A comparison of faecal incontinence scoring systems

Aim Questionnaires designed to score the severity of faecal incontinence (FI) are widely used to provide an evaluation of symptoms across settings, studies and time. The Pelvic Floor Disorders Consortium have recommended the use of multiple questionnaires despite some overlap of questions. This stud...

Full description

Saved in:
Bibliographic Details
Published in:Colorectal disease 2021-07, Vol.23 (7), p.1860-1865
Main Authors: Colbran, Rachel, Gillespie, Christopher, Ayvaz, Faruk, Warwick, Andrea M.
Format: Article
Language:English
Subjects:
cleveland clinic faecal incontinence score
faecal incontinence
Fecal incontinence
Feces
FISI
Patients
Pelvis
Questionnaires
scoring systems
St Marks incontinence score
Statistical analysis
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Aim Questionnaires designed to score the severity of faecal incontinence (FI) are widely used to provide an evaluation of symptoms across settings, studies and time. The Pelvic Floor Disorders Consortium have recommended the use of multiple questionnaires despite some overlap of questions. This study aimed to evaluate whether patient responses to these questionnaires are consistent. Method A retrospective analysis was undertaken of patients with FI who attended a dedicated pelvic floor unit between January 2018 and December 2019 and completed the Fecal Incontinence Severity Index, Cleveland Clinic Florida Incontinence Score and St Mark's Incontinence Score simultaneously. For each questionnaire the frequency of incontinence episodes to solid stool, liquid stool and gas was divided into five categories to allow direct comparison. Answers were deemed equivalent if the allocated response was identical, slightly different if the response was in an adjacent category or very different if the response differed to a greater extent. Results There were 193 patients who simultaneously completed all three FI questionnaires. There were statistically significant differences between the responses regarding frequency of solid stool, liquid stool and gas incontinence on all three questionnaires (p 
ISSN:1462-8910
1463-1318
DOI:10.1111/codi.15634