | Universitätsbibliothek Johann Christian Senckenberg |
Release Date: | 2024/05/02 |
Tag: | bowel management; children; constipation |
Volume: | 244 |
Page Number: | 9 |
First Page: | 107 |
Last Page: | 114.e1 |
HeBIS-PPN: | 52037908X |
Institutes: | Medizin |
Dewey Decimal Classification: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
Sammlungen: | Universitätspublikationen |
Licence (German): | ![]() |