Prospective comparison of faecal incontinence grading systems

Background Existing scales for assessing faecal incontinence have not been validated against clinical assessment, or with regard to reproducibility. They also fail to take into account faecal urgency, and the use of antidiarrhoeal medications. Aims To establish the validity, and sensitivity to chang...

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Bibliographic Details
Published in:Gut 1999-01, Vol.44 (1), p.77-80
Main Authors: Vaizey, C J, Carapeti, E, Cahill, J A, Kamm, M A
Format: Article
Language:English
Subjects:
Adult
Aged
Antidiarrheals - administration & dosage
Biological and medical sciences
faecal incontinence
Fecal Incontinence - diagnosis
Fecal Incontinence - prevention & control
Fecal Incontinence - surgery
Female
Gastroenterology. Liver. Pancreas. Abdomen
grading systems
Humans
Lifestyles
Male
Medical sciences
Middle Aged
Motility
Other diseases. Semiology
Patients
Postoperative Period
Prospective Studies
Reproducibility of Results
Severity of Illness Index
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Substance abuse treatment
Treatment Outcome
Urinary incontinence
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Summary:Background Existing scales for assessing faecal incontinence have not been validated against clinical assessment, or with regard to reproducibility. They also fail to take into account faecal urgency, and the use of antidiarrhoeal medications. Aims To establish the validity, and sensitivity to change, of existing scales and a newly designed incontinence scale. Methods (1) Twenty three patients (21 females, median age 57 years) were prospectively evaluated by two independent clinical observers, using three established scales (Pescatori, Wexner, American Medical Systems), a newly devised scale which also includes details about urgency and antidiarrhoeal drugs, and by a 28 day diary. (2) A further 10 female patients were assessed by the same scales before and after surgery for faecal incontinence. Results (1) Assessments by two independent clinicians correlated well. All four scales and a diary card correlated highly and significantly with the clinical impression, with the new scale reaching the highest correlation (r=0.79, p
ISSN:0017-5749
1468-3288
1458-3288
DOI:10.1136/gut.44.1.77