A comparison of faecal incontinence scoring systems

Colbran, Rachel; Gillespie, Christopher; Ayvaz, Faruk; Warwick, Andrea

doi:10.1111/codi.15634

Cited by 6 publications

(3 citation statements)

References 16 publications

(23 reference statements)

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“…Postoperative pain was measured using an 11-point Visual Analog Scale pain score (VAS-PS) 14 . The severity of fecal incontinence symptoms was evaluated using the Cleveland Clinic Florida incontinence score (CCF-IS) 15 . The Quality of Life in Patients with Anal Fistula Questionnaire score (QoLAF-QS) was used to assess the quality of life of patients with anal fistula 16 .…”

Section: Methods and Analysismentioning

confidence: 99%

The bared external anal sphincter (BEAS), a new technique for high horseshoe anal fistula: a hospital-based cohort study

Zhu

Wang

et al. 2023

Sci Rep

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The aim of this study was to introduce a new technique, the bared external anal sphincter technique, and to evaluate its effectiveness and safety for primary or recurrent high horseshoe anal fistula (HHAF). We used data from a tertiary referral hospital’s prospective database of a hospital-based cohort. All the patients underwent the bared external anal sphincter procedure. The main outcomes were short‐term clinical outcomes including the 6-month cure rate, Visual Analog Scale pain score (VAS-PS) and Cleveland Clinic Florida incontinence score (CCF-IS). The secondary outcomes included the Quality of Life in Patients with Anal Fistula Questionnaire score (QoLAF-QS), Bristol stool chart and postoperative complications. A total of 48 HHAF patients (39 males) with a mean age of 34.2 years (SD 9.04; range, 21–54) were analyzed in this retrospective study. At the 6-month follow-up, the average VAS-PS and CCF-IS were 0.81 (SD 2.28; range, 0–10) and 1.29 (SD 2.87; range, 0–13), respectively. QoLAF-QS showed that the bared external anal sphincter procedure had no impact over their quality of life in 45 patients (93.75%), limited impact in 2 patients (4.16%), and moderate impact in one patient (2.08%). The Bristol stool scale showed that all patients had normal stool characteristics. The 6-month cure rate was 93.75%. Three patients (6.25%) experienced recurrent symptoms but recovered after surgical management. Urinary retention occurred in 1 case (2.78%). No other postoperative complications were reported. No patient had anal incontinence. The bared external anal sphincter procedure is a safe, effective and sphincter-sparing approach for patients with primary or recurrent HHAF in terms of short‐term results.

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Section: Methods and Analysismentioning

confidence: 99%

The bared external anal sphincter (BEAS), a new technique for high horseshoe anal fistula: a hospital-based cohort study

Zhu

Wang

et al. 2023

Sci Rep

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“…The Wexner incontinence score includes 5 items: incontinence of flatus, incontinence of liquid, incontinence of solid, wearing an incontinence pad, and lifestyle requirements. 13 , 14 Scores range from 0 (normal) to 20 (complete FI). We used the SF-36 questionnaire to assess QoL.…”

Section: Methodsmentioning

confidence: 99%

The Severity of Fecal Problems Is Negatively Associated With Quality of Life in a Dutch Population Without Bowel Function Comorbidities

ten Hoor,

Trzpis,

Broens

2023

Diseases of the Colon &Amp; Rectum

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BACKGROUND: Constipation and fecal incontinence have a negative influence on quality of life. The association between the severity of fecal problems and quality of life has not been investigated in a non-patient population. OBJECTIVE: To investigate the association between the severity of constipation and fecal incontinence and quality of life in non-patients. DESIGN: A population-based, cross-sectional study. SETTINGS: The study involved 3668 Dutch non-patients. PATIENTS: A survey company conducted a population-wide study of the general Dutch population. Altogether, 5000 Dutch citizens completed the Groningen Defecation and Fecal Continence and Short-Form 36 questionnaires. The data on 3668 respondents without comorbidities that could influence bowel function were included for analysis. MAIN OUTCOME MEASURES: The severity of constipation (Agachan score) and fecal incontinence (Wexner score) in relation to the quality-of-life scores. RESULTS: In the non-patient population (n = 3668), 487 (13.3%) had constipation, 116 (3.2%) had fecal incontinence, and the two fecal problems coexisted in 64 (1.7%). In the multivariable analysis, all quality-of-life domains were negatively associated with the severity of constipation and fecal incontinence. The associations between the severity of constipation and quality of life were stronger (highest: ß = -2.413, 95% CI, -2.681 to -2.145, p = < 0.001) than those of fecal incontinence (highest: ß = -1.280, 95% CI, -1.681 to -.880, p = < 0.001). We also found that a longer duration of bowel complaints coincided with higher severity scores, especially for constipation. Mostly, respondents rated their defecation health as positive, regardless of the severity of their fecal problems. LIMITATIONS: Cross-sectional design. CONCLUSIONS: The severity of constipation and fecal incontinence is significantly associated with reduced quality of life, with the severity of constipation having stronger associations than fecal incontinence. Given respondents' unawareness of their fecal problems and the progressive character thereof, timely intervention is advocated.

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“…An appropriate scoring system is essential to both predict the severity of the disease and quantify the effect of treatment. Currently, many FI scales have been developed for adults ( 19 , 20 ), which are not suitable for children because of the differences in the etiology. Therefore, a number of pediatric FI scoring systems were also developed, including Holschneider, Kricknebeck ( 21 ), Pena ( 22 ), and Rintala scores ( 23 ) ( Table 2 ).…”

Section: Diagnosis Of Fi In Children and Adolescentsmentioning

confidence: 99%

Diagnosis and management of fecal incontinence in children and adolescents

Shen

Zhang²,

Bai

et al. 2022

Front. Pediatr.

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Fecal incontinence (FI) is a commonly occurring disease of high concern. It is characterized by voluntary and involuntary defecation in children and adolescents. It is not only a physical disease but also a psychological and behavioral disorder. FI poses a serious burden on individuals and their families and therefore has become a social problem. Unfortunately, the management of FI among children is still a challenge because the etiology varies widely. Constipation has been found to be the most common cause, while sphincter dysfunction and neurogenic abnormalities may also play a role. Currently, no consensus guidelines exist, and the criteria for selecting optional methods remain unclear. It is therefore necessary to improve the efficacy of diagnosis and management strategies of FI in children. This review focused on the classification and etiology, discussed the diagnosis and management methods of FI in children and adolescents, and aimed to guide future studies.

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A comparison of faecal incontinence scoring systems

Cited by 6 publications

References 16 publications

The bared external anal sphincter (BEAS), a new technique for high horseshoe anal fistula: a hospital-based cohort study

The bared external anal sphincter (BEAS), a new technique for high horseshoe anal fistula: a hospital-based cohort study

The Severity of Fecal Problems Is Negatively Associated With Quality of Life in a Dutch Population Without Bowel Function Comorbidities

Diagnosis and management of fecal incontinence in children and adolescents

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