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[Validation of questionnaires to assess quality of life related to fecal incontinence in children with anorectal malformations and Hirschsprung's disease]. | LitMetric

AI Article Synopsis

  • The study aimed to create and validate two questionnaires: the Fecal Incontinence Index (FII) and the Quality of Life Questionnaire for Fecal Incontinence in Children and Adolescents (QQVCFCA), to assess the impact of surgical treatment for anorectal malformations (ARMs) and Hirschsprung's disease (HD) on bowel habits and life quality.
  • During the study, 45.0% and 42.8% of children experienced fecal incontinence at two different stages, with the QQVCFCA showing a significant correlation to both a generic quality of life measure (SF-36) and the FII, indicating better bowel control is linked to improved life quality.
  • The findings suggest that both

Article Abstract

Objective:: Surgical treatment of anorectal malformations (ARMs) and Hirschsprung's disease (HD) leads to alterations in bowel habits and fecal incontinence, with consequent quality of life impairment. The objectives were to create and validate a Questionnaire for the Fecal Incontinence Index (FII) based on the Holschneider score, as well as a Questionnaire for the Assessment of Quality of Life Related to Fecal Incontinence in Children and Adolescents (QQVCFCA), based on the Fecal Incontinence Quality of Life.

Methods:: The questionnaires were applied to 71 children submitted to surgical procedure, in two stages. Validity was tested by comparing the QQVCFCA and a generic quality of life questionnaire (SF-36), and between QQVCFCA and the FII. A group of 59 normal children was used as control.

Results:: At two stages, 45.0% (32/71) and 42.8% (21/49) of the patients had fecal incontinence. It was observed that the QQVCFCA showed a significant correlation with the SF-36 and FII (Pearson's correlation 0.57), showing that the quality of life is directly proportional to improvement in fecal incontinence. Quality of life in patients with fecal incontinence is still globally impaired, when compared with control subjects (<0.05, Student's -test). There were also significant differences between the results of children with ARMs and children with HD.

Conclusions:: QQVCFCA and FII are useful tools to assess the quality of life and fecal incontinence in these groups of children. Children with ARMs submitted to surgical procedure and HD have similar quality of life impairment.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4795728PMC
http://dx.doi.org/10.1016/j.rppede.2015.06.022DOI Listing

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