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Signs and Symptoms in Coloproctology: Data Collection and Scores

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  • First Online:
Colon, Rectum and Anus: Anatomic, Physiologic and Diagnostic Bases for Disease Management

Part of the book series: Coloproctology ((COLOPROCT,volume 1))

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Abstract

Many patients with colorectal disorders experience complex symptoms that are difficult to quantify, making measurement of these symptoms challenging. The subjective perception of the patient must be the foundation of any symptom evaluation and requires consideration of two different yet related components: symptom severity and measurement of impact.

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References

  • Agachan F, Chen T, Pfeifer J, Reissman P, Wexner SD (1996) A constipation scoring system to simplify evaluation and management of constipated patients. Dis Colon Rectum 39(6):681–685

    Article  CAS  PubMed  Google Scholar 

  • American Medical Systems (1996) Fecal incontinence scoring system. American Medical Systems, Minnetonka

    Google Scholar 

  • Bai Y, Chen H, Hao J, Huang Y, Wang W (2002) Long-term outcome and quality of life after the Swenson procedure for Hirschsprung’s disease. J Pediatr Surg 37:639–642

    Article  PubMed  Google Scholar 

  • Barber MD, Kuchibhatla MN, Pieper CF, Bump RC (2001) Psychometric evaluation of 2 comprehensive condition specific quality of life instruments for women with pelvic floor disorders. Am J Obstet Gynecol 185(6):1388–1395

    Article  CAS  PubMed  Google Scholar 

  • Baxter NM, Rothenberger DA, Lowry AC (2003) Measuring fecal incontinence. Dis Colon Rectum 46(12):1591–1605

    Article  PubMed  Google Scholar 

  • Broden G, Dolk A, Holmstrom B (1988) Recovery of the internal anal sphincter following rectopexy: a possible explanation for continence improvement. Int J Colorectal Dis 3:23–28

    Article  CAS  PubMed  Google Scholar 

  • Broussard BS (1998) The constipation assessment scale for pregnancy. J Obstet Gynecol Neonatal Nurs 27(3):297–301

    Article  CAS  PubMed  Google Scholar 

  • Brown HW, Wexner SD, Lukacz ES (2013) Factors associated with care seeking among women with accidental bowel leakage. Female Pelvic Med Reconstr Surg 19:66–71

    Article  PubMed  Google Scholar 

  • Browning GGP, Parks AG (1983) Postanal repair for neuropathic faecal incontinence: correlation of clinical result and anal canal pressures. Br J Surg 70:101–104

    Article  CAS  PubMed  Google Scholar 

  • Bugg G, Kiff ES, Hosker G (2001) A new condition-specific health-related quality of life questionnaire for the assessment of women with anal incontinence. BJOG 108:1057–1067

    Google Scholar 

  • Cook DA, Beckman TJ (2006) Current concepts in validity and reliability for psychometric instruments: theory and application. Am J Med 119(2):166.e7–166.e16

    Article  Google Scholar 

  • Corman ML (1985) Gracilis muscle transposition for anal incontinence: late results. Br J Surg 72(Suppl):S21–S22

    Article  PubMed  Google Scholar 

  • Emmertsen KJ, Laurberg S (2012) Low anterior resection syndrome score: development and validation of a symptom-based scoring system for bowel dysfunction after low anterior resection for rectal cancer. Ann Surg 255(5):922–928

    Article  PubMed  Google Scholar 

  • Frank L, Kleinman L, Farup C, Taylor L, Miner P Jr (1999) Psychometric validation of a constipation symptom assessment questionnaire. Scand J Gastroenterol 34(9):870–877

    Article  CAS  PubMed  Google Scholar 

  • Garrigues V, Gálvez C, Ortiz V, Ponce M, Nos P, Ponce J (2004) Prevalence of constipation: agreement among several criteria and evaluation of the diagnostic accuracy of qualifying symptoms and self-reported definition in a population-based survey in Spain. Am J Epidemiol 159(5):520–526

    Article  PubMed  Google Scholar 

  • Hiltunen KM, Matikainen M, Auvinen O, Hietanen P (1986) Clinical and manometric evaluation of anal sphincter function in patients with rectal prolapse. Am J Surg 151:489–492

    Article  CAS  PubMed  Google Scholar 

  • Hull TL, Floruta C, Piedmonte M (2001) Preliminary results of an outcome tool used for evaluation of surgical treatment for fecal incontinence. Dis Colon Rectum 44:799–805

    Article  CAS  PubMed  Google Scholar 

  • Hussain ZI, Lim M, Stojkovic S (2014) The test-retest reliability of fecal incontinence severity and quality-of-life assessment tools. Dis Colon Rectum 57(5):638–644

    Article  PubMed  Google Scholar 

  • Jorge JM, Wexner SD (1993) Etiology and management of fecal incontinence. Dis Colon Rectum 36:77–97

    Article  CAS  PubMed  Google Scholar 

  • Juul T, Ahlberg M, Biondo S, Emmertsen KJ, Espin E, Jimenez LM, Matzel KE, Palmer G, Sauermann A, Trenti L, Zhang W, Laurberg S, Christensen P (2014) International validation of the low anterior resection syndrome score. Ann Surg 259(4):728–734

    Article  PubMed  Google Scholar 

  • Keighley MR, Fielding JW (1983) Management of faecal incontinence and results of surgical treatment. Br J Surg 70:463–468

    Article  CAS  PubMed  Google Scholar 

  • Keszei AP, Novak M, Streiner DL (2010) Introduction to health measurement scales. J Psychosom Res 68(4):319–323

    Article  PubMed  Google Scholar 

  • Knowles CH, Eccersley AJ, Scott SM et al (2000) Linear discriminant analysis of symptoms in patients with chronic constipation. Dis Colon Rectum 43:1419–1426

    Article  CAS  PubMed  Google Scholar 

  • Koch A, Voderholzer WA, Klauser AG, Muller-Lissner S (1997) Symptoms in chronic constipation. Dis Colon Rectum 40:902–906

    Article  CAS  PubMed  Google Scholar 

  • Kwon E, Schulz JA, Flood CG (2006) Success of pubovaginal sling in patients with stress urinary incontinence and efficacy of vaginal sling release in patients with post-sling voiding dysfunction. J Ostet Gynaecol Can 28(6):519–525

    Article  Google Scholar 

  • Kyrsa J, Lyons M, Williams AB (2009) A simple quality of life questionnaire for patients with fecal incontinence. Int J Colorectal Dis 24(10):1213–1217

    Article  Google Scholar 

  • Lunniss PJ, Kaum MA, Phillips RK (1994) Factors affecting continence after surgery for anal fistula. Br J Surg 81:1382–1385

    Article  CAS  PubMed  Google Scholar 

  • Malouf AJ, Norton CS, Engel AF, Nicholls RJ, Kamm MA (2000) Long-term results of overlapping anterior anal-sphincter repair for obstetric trauma. Lancet 355:260–265

    Article  CAS  PubMed  Google Scholar 

  • McMillan SC, Williams FA (1989) Validity and reliability of the constipation assessment scale. Cancer Nurs 12(3):183–188

    Article  CAS  PubMed  Google Scholar 

  • Miller R, Bartolo DC, Locke-Edmunds JC, Mortensen NJ (1988) Prospective study of conservative and operative treatment for faecal incontinence. Br J Surg 75:101–105

    Article  CAS  PubMed  Google Scholar 

  • Minguez M, Garrigues V, Soria MJ et al (2006) Adaptation to Spanish language and validation of the fecal incontinence quality of life scale. DCR 49:490–499

    Google Scholar 

  • Nunally JC, Berbstein IH (1994) Psychometric theory. McGraw Hill, New York, pp 83–113

    Google Scholar 

  • O’Brien PE, Dixon JB, Skinner S, Laurie C, Khera A, Fonda D (2004) A prospective, randomized, controlled clinical trial of placement of the artificial bowel sphincter (Acticon Neosphincter) for the control of fecal incontinence. Dis Colon Rectum 47:1852–1860

    Article  PubMed  Google Scholar 

  • Osterberg A, Graf W, Karlbom U, PÃ¥hlman L (1996) Evaluation of a questionnaire in the assessment of patients with faecal incontinence and constipation. Scand J Gastroenterol 31(6):575–580

    Article  CAS  PubMed  Google Scholar 

  • Pamuk ON, Pamuk GE, Celik AF (2003) Revalidation of description of constipation in terms of recall bias and visual scale analog questionnaire. J Gastroenterol Hepatol 18(12):1417–1422

    Article  PubMed  Google Scholar 

  • Parks AG (1975) Royal society of medicine, section of proctology; meeting 27 November 1974. President’s address. Anorectal incontinence. Proc R Soc Med 68:681–690

    CAS  PubMed  PubMed Central  Google Scholar 

  • Pescatori M, Anastasio G, Bottini C, Mentasti A (1992) New grading and scoring for anal incontinence: evaluation of 335 patients. Dis Colon Rectum 35:482–487

    Article  CAS  PubMed  Google Scholar 

  • PROQOLID (2015) http://www.proqolid.org/instruments/patient_assessment_of_constipation_symptoms_pac_sym. Accessed online 19 Mar 2015

  • Rainey JB, Donaldson DR, Thomson JP (1990) Postanal repair: which patients derive most benefit? J R Coll Surg Edinb 35:101–105

    CAS  PubMed  Google Scholar 

  • Reilly WT, Talley NJ, Pemberton JH, Zinsmeister AR (2000) Validation of a questionnaire to assess fecal incontinence and associated risk factors: fecal incontinence questionnaire. Dis Colon Rectum 43:146–154

    Article  CAS  PubMed  Google Scholar 

  • Rockwood TH, Church JM, Fleshman JW, Kane RL, Mavrantonis C, Thorson AG, Wexner SD, Bliss D, Lowry AC (1999) Patient and surgeon ranking of the severity of symptoms associated with fecal incontinence: the Fecal Incontinence Severity Index. Dis Colon Rectum 42:1525–1532

    Article  CAS  PubMed  Google Scholar 

  • Rockwood TH, Church JM, Fleshman JW, Kane RL, Mavrantonis C, Thorson AG, Wexner SD, Bliss D, Lowry AC (2000) Fecal incontinence quality of life scale: quality of life instrument for patients with fecal incontinence. Dis Colon Rectum 43:9–17

    Article  CAS  PubMed  Google Scholar 

  • Rothbarth J, Bemelman WA, Meijerink WJ et al (2001) What is the impact of fecal incontinence on quality of life? Dis Colon Rectum 44:67–71

    Article  CAS  PubMed  Google Scholar 

  • Rothenberger DA (1989) Anal incontinence. In: Cameron JL (ed) Current surgical therapy, 3rd edn. BC Decker, Philadelphia, pp 186–194

    Google Scholar 

  • Rudd WW (1979) The transanal anastomosis: a sphincter-saving operation with improved continence. Dis Colon Rectum 22:102–105

    Article  CAS  PubMed  Google Scholar 

  • Rullier E, Zerbib F, Marrel A et al (2004) Validation of the French version of the fecal incontinence quality-of-life (FIQL) scale. Gastroenterol Clin Biol 28:562–568

    Article  PubMed  Google Scholar 

  • Sandborn WJ, Tremaine WJ, Batts KP, Pemberton JH, Phillips SF (1994) Pouchitis after ileal pouch-anal anastomosis: a Pouchitis Disease Activity Index. Mayo Clin Proc 69(5):409–415

    Article  CAS  PubMed  Google Scholar 

  • Sprangers MA, te Velde A, Aaronson NK (1999) The construction and testing of the EORTC colorectal cancer-specific quality of life questionnaire module (QLQ-CR38). European organization for research and treatment of cancer study group on quality of life. Eur J Cancer 35(2):238–247

    Article  CAS  PubMed  Google Scholar 

  • Streiner DL, Norman GR (1994) Health measurement scales. A practical guide to their development and use, vol 94. Oxford University Press, Oxford, pp 2017–2021

    Google Scholar 

  • Temple LK, Bacik J, Savatta SG, Gottesman L, Paty PB, Weiser MR, Guillem JG, Minsky BD, Kalman M, Thaler HT, Schrag D, Wong WD (2005) The development of a validated instrument to evaluate bowel function after sphincter-preserving surgery for rectal cancer. Dis Colon Rectum 48(7):1353–1365

    Article  PubMed  Google Scholar 

  • Vaizey CJ, Carapeti E, Cahill JA et al (1999) Prospective comparison of fecal incontinence grading systems. Gut 44:77–80

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Violi V, Boselli AS, De Bernardinis M, Costi R, Trivelli M, Roncoroni L (2002) A patient-rated, surgeon-corrected scale for functional assessment after total anorectal reconstruction. An adaptation of the working party on anal sphincter replacement scoring system. Int J Colorectal Dis 17(5):327–337

    Article  PubMed  Google Scholar 

  • Ward WL, Hahn EA, Mo F, Hernandez L, Tulsky DS, Cella D (1999) Reliability and validity of the functional assessment of cancer therapy-colorectal (FACT-C) quality of life instrument. Qual Life Res 8(3):181–195

    Article  CAS  PubMed  Google Scholar 

  • Wexner SD, Baeten C, Bailey R et al (2002) Long-term efficacy of dynamic graciloplasty for fecal incontinence. Dis Colon Rectum 45:809–818

    Article  PubMed  Google Scholar 

  • Wiliams NS, Patel J, George BD, Hallan RI, Watkins ES (1991) Development of an electrically stimulated neonatal sphincter. Lancet 338:1166–1169

    Article  Google Scholar 

  • Womack NR, Morrison JF, Williams NS (1988) Prospective study of the effects of postanal repair in neurogenic faecal incontinence. Br J Surg 75:48–52

    Article  CAS  PubMed  Google Scholar 

  • Wong CK, Chen J, Yu CL, Sham M, Lam CL (2015) Systematic review recommends the European organization for research and treatment of cancer colorectal cancer-specific module for measuring quality of life in colorectal cancer patients. J Clin Epidemiol 68(3):266–278

    Article  PubMed  Google Scholar 

  • Woolery M, Carroll E, Fenn E, Wieland H, Jarosinski P, Corey B, Wallen GR (2006) A constipation assessment scale for use in pediatric oncology. J Pediatr Oncol Nurs 23(2):65–74

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Western University, 339 Windermere Road, London, Ontario, N6A 5A5, Canada

    Julie Ann Van Koughnett

  2. Department of Surgery, McGill University/Jewish General Hospital, 3750 Cote Ste Catherine West G-317, Montreal, Quebec, H9J 3W6, Canada

    Marylise Boutros

  3. Department of Colorectal Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd, Weston, FL, 33331, USA

    Steven D. Wexner

Authors
  1. Julie Ann Van Koughnett
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  2. Marylise Boutros
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  3. Steven D. Wexner
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Corresponding author

Correspondence to Steven D. Wexner .

Editor information

Editors and Affiliations

  1. Catholic University, Department of Surgical Sciences, Proctology Unit, Rome, Italy

    Carlo Ratto

  2. Department of Surgical Sciences, Proctology Unit, Catholic University, Rome, Italy

    Angelo Parello

  3. Department of Surgical Sciences, Proctology Unit, Catholic University, Rome, Italy

    Lorenza Donisi

  4. Department of Surgical Sciences, Proctology Unit, Catholic University, Rome, Italy

    Francesco Litta

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Van Koughnett, J.A., Boutros, M., Wexner, S.D. (2017). Signs and Symptoms in Coloproctology: Data Collection and Scores. In: Ratto, C., Parello, A., Donisi, L., Litta, F. (eds) Colon, Rectum and Anus: Anatomic, Physiologic and Diagnostic Bases for Disease Management. Coloproctology, vol 1. Springer, Cham. https://doi.org/10.1007/978-3-319-09807-4_15

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  • DOI: https://doi.org/10.1007/978-3-319-09807-4_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-09806-7

  • Online ISBN: 978-3-319-09807-4

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