A comparison of faecal incontinence scoring systems

• DOI: 10.1111/codi.15634
• Publication Date: 2021-03-16T12:01:44Z
• Authors: Rachel Colbran; Christopher Gille...; Faruk Ayvaz; Andrea M. Warwick
• Keywords: Fecal Incontinence

Abstract Aim Questionnaires designed to score the severity of faecal incontinence (FI) are widely used provide an evaluation symptoms across settings, studies and time. The Pelvic Floor Disorders Consortium have recommended use multiple questionnaires despite some overlap questions. This study aimed evaluate whether patient responses these consistent. Method A retrospective analysis was undertaken patients with FI who attended a dedicated pelvic floor unit between January 2018 December 2019 completed Fecal Incontinence Severity Index, Cleveland Clinic Florida Score St Mark's simultaneously. For each questionnaire frequency episodes solid stool, liquid stool gas divided into five categories allow direct comparison. Answers were deemed equivalent if allocated response identical, slightly different in adjacent category or very differed greater extent. Results There 193 simultaneously all three questionnaires. statistically significant differences regarding on ( p < 0.005). Across domains, 58.0% 69.9% equivalent, 14.1%–34.0% answers 8.0%–18.8% different. Conclusion Even when at same time, by person, similar questions answered differently proportion utility using clinical setting assess should be questioned.