Quality-of-Life Assessment in Children With Fecal Incontinence

Filho, Humberto S.; Mastroti, Roberto A.; Klug, Wilmar Artur

doi:10.1097/dcr.0000000000000324

Cited by 9 publications

(6 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The medical literature describing fecal continence scoring systems contains a large number of methods that were actually conceived to measure an individual's quality of life [9,[12][13][14][15][16][17]. While the usage of these quality of life questionnaires focuses attention on the importance of fecal control to one's life quality, none of these methods actually measures fecal control.…”

Section: Discussionmentioning

confidence: 99%

Critical analysis of fecal incontinence scores

2016

View full text Add to dashboard Cite

Most scoring systems are flawed because they invite bias and interpretation due to their subjective nature, while systems focused on measuring quality of life do not address the fundamental issue of bowel control. The Krickenbeck score seems to be the most applicable and objective method of evaluating bowel control in pediatric patients that may be more useful when modified to assess patients after medical intervention.

show abstract

Section: Discussionmentioning

confidence: 99%

Critical analysis of fecal incontinence scores

2016

View full text Add to dashboard Cite

show abstract

“…Demographic information, clinical symptoms, medical and surgical history were recorded at the baseline. We contacted all included patients/parents to administer questionnaires assessing patient health‐related benefit and satisfaction by a FI quality of life (QoL) questionnaire 13 …”

Section: Methodsmentioning

confidence: 99%

“…We contacted all included patients/parents to administer questionnaires assessing patient health-related benefit and satisfaction by a FI quality of life (QoL) questionnaire. 13…”

Section: Assessmentsmentioning

confidence: 99%

Management of post‐surgical faecal incontinence due to anorectal malformations by pelvic floor rehabilitation

Sharifi‐Rad

Ladi‐Seyedian

Ashjaei

2022

J Paediatrics Child Health

View full text Add to dashboard Cite

Aim Many patients with anorectal malformations (ARM) experience a long‐lasting problem with faecal incontinence (FI). We assessed the effectiveness of a pelvic floor rehabilitation program including transcutaneous functional electrical stimulation (TFES) in combination with pelvic floor muscle (PFM) exercises on post‐surgical FI in children with ARM. Methods Data of 40 children at the age of 4 years or older who had undergone surgical correction for ARM and suffered from persistent FI referring for pelvic floor rehabilitation were analysed respectively. Patients underwent TFES and PFM exercises for 20 sessions. TFES was applied for 20‐min during each session, two times a week. A paediatric FI score questionnaire and a bowel habit diary were completed both before and after the treatment for all children. We completed a FI quality of life questionnaire before the therapy and again after treatment for all patients. Results Twenty‐two out of 40 (55%) patients responded completely to the treatment (100% reduction in FI episodes) after the completion of treatment sessions, sustained in 19/40 (47.5%) patients after 6 months. Mean ± SD of FI score was 4.9 ± 3.6 at baseline that significantly reduced to 2.4 ± 1.3 and 2.4 ± 1.8 after completion of treatment sessions and 6 months later, respectively (P < 0.05). Conclusions Our results show that TFES and PFM exercises have a considerable beneficial impact on post‐surgical FI in children with ARM.

show abstract

“…Constipation and fecal incontinence are commonly found in children [ 20 , 23 ]. Their impact is considerable (also considering that constipation can result in recurrent abdominal pain), not only on the quality of life of the children concerned and their families [ 5 , 9 , 21 ], but also on the health care system [ 16 , 20 ]. In addition, constipation can also result in recurrent abdominal pain [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, based on our clinical experience, we think that mostly children with frequent symptoms and not with sporadic symptoms of constipation or fecal incontinence visit a general practitioner or medical specialist. This may be due to the fact that frequently appearing symptoms influence the quality of life more severely than sporadically appearing fecal problems [ 5 , 9 , 21 ]. Consequently, prevalence rates as reported in hospital setting might be biased and yield an underestimation of the prevalence in the total population.…”

Section: Introductionmentioning

confidence: 99%

The problem of defecation disorders in children is underestimated and easily goes unrecognized: a cross-sectional study

2018

View full text Add to dashboard Cite

We aimed to study constipation and fecal incontinence in terms of prevalence, recognizing the disorders, help-seeking behavior, and associated symptoms. In this cross-sectional study, 240 children (8 to 18 years) from the general Dutch population completed a questionnaire about defecation disorders. After exclusions for anorectal/pelvic surgery or comorbidities, we analyzed 212 children. The prevalence of constipation was 15.6%; in a quarter of the cases, it co-occurred with fecal incontinence. We found 3% fecal incontinence without constipation. Even though children with a defecation disorder rated their bowel habits worse compared to children without defecation disorders (P < 0.001), 46% constipated children and 67% fecally incontinent children rated their bowel habits as good or very good. Moreover, 21 to 50% of children with a defecation disorder did not mention their symptoms to anybody. Interestingly, most constipated children had “normal” stool frequencies (64%) and consistencies (49%).Conclusion: The prevalence of constipation and fecal incontinence is quite high in children. Stool frequency and consistency is normal in half the constipated children, which may complicate the recognition of constipation. Finally, a considerable number of children does not recognize their disorders as constituting a problem and does not seek help, which leads to an underestimation of these disorders. What is Known: • Constipation and fecal incontinence are common in children, but their prevalence rates may be underestimated due to a variety of reasons.• Diagnosing these disorders remains challenging owing to the variety of symptoms and co-existence with other diseases. What is New: • The prevalence of constipation and fecal incontinence in children is high.• Many children do not recognize their defecation disorders as constituting a problem and do not seek help, which leads to an underestimation of the problem of these disorders.Electronic supplementary materialThe online version of this article (10.1007/s00431-018-3243-6) contains supplementary material, which is available to authorized users.

show abstract

Quality-of-Life Assessment in Children With Fecal Incontinence

Abstract: The experiment showed a reduction in all of the scale values, particularly for embarrassment in children with fecal incontinence.

Cited by 9 publications

References 21 publications

Critical analysis of fecal incontinence scores

Critical analysis of fecal incontinence scores

Management of post‐surgical faecal incontinence due to anorectal malformations by pelvic floor rehabilitation

The problem of defecation disorders in children is underestimated and easily goes unrecognized: a cross-sectional study

Contact Info

Product

Resources

About