A constipation scoring system to simplify evaluation and management of constipated patients

Agachan, Feran; Chen, Teng; Pfeifer, Johann; Reissman, Petachia; Wexner, Steven D.

doi:10.1007/bf02056950

Cited by 1,016 publications

(726 citation statements)

References 21 publications

Supporting

Mentioning

700

Contrasting

Unclassified

Order By: Relevance

“…A questionnaire (Table 1) adapted from the one developed by the Cleveland Clinic was used to assess defecatory symptoms [23] such as frequency of spontaneous bowel movements, stool consistency, straining during defecation, sensation of incomplete evacuation, sensation of blockage, and painful defecation. The latter four are deemed to be relatively specific for DD and were scored on a scale of 0 to 3, where 0 = never occurred, 1 = occurred occasionally, 2 = occurred during 25% of defecations, and 3 = occurred during 50% of defecations.…”

Section: Constipation Severitymentioning

confidence: 99%

Efficacy and Predictors for Biofeedback Therapeutic Outcome in Patients with Dyssynergic Defecation

Yu¹,

Lin²

2017

Gastroenterology

View full text Add to dashboard Cite

Section: Constipation Severitymentioning

confidence: 99%

Efficacy and Predictors for Biofeedback Therapeutic Outcome in Patients with Dyssynergic Defecation

Yu¹,

Lin²

2017

Gastroenterology

View full text Add to dashboard Cite

“…The primary end points of the study were the St Mark's fecal incontinence score 12 and the Cleveland Clinic constipation scoring system. 13 The neurogenic bowel dysfunction score, which is a symptombased score developed specifically for spinal cord-injured patients and takes into account the symptoms' impact on quality of life 14 was added as a secondary end point data was analysed by intention-to-treat using baseline values for missing outcome values at 10 weeks, thus assuming no effect of treatment and giving a conservative estimate of effect.…”

Section: Outcome Measurementmentioning

confidence: 99%

Cost-effectiveness of transanal irrigation versus conservative bowel management for spinal cord injury patients

2008

View full text Add to dashboard Cite

Study design: Cost-effectiveness analysis following international guidelines and taking the societal viewpoint. Objectives: To estimate the cost-effectiveness of transanal irrigation using a self-administered irrigation system when compared with conservative bowel management. Setting: A randomized clinical trial was conducted at five spinal centres situated in Denmark, Germany, Italy, United Kingdom and Sweden. Estimates of resources and unit costs were made for the German health care system. Methods: Efficacy outcomes were drawn from a randomized controlled trial conducted in [2003][2004][2005]. Adult spinal cord-injured patients with neurogenic bowel dysfunction were randomized to 10 weeks with either transanal irrigation using Peristeen Anal Irrigation or to conservative bowel management. Costs were calculated based on results from the clinical trial and on 24 interviews conducted in Germany. Unit costs were obtained from the Federal Statistical Office Germany and product list prices. Results: When comparing outcome measures at termination, transanal irrigation significantly reduced symptoms of neurogenic bowel dysfunction. Product-related costs were higher for transanal irrigation using the self-administered system; however, costs for a carer to help with bowel management and changes/washing due to leakage were lower. For transanal irrigation, costs associated with urinary tract infections and patient time spent were reduced. Thus, the total cost to society is lower when patients use transanal irrigation. The results were shown to be robust in the sensitivity analysis. Conclusion: Transanal irrigation using a self-administered system reduces symptoms of neurogenic bowel dysfunction and results in a lower total cost to society than conservative bowel management. Sponsorship: The study was supported by Coloplast A/S.

show abstract

“…4 Traditional questionnaires and means of assessing bowel dysfunction were not always appropriate for SCI patients because the tests could not always adequately evaluate the simultaneous presence of the participants' constipation and fecal incontinence. 5,6 Krogh et al 7 developed and validated a more advanced clinical assessment known as the 'NBD score', which allows quantitative measurement of the severity of a neurogenic bowel. This score makes it possible to accurately evaluate the bowel condition in persons with an SCI and has been shown to have acceptable validity and reproducibility for persons who suffered from either constipation and fecal incontinence or a combination of both.…”

Section: Introductionmentioning

confidence: 99%

Prediction of severe neurogenic bowel dysfunction in persons with spinal cord injury

Liu

Huang

et al. 2010

Spinal Cord

View full text Add to dashboard Cite

Study design: Cross-sectional study. Objective: To analyze the predictors of severe neurogenic bowel dysfunction (NBD) in persons with spinal cord injury (SCI). Setting: The Kaohsiung Medical University Hospital, Taiwan. Methods: Two questionnairesFthe NBD score and the Beck Depression Inventory second editionFwere sent to 232 persons with SCI by mail. The demographic factors and injury-related factors were recorded to evaluate any relationships with severe NBD. The associations between the severity of NBD and psychological condition were also measured. Results: In all, 39.4% of the respondents suffered from severe NBD. Multiple logistic regression analysis showed that those with a cervical injury (odds ratios (OR) ¼ 10.5, 95% confidence interval (CI) 1.6-67.7) or a thoracic injury (OR ¼ 7.1, 95% CI 1.2-40.3) had a higher risk of severe NBD than those with a lumbar injury. Persons with American Spinal Injury Association (ASIA) A had a 12.8-fold higher risk of severe NBD than persons with ASIA D (OR ¼ 12.8, 95% CI 3.3-50.1). Longer duration of injury (X10 years) was another risk factor of severe NBD. Moderate-to-severe depression was associated with reduced bowel function. Conclusions: This study showed that high level of cord lesion, completeness of cord injury and longer duration of injury (X10 years) could predict the severity of NBD in patients with SCI.

show abstract

A constipation scoring system to simplify evaluation and management of constipated patients

Abstract: The proposed constipation scoring system correlated well with objective physiologic findings in constipated patients to allow uniformity in assessment of the severity of constipation.

Cited by 1,016 publications

References 21 publications

Efficacy and Predictors for Biofeedback Therapeutic Outcome in Patients with Dyssynergic Defecation

Efficacy and Predictors for Biofeedback Therapeutic Outcome in Patients with Dyssynergic Defecation

Cost-effectiveness of transanal irrigation versus conservative bowel management for spinal cord injury patients

Prediction of severe neurogenic bowel dysfunction in persons with spinal cord injury

Contact Info

Product

Resources

About