Reliability of the International Spinal Cord Injury Bowel Function Basic and Extended Data Sets

Abstract

Study design: This study was designed as an international validation study. Objective: The objective of this study was to assess the inter-rater reliability of the International Spinal Cord Injury Bowel Function Basic and Extended Data Sets. Setting: Three European spinal cord injury centers. Methods: In total, 73 subjects with spinal cord injury and a history of bowel dysfunction, out of which 77% were men and median age of the subjects was 49 years (range 20-81), were studied. The inter-rater reliability was estimated by having two raters complete both data sets on the same subject. First and second tests were separated by 14 days. Cohen's kappa was computed as a measure of agreement between raters.

Reliability of the International Spinal Cord Injury Upper Extremity Basic Data Set

“…For example, 9 out of 12 items on the International SCI Musculoskeletal Basic Data Set scored satisfactory for inter-rater reliability (κ = 0.62-1.0 and percentage agreement = 75-100%) [14]. Regarding the agreement of the International SCI Bowel Function Basic and Extended Data Sets, 47 of 52 items were confirmed between versions from both Italy and Denmark (κ > 0.2) [15], while the International SCI Spinal Column Injury Basic Data Set (κ = 0.79-0.89) [21] and the Korea version of the International SCI Basic Pain Data Set (κ = 0.693-0.780 and intraclass correlation = 0.731-0.858) were also in agreement with the version from these nations [22].…”

“…The analytical methods utilized in this study were modeled from reliability studies on the musculoskeletal and bowel function data sets, and included percentage agreement and Cohen's kappa for assessing reliability [9,[14][15][16][17]. Quadratic weighted kappa (κ) was used to determine reliability because it provided an estimation of agreement corrected for chance [17].…”

Sacral anterior root stimulation improves bowel function in subjects with spinal cord injury

“…Inter-rater reliability was acceptable with 58% of questions having a fair agreement or better. 18 The validation was carried out internationally, however, not in German as in our study. Further, the questionnaire was modified from investigator-led to patient fill-in.…”

Ryggmargsskade og tarmfunksjon

“…Det foreligger også en internasjonal konsensus om bruk av definerte kliniske kjernedatasett for klinisk evaluering og forskning (21,22). Disse ble helt nylig validert (23). Digital anorektal undersøkelse gir informasjon om anal muskeltonus, kontraksjon, sensibilitet, anorektal fylning og viljestyrt anal kontraksjon.…”