Usefulness of Assessment of Stool Form by the Modified BristolStool Form Scale in Primary Care Pediatrics
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Purpose: Rome criteria are considered the gold standard for diagnosing functional constipation. The modified Bristol stool form scale (m-BSFS) was validated to measure stool form in children. However, neither the potential use of the m-BSFS as a tool to facilitate the diagnosis of potential constipation, nor the agreement between m-BSFS and stool consistency by Rome has been studied. Our objective is to determine if m-BSFS is a reliable tool to facilitate detection of constipation; and the agreement between stool form by m-BSFS and hard stool criteria in Rome. Methods: A survey tool with the Rome III criteria and the m-BSFS was developed. A Likert-scale addressed frequency of each stool form on the m-BSFS. Responses to Rome III and m-BSFS were compared. Results: The sensitivity and specificity of the m-BSFS was 79.2% and 66.0% respectively; and in children ＜4 years. improved to 81.2% and 75.0% respectively. There was poor agreement between hard stools by m-BSFS and the painful or hard bowel movement question of Rome Criteria. Conclusion: The potential utility of m-BSFS as a reasonably good tool to facilitate the diagnosis of potential constipation in children is shown. The poor agreement between painful or hard stool question in Rome III, and ratings for hard stool on the m-BSFS illustrates that one’s perception may differ between a question and a picture. A useful pictorial tool to appraise stool form may, thus, be a favorable complement in the process of enquiry about bowel habits in well-child care.
Abstract
Purpose: Rome criteria are considered the gold standard for diagnosing functional constipation. The modified Bristol stool form scale (m-BSFS) was validated to measure stool form in children. However, neither the potential use of the m-BSFS as a tool to facilitate the diagnosis of potential constipation, nor the agreement between m-BSFS and stool consistency by Rome has been studied. Our objective is to determine if m-BSFS is a reliable tool to facilitate detection of constipation; and the agreement between stool form by m-BSFS and hard stool criteria in Rome. Methods: A survey tool with the Rome III criteria and the m-BSFS was developed. A Likert-scale addressed frequency of each stool form on the m-BSFS. Responses to Rome III and m-BSFS were compared. Results: The sensitivity and specificity of the m-BSFS was 79.2% and 66.0% respectively; and in children ＜4 years. improved to 81.2% and 75.0% respectively. There was poor agreement between hard stools by m-BSFS and the painful or hard bowel movement question of Rome Criteria. Conclusion: The potential utility of m-BSFS as a reasonably good tool to facilitate the diagnosis of potential constipation in children is shown. The poor agreement between painful or hard stool question in Rome III, and ratings for hard stool on the m-BSFS illustrates that one’s perception may differ between a question and a picture. A useful pictorial tool to appraise stool form may, thus, be a favorable complement in the process of enquiry about bowel habits in well-child care.
참고문헌 (28)
- van den Berg MM, "Epidemiology of childhood constipation: a systematic review", Am J Gastroenterol, 101, pp.2401~2409 (2006)[DOI]
- Mugie SM, "Epidemiology of constipation in children and adults: a systematic review", Best Pract Res Clin Gastroenterol, 25, pp.3~18 (2011)
- Baker SS, "Constipation in infants and children: evaluation and treatment. A medical position statement of the North American Society for Pediatric Gastroenterology and Nutrition", J Pediatr Gastroenterol Nutr, 29, pp.612~626 (1999)[DOI]
- Uc A, "Functional gastrointestinal disorders in African American children in primary care", J Pediatr Gastroenterol Nutr, 42, pp.270~274 (2006)[DOI]
- Burgers R, "The care of constipated children in primary care in different countries", Acta Paediatr, 101, pp.677~680 (2012)[DOI]
- Youssef NN, "Chronic childhood constipation is associated with impaired quality of life: a case-controlled study", J Pediatr Gastroenterol Nutr, 41, pp.56~60 (2005)[DOI]
- Rappaport L, "Locus of control as predictor of compliance and outcome in treatment of encopresis", J Pediatr, 109, pp.1061~1064 (1986)[DOI]
- Liem O, "Health utilization and cost impact of childhood constipation in the United States", J Pediatr, 154, pp.258~262 (2009)[DOI]
- Sommers T, "Emergency department burden of constipation in the United States from 2006 to 2011", Am J Gastroenterol, 110, pp.572~579 (2015)[DOI]
- Bongers ME, "Long-term prognosis for childhood constipation: clinical outcomes in adulthood", Pediatrics, 126, pp.e156~e162 (2010)[DOI]
- Loening-Baucke V, "Constipation in early childhood: patient characteristics, treatment, and longterm follow up", Gut, 34, pp.1400~1404 (1993)[DOI]
- Arbuckle RA, "Measuring the symptoms of pediatric constipation and irritable bowel syndrome with constipation: expert commentary and literature review", Patient, 7, pp.343~364 (2014)[DOI]
- Tabbers MM, "Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN", J Pediatr Gastroenterol Nutr, 58, pp.258~274 (2014)
- Carmo RL, "Colonic transit in children and adolescents with chronic constipation", J Pediatr (Rio J), 91, pp.386~391 (2015)[DOI]
- Zaslavsky C, "Total and segmental colonic transit time with radio-opaque markers in adolescents with functional constipation", J Pediatr Gastroenterol Nutr, 27, pp.138~142 (1998)[DOI]
- Lewis SJ, "Stool form scale as a useful guide to intestinal transit time", Scand J Gastroenterol, 32, pp.920~924 (1997)[DOI]
- Degen LP, "How well does stool form reflect colonic transit?", Gut, 39, pp.109~113 (1996)[DOI]
- Chumpitazi BP, "Creation and initial evaluation of a Stool Form Scale for children", J Pediatr, 157, pp.594~597 (2010)[DOI]
- van Tilburg MA, "Development and validation of a Rome III functional gastrointestinal disorders questionnaire for infants and toddlers", J Pediatr Gastroenterol Nutr, 62, pp.384~386 (2016)[DOI]
- Lane MM, "Reliability and validity of a modified Bristol Stool Form Scale for children", J Pediatr, 159, pp.437~441.e1 (2011)[DOI]
- Loening-Baucke V, "Prevalence rates for constipation and faecal and urinary incontinence", Arch Dis Child, 92, pp.486~489 (2007)[DOI]
- Geoffrey RS, "2014 recommendations for pediatric preventive health care", Pediatrics, 133, pp.568~570 (2014)[DOI]
- Hagan JF, "Bright futures: Guidelines for health supervision of infants, children, and adolescents", American Academy of Pediatrics (2007)
- Wald ER, "Validation and clinical utility of a bowel habit questionnaire in school-age children", J Pediatr Gastroenterol Nutr, 53, pp.520~523 (2011)
- Loening-Baucke V, "Chronic constipation in children", Gastroenterology, 105, pp.1557~1564 (1993)[DOI]
- Devanarayana NM, "Bowel habits and behaviors related to defecation in 10- to 16-year-olds: impact of socioeconomic characteristics and emotional stress", J Pediatr Gastroenterol Nutr, 52, pp.569~573 (2011)[DOI]
- Russo M, "Stool consistency, but not frequency, correlates with total gastrointestinal transit time in children", J Pediatr, 162, pp.1188~1192 (2013)[DOI]
- Saps M, "Construct validity of the pediatric Rome III criteria", J Pediatr Gastroenterol Nutr, 59, pp.577~581 (2014)[DOI]