TY  - JOUR
A1  - Bruijn, Clara M. A. de
A1  - Safder, Shaista
A1  - Rolle, Udo
A1  - Mosiello, Giovanni
A1  - Marshall, David
A1  - Christiansen, Albert B.
A1  - Benninga, Marc A.
T1  - Development of a bowel management scoring tool in pediatric patients with constipation
T2  - The journal of pediatrics
N2  - 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.
KW  - children
KW  - constipation
KW  - bowel management
Y1  - 2022
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/78522
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-785229
SN  - 0022-3476
VL  - 244
SP  - 107
EP  - 114.e1
PB  - Elsevier
CY  - Amsterdam
ER  -