Fecal Incontinence Subtype Assessment (FI-SA): Validation of a new tool to distinguish among subtypes of fecal incontinence,Clinics and Research in Hepatology and Gastroenterology

当前位置： X-MOL 学术 › Clin. Res. Hepatol. Gastroenterolog. › 论文详情

Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)

Fecal Incontinence Subtype Assessment (FI-SA): Validation of a new tool to distinguish among subtypes of fecal incontinence
Clinics and Research in Hepatology and Gastroenterology ( IF 2.7 ) Pub Date : 2023-12-28 , DOI: 10.1016/j.clinre.2023.102275
Audrey Julienne , Guillaume Gourcerol , Gérard Amarenco , Nicolas Turmel , Anne-Marie Leroi , Charlotte Desprez

Purpose

Three subtypes of fecal incontinence (FI) are described in the literature: urge, mixed and passive FI, but the relevance of this classification remains unknown. To our knowledge, no questionnaire has been validated in a general population of patients with FI to classify patients between the different subtypes of FI. The aim of the present study was to validate the Fecal Incontinence Subtype Assessment (FI-SA) questionnaire in a general population of patients with FI.

Methods

All consecutive patients referred to our unit for physiological investigations of anorectal function in case of FI were included. A feasibility study was done to assess the acceptability, understanding, and the reproducibility of the FI-SA questionnaire. Its performance to correctly classify patients between subtypes of FI was evaluated in both a feasibility study and in a validation study, using clinical interview as gold standard.

Results

The FI-SA questionnaire was found to be well accepted and easily understood by patients. Moreover, it was filled rapidly by patients, with a good reproducibility with an intra-class correlation coefficient of 0.97 and 0.87 for questions 1 and 2. Lastly, the accuracy of the FI-SA questionnaire to predict subtypes of FI was 93.3 % in the feasibility study (n = 30) and 81.1 % in the validation study (n = 100), in comparison with clinical interview as gold standard.

Conclusion

The FI-SA questionnaire could be used in the future to help standardize the methodology used among studies to evaluate the classification of patients in different subtypes of FI and ultimately to guide therapeutics.

中文翻译：

大便失禁亚型评估 (FI-SA)：验证区分大便失禁亚型的新工具

目的

文献中描述了大便失禁 (FI) 的三种亚型：急迫性失禁、混合性失禁和被动失禁，但这种分类的相关性仍不清楚。据我们所知，尚未在一般 FI 患者群体中验证问卷，以对不同 FI 亚型的患者进行分类。本研究的目的是在一般 FI 患者群体中验证大便失禁亚型评估 (FI-SA) 问卷。

方法

所有连续转诊至我们科室进行 FI 情况下肛门直肠功能生理检查的患者均包括在内。我们进行了一项可行性研究，以评估 FI-SA 调查问卷的可接受性、理解性和可重复性。使用临床访谈作为金标准，在可行性研究和验证研究中评估了其正确分类 FI 亚型患者的性能。

结果

FI-SA 调查问卷被认为很容易被患者接受和理解。此外，该问卷被患者迅速填写，重复性良好，问题 1 和问题 2 的组内相关系数分别为 0.97 和 0.87。最后，FI-SA 问卷预测 FI 亚型的准确度为 93.3%。可行性研究 ( n = 30) 和验证研究 ( n = 100) 中的 81.1%，与作为金标准的临床访谈进行比较。