Renzi Score for Obstructed Defecation Syndrome - Validation of the Portuguese Version According to the Cosmin Checklist

Caetano, Ana Célia; Dias, Sara Simões; Cruz, André Santa; Rolanda, Carla

doi:10.1590/s0004-2803.201800000-11

Cited by 8 publications

(7 citation statements)

References 25 publications

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“…In constipation, anal pressure profile can either be normal or hypertonic, but associated with altered recto-anal inhibitory reflex and reduced sensibility to defecate, only evocated by higher volumes. This is consistent with the principle that the association of adequate anal canal relaxation and lower residual pressure determines a sufficient gradient for defecation (27)(28)(29)(30) . Defecography shows better than any other investigation the rectal morphology by showing the relationship between the anal canal and pubococcygeal level (i.e.…”

Section: Instrumental Evaluationsupporting

confidence: 88%

Outlet Obstructed Constipation and Fecal Incontinence: Is Rehabilitation Treatment the Way? Myth or Reality

Brusciano

Gambardella

Genio

et al. 2020

Arq. Gastroenterol.

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Pelvic floor rehabilitation aims to address perineal functional and anatomic alterations as well as thoraco-abdominal mechanic dysfunctions leading to procto-urologic diseases like constipation, fecal and urinary incontinence, and pelvic pain. They require a multidimensional approach, with a significant impact on patients quality of life. An exhaustive clinical and instrumental protocol to assess defecation disorders should include clinical and instrumental evaluation as well as several clinical/physiatric parameters. All these parameters must be considered in order to recognize and define any potential factor playing a role in the functional aspects of incontinence, constipation and pelvic pain. After such evaluation, having precisely identified any thoraco-abdomino-perineal anatomic and functional alterations, a pelvi-perineal rehabilitation program can be carried out to correct the abovementioned alterations and to obtain clinical improvement. The success of the rehabilitative process is linked to several factors such as a careful evaluation of the patient, aimed to select the most appropriate and specific targeted rehabilitative therapy, the therapist’s scrupulous hard work, especially as regards the patient’s emotional and psychic state, and finally the patient’s compliance in undertaking the therapy itself, especially at home. These factors may deeply influence the overall outcomes of the rehabilitative therapies, ranging from “real” success to illusion “myth”.

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Section: Instrumental Evaluationsupporting

confidence: 88%

Outlet Obstructed Constipation and Fecal Incontinence: Is Rehabilitation Treatment the Way? Myth or Reality

Brusciano

Gambardella

Genio

et al. 2020

Arq. Gastroenterol.

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“…A final score ≥ 9 points was assumed as abnormal [11]. We validated the Portuguese version of the score [19] according to the Consensus based Standards for the selection of the Health Measurement Instruments (COSMIN) checklist [20] and following guidelines for cross-cultural validity [21]. The score was applied in a face to face interview.…”

Section: Renzi Dd Scorementioning

confidence: 99%

Does sequential balloon expulsion test improve the screening of defecation disorders?

et al. 2020

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Background A defecation disorder (DD) is a difficulty in evacuation documented by physiological exams. However, this physiological evaluation can be cumbersome, inaccessible and costly. Three “low-cost” tools to evaluate DD—a clinical DD score, the balloon expulsion test (BET) and a digital rectal examination (DRE) score were evaluated as separate or combined tests for DD screening. Methods This prospective study occurred between January 2015 and March 2019 in the Gastroenterology Department of a tertiary hospital. Besides the gold standard physiological tests, constipated patients answered the clinical DD score and were evaluated by DRE and BET [standard and variable volume (VV)]. Results From 98 constipated patients, 35 (38.9%) were diagnosed with DD according to Rome IV criteria, mainly female (n = 30, 86%) with a median age of 60 years old. The clinical DD score revealed an AUC of 0.417 (SE = 0.07, p = 0.191). The DRE score displayed an AUC of 0.56 (SE = 0.063, p = 0.301). The standard BET displayed a sensitivity of 86%, specificity of 58%, positive predictive value (PPV) of 57% and negative predictive value (NPV) of 86%. The sequential VVBET followed by standard BET improved the BET performance regarding the evaluation of DD, with a sensitivity of 86%, specificity of 67%, PPV of 63% and NPV of 87%. The sequential BET had an OR 8.942, p > 0.001, CI 3.18–25.14, revealing to be the most significant predictor for DD screening. Conclusion The sequential BET is a low cost, well-performing DD screening tool, appropriate to the Primary Care Setting.

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“…A nal score ≥ 9 points was assumed as abnormal. (11) We validated the Portuguese version of the score (18) according to the Consensus based Standards for the selection of the Health Measurement Instruments (COSMIN) checklist (19) and following guidelines for cross-cultural validity. (20) The score was applied in a face to face interview.…”

Section: Study Design and Subjectsmentioning

confidence: 99%

Does Sequential Balloon Expulsion Test improve the screening of Defecation Disorders?

Caetano

Costa

Gonçalves

et al. 2020

Preprint

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Purpose A Defecation Disorder (DD) is a difficulty in evacuation documented by physiological exams. However, this physiological evaluation can be cumbersome, inaccessible and costly. Three “low-cost” tools to evaluate DD – a clinical DD score, the balloon expulsion test (BET) and a digital rectal examination (DRE) score were evaluated as separate or combined tests for DD screening. Methods This prospective study occurred between January 2015 and March 2019 in the Gastroenterology Department of a tertiary hospital. Besides the gold standard physiological tests, constipated patients answered the clinical DD score and were evaluated by DRE and BET (standard and variable volume (vv)). Results From 98 constipated patients, 35 (38.9%) were diagnosed with DD according to Rome IV criteria, mainly female (n = 30, 86%) with a median age of 60 years old. The clinical DD score revealed an AUC of 0.417 (SE = 0.07, p = 0.191). The DRE score displayed an AUC of 0.56 (SE = 0.063, p = 0.301). The standard BET displayed a sensitivity of 86%, specificity of 58%, positive predictive value (PPV) of 57% and negative predictive value (NPV) of 86%. The sequential vvBET followed by standard BET improved the BET performance regarding the evaluation of DD, with a sensitivity of 86%, specificity of 67%, PPV of 63% and NPV of 87%. The sequential BET had an OR 8.942, p > 0.001, CI 3.18–25.14, revealing to be the most significant predictor for DD screening. Conclusion The sequential BET is a low cost, well-performing DD screening tool, appropriate to the Primary Care Setting.

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Renzi Score for Obstructed Defecation Syndrome - Validation of the Portuguese Version According to the Cosmin Checklist

Cited by 8 publications

References 25 publications

Outlet Obstructed Constipation and Fecal Incontinence: Is Rehabilitation Treatment the Way? Myth or Reality

Outlet Obstructed Constipation and Fecal Incontinence: Is Rehabilitation Treatment the Way? Myth or Reality

Does sequential balloon expulsion test improve the screening of defecation disorders?

Does Sequential Balloon Expulsion Test improve the screening of Defecation Disorders?

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