Validation and Clinical Utility of a Bowel Habit Questionnaire in School‐age Children

Wald, Ellen R.; Jagodzinski, Tanya; Moyer, Stacey C. L.; Wald, Arnold; Eickhoff, Jens; Edmonson, M. Bruce

doi:10.1097/mpg.0b013e31822504fb

Cited by 4 publications

(3 citation statements)

References 12 publications

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“…In our review of randomly selected charts, the Rome criteria weren't being routinely documented in the diagnosis of constipation either. This observation suggests that bowel habits suggestive of possible constipation is under-reported and, hence, possibly underdiagnosed [ 4 5 24 ].…”

Section: Discussionmentioning

confidence: 99%

“…While guidelines exist for the diagnosis of functional constipation in children, there are no official recommendations for screening for constipation in children. Wald et al [ 24 ] screened children aged 5–8 years. for constipation using a bowel-habit questionnaire and found a sensitivity of 59.6% and a specificity of 82.6%, as compared to a bowel habit diary; they concluded that the sensitivity needed to be improved before using their tool as a routine screening tool [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Usefulness of Assessment of Stool Form by the Modified Bristol Stool Form Scale in Primary Care Pediatrics

Gulati

Komuravelly

Leb

et al. 2018

Pediatr Gastroenterol Hepatol Nutr

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PurposeRome criteria are considered the gold standard for diagnosing functional constipation. The modified Bristol stool form scale (m-BSFS) was validated to measure stool form in children. However, neither the potential use of the m-BSFS as a tool to facilitate the diagnosis of potential constipation, nor the agreement between m-BSFS and stool consistency by Rome has been studied. Our objective is to determine if m-BSFS is a reliable tool to facilitat detection of constipation; and the agreement between stool form by m-BSFS and hard stool criteria in Rome.MethodsA survey tool with the Rome III criteria and the m-BSFS was developed. A Likert-scale addressed frequency of each stool form on the m-BSFS. Responses to Rome III and m-BSFS were compared.ResultsThe sensitivity and specificity of the m-BSFS was 79.2% and 66.0% respectively; and in children <4 years. improved to 81.2% and 75.0% respectively. There was poor agreement between hard stools by m-BSFS and the painful or hard bowel movement question of Rome Criteria.ConclusionThe potential utility of m-BSFS as a reasonably good tool to facilitate the diagnosis of potential constipation in children is shown. The poor agreement between painful or hard stool question in Rome III, and ratings for hard stool on the m-BSFS illustrates that one's perception may differ between a question and a picture. A useful pictorial tool to appraise stool form may, thus, be a favorable complement in the process of enquiry about bowel habits in well-child care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Usefulness of Assessment of Stool Form by the Modified Bristol Stool Form Scale in Primary Care Pediatrics

Gulati

Komuravelly

Leb

et al. 2018

Pediatr Gastroenterol Hepatol Nutr

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“… 4 Most of these studies suffer from severe variation in design and validity, and are only moderately sensitive. 18 To the best of our knowledge, there is no systematic follow-up study on a day-to-day basis on frequency and type of BM, both IFoBM-D and IFoBM-ND, and analysis of the causes for change in BM frequency in a cohort of children from birth to 2 years of age.…”

Section: Introductionmentioning

confidence: 99%

Non-diarrhoeal increased frequency of bowel movements (IFoBM-ND): enterovirus association with the symptoms in children

Rao

Maiya

Babu

2014

BMJ Open Gastroenterol

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ObjectiveInfectious and non-infectious causes are associated with increased frequency of bowel movements (IFoBM). But, a viral aetiology to non-diarrhoeal IFoBM (IFoBM-ND) has not been described. Owing to an accidental infection by an echovirus 19 strain, persistent diarrhoea-associated virus, isolated from a child with persistent diarrhoea, DCR experienced persistent IFoBM-ND with an urgency to pass apparently normal stools more than once each day for about 3 months. A follow-up study was undertaken to determine the prevalence of IFoBM-ND, and association of non-polio enteroviruses (NPEVs) with the symptom in infants from birth to 2 years.DesignA cohort of 140 newborns was followed for 6 months to 2 years from birth for IFoBM-ND. Stool samples collected every 14 days were examined for NPEVs, rotavirus and other viral/bacterial agents for their possible association with IFoBM-ND and diarrhoea.ResultsOf 403 NPEV infection episodes among 4545 oral polio vaccine strains-negative stool samples, approximately 29% were associated with IFoBM-ND (15% acute and 14% persistent), including resolution of 74% of constipation episodes, and 18% with diarrhoea, suggesting that about 47% of NPEV infection episodes in children below 2 years of age are associated with gastrointestinal symptoms. About 83% of IFoBM-ND episodes are associated with the NPEV infection and 17% of the episodes are of unknown aetiology.ConclusionsNPEV is the single most frequently detected viral agent in children with IFoBM-ND and its association with the symptom is highly significant, warranting detailed investigations on the role of NPEVs in gastrointestinal diseases.

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Rectal route in the 21st Century to treat children

Jannin¹,

Lemagnen

Gueroult

et al. 2014

Advanced Drug Delivery Reviews

117

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The rectal route can be considered a good alternative to the oral route for the paediatric population because these dosage forms are neither to be swallowed nor need to be taste-masked. Rectal forms can also be administered in an emergency to unconscious or vomiting children. Their manufacturing cost is low with excipients generally regarded as safe. Some new formulation strategies, including mucoadhesive gels and suppositories, were introduced to increase patient acceptability. Even if recent paediatric clinical studies have demonstrated the equivalence of the rectal route with others, in order to enable the use of this promising route for the treatment of children in the 21st Century, some effort should be focused on informing and educating parents and care givers. This review is the first ever to address all the aforementioned items, and to list all drugs used in paediatric rectal forms in literature and marketed products in developed countries.

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Validation and Clinical Utility of a Bowel Habit Questionnaire in School‐age Children

Cited by 4 publications

References 12 publications

Usefulness of Assessment of Stool Form by the Modified Bristol Stool Form Scale in Primary Care Pediatrics

Usefulness of Assessment of Stool Form by the Modified Bristol Stool Form Scale in Primary Care Pediatrics

Non-diarrhoeal increased frequency of bowel movements (IFoBM-ND): enterovirus association with the symptoms in children

Rectal route in the 21st Century to treat children

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