Reliability, validity and sensitivity to change of neurogenic bowel dysfunction score in patients with spinal cord injury

Erdem, Duygu; Hava, D; Keskįnoğlu, Pembe; Bircan, Çiğdem; Peker, Özlen; Krogh, Klaus; Gülbahar, Selmin

doi:10.1038/sc.2017.82

Cited by 21 publications

(14 citation statements)

References 30 publications

(36 reference statements)

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“…More attention needs to be paid to the recovery of sacral autonomic function in clinical trials pertaining to neurologic recovery after SCI. However, review of relevant outcome measures [20][21][22] reveals a lack of information regarding retention of bladder sensation and control of voiding in commonly used outcome measures that focus on quality of life issues.…”

Section: Discussionmentioning

confidence: 99%

Assessing the ability of the Sacral Autonomic Standards to document bladder and bowel function based upon the Asia Impairment Scale

Alexander

Carr

Alexander

et al. 2019

Spinal Cord Ser Cases

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Study design Retrospective review of data. Objective To determine if there is a relationship between the Asia Impairment Scale (AIS) and the bladder and bowel components of the International Standards to Document Remaining Autonomic Function after SCI (ISAFSCI). Setting University-Based Academic Rehabilitation Program. Methods Retrospective cross-sectional study assessing International Standards for Neurologic Classification After SCI (ISNCSCI) examination along with bladder and bowel components of the ISAFSCI. Results Subjects with AIS A injuries were statistically less likely to have history of bladder control and bowel control per investigator determination and bladder sensation via self-report versus patients categorized with AIS B injuries. Self-reported history of bowel sensation and control of voiding were more likely in subjects with C, D, or E injuries than with B injuries. Bowel and bladder control as determined by investigator and bladder and bowel sensation and control as self-reported were all statistically less likely in persons with AIS A injuries versus CDE. Conclusions This retrospective study provides initial data regarding components of the bladder and bowel sections of the sacral ISAFSCI and AIS. Further prospective research is needed to further characterize the relationship between retention of bladder and bowel sensation and function and the AIS. We suggest that incorporation of the sacral components of the ISAFSCI into the ISNCSCI may be beneficial to obtain further information about retention of sacral function with specific patterns of injury.

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Section: Discussionmentioning

confidence: 99%

Assessing the ability of the Sacral Autonomic Standards to document bladder and bowel function based upon the Asia Impairment Scale

Alexander

Carr

Alexander

et al. 2019

Spinal Cord Ser Cases

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“…Patients who did not understand the questionnaire for the NBD score were excluded. The nature of the injury or disease was evaluated according to international standards for the neurological classification of spinal cord injury [14]. The clinical and demographic characteristics of patients are shown in Table 1.…”

Section: Methods Patientsmentioning

confidence: 99%

Effect of sacral neuromodulation on bowel dysfunction in patients with neurogenic bladder

2020

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Aim The aim of this retrospective study was to evaluate the clinical effect of sacral neuromodulation (SNM) on bowel dysfunction in patients with neurogenic bladder using the neurogenic bowel dysfunction (NBD) score. Method Between July 2012 and July 2019, 41 patients with both neurogenic bladder and bowel dysfunction underwent permanent SNM implantation. The NBD score was used to evaluate the bowel symptoms before the testing phase and at follow-up. The first follow-up was at the time of discharge after permanent implantation. The second follow-up was conducted by telephone after discharge. Results The mean NBD score before the testing phase was 11.0 AE 5.83, whilst it significantly decreased to 5.2 AE 5.32 (n = 41, P < 0.05) at the first follow-up (32 AE 3.9 days). Before the testing phase, there were 9 patients with very minor NBD, 10 with minor NBD, 13 with moderate NBD and 9 with severe NBD. At the first follow-up, there were 26 patients with very minor NBD, 7 with minor NBD, 4 with moderate NBD and 4 with severe NBD (P < 0.05). Twenty-six patients were interviewed in the long-term follow-up (34 AE 30.9 months). The NBD score in these 26 patients was 5.6 AE 5.18, which was not significantly different from the NBD score (5.5 AE 5.33) at the first follow-up (n = 26, P > 0.05). Conclusion SNM facilitates a significant reduction in NBD score in patients with neurogenic bladder and bowel dysfunction. The improvement in NBD symptoms can also be used as a future indicator to determine the clinical efficacy of permanent SNM implantation in the treatment of neurogenic bladder.

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“…Another methodological issue is differentiation between clinical importance and statistical significant. They reported that a statistically significant negative correlation was detected between bodily pain (r = −0.3, P = 0.01), general health (r = −0.5, P < 0.001), vitality (r = −0.6, P < 0.001), social role functioning (SF) (r = −0.7, P < 0.001), emotional role functioning (r = −0.6, P < 0.001), and mental health (r = −0.6, P < 0.001) subscales, whereas no significant correlation was found with physical functioning (PF) (r = −0.2, P = 0.13) and physical role functioning (RP) (r = 0.06, P = 0.67) subscales of SF-36 [1]. In both positive and negative association, we should emphasize on the strength of the association instead of statistical significant because the second issue dramatically depends on the sample size.…”

mentioning

confidence: 93%

“…I was interested to read the paper by Erdem et al [1] published in Spinal Cord, July 2017. The purpose of the authors was to investigate the validity and reliability of neurogenic bowel dysfunction (NBD) score.…”

mentioning

confidence: 99%

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The neurogenic bowel dysfunction score in patients with spinal cord injury: methodological issues in reliability and validity

Sabour

2018

Spinal Cord

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Reliability, validity and sensitivity to change of neurogenic bowel dysfunction score in patients with spinal cord injury

Abstract: The Turkish version of the NBD score is a valid and reliable instrument and also sensitive to change in patients with SCI.

Cited by 21 publications

References 30 publications

Assessing the ability of the Sacral Autonomic Standards to document bladder and bowel function based upon the Asia Impairment Scale

Assessing the ability of the Sacral Autonomic Standards to document bladder and bowel function based upon the Asia Impairment Scale

Effect of sacral neuromodulation on bowel dysfunction in patients with neurogenic bladder

The neurogenic bowel dysfunction score in patients with spinal cord injury: methodological issues in reliability and validity

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