2010
DOI: 10.1185/03007995.2010.535270
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Observational, nonintervention, multicenter study for validation of the bowel function index for constipation in european countries

Abstract: Although this study was limited by the relatively small sample size, it is a part of an extensive validation program. This study suggests that the BFI is a reliable and valid measure of constipation-related symptomatology in chronic pain patients. This measure may be a valuable indicator of patients' experience of symptoms of opioid treatment of chronic pain in future trials.

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Cited by 51 publications
(37 citation statements)
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“…We identified 14 studies [15; 9; 18; 24; 27; 30; 32; 33; 36; 38] meeting the inclusion criteria describing the development or validation of 9 different instruments (Figure 1); four instruments were tested in more than one study. The kappa statistic for agreement on inclusion vs. exclusion was 0.92, indicating high inter-rater agreement.…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…We identified 14 studies [15; 9; 18; 24; 27; 30; 32; 33; 36; 38] meeting the inclusion criteria describing the development or validation of 9 different instruments (Figure 1); four instruments were tested in more than one study. The kappa statistic for agreement on inclusion vs. exclusion was 0.92, indicating high inter-rater agreement.…”
Section: Resultsmentioning
confidence: 99%
“…Regarding the stated purpose of the instruments, one sought to assess safety, efficacy and misuse of prescribed opioids: the Pain Assessment and Documentation Tool (PADT) [30]; three aimed to assess one aspect of safety – opioid-induced constipation: the Bowel Function Index (BFI) [32; 33], the Patient Assessment of Constipation Symptoms (PAC-SYM) [36], and the Bowel Function Diary (BF-Diary) [5]; four explicitly targeted misuse: the Current Opioid Misuse Measure (COMM) [3; 4; 24]; the Prescription Drug Use Questionnaire-patient version (PDUQ-p) [1; 9]; the modified Pain Medication Questionnaire (mPMQ) [27] and the Prescription Opioid Misuse Index (POMI) [18]; and one aimed to assess patients’ perceived difficulties with opioid therapy: the Prescribed Opioid Difficulties Scale (PODS) [2; 38]. …”
Section: Resultsmentioning
confidence: 99%
“…Bowel function was assessed with the investigator-administered, validated Bowel Function Index (BFI) [24,25]. The mean BFI is a composite parameter calculated as arithmetic means of the following individual items rated on a NRS from 0 (no difficulty) to 100 (severe difficulty): ease of defecation, feeling of incomplete bowel evacuation and personal judgment of constipation.…”
Section: Bowel Functionmentioning
confidence: 99%
“…The Bowel Function Index (BFI) is simple and consists of only three items [30][31][32]. The patient is asked to assess, over the previous 7 days, ease of defecation, feeling of incomplete bowel evacuation and personal judgment regarding constipation.…”
Section: Bowel Function Indexmentioning
confidence: 99%