개인구독
소속 기관이 없으신 경우, 개인 정기구독을 하시면 저렴하게
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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.11
- 수록면
- 326 - 331 (6page)
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초록· 키워드
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Purpose: For measuring symptoms of fecal incontinence, summary scoring systems are widely used, but rigorous psychometric validation or assessment of such systems in terms of patients’ subjective perception has rarely been done to date. This study was designed to assess the correlation between each severity measure and patients’ subjective perception or clinicians’ clinical assessment. We attempted to compare summary scoring systems of severity measures and searched for which of them showed higher validity among them. Methods: Consecutive patients who visited our clinic with fecal incontinence were prospectively evaluated. A total of 43 patients were included. Four summary scoring systems were chosen for comparison: the Rothenberger, Wexner, Vaizey and Fecal Incontinence Severity Index systems. They are correlated with subjective perception scores by patients, and also with clinical assessment scores by investigators. Results: There was no significant difference between clinical scores of two investigators (paired t-test, P = 0.988). Inter-observer reliability was 0.95 (Intra-class correlation coefficient, 95% confidence interval 0.91 to 0.98). Significant correlations were proved between patients’ subjective perception scores and all the summary scoring systems, and also between the mean clinical scores and all the summary scoring systems. The highest was with the Wexner scale (r = 0.66, P ＜ 0.001) (r = 0.70, P ＜ 0.001), and the lowest was with the Rothenberger scale (r = 0.58, P ＜ 0.001) (r = 0.61, P ＜ 0.001) in both correlations. Conclusion: The Wexner scale correlates the most closely with subjective perception of severity of symptoms by patients, and also with clinical assessment by investigators. We recommend the Wexner scale among summary scoring systems as a tool for measuring fecal incontinence.
목차
Purpose
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
ACKNOWLEDGEMENT
REFERENCES
참고문헌 (21)
참고문헌 신청
1. [단행본] - Baeten CG / 2007 / The ASCRS textbook of colon and rectal surgery / Springer : 653 ~ 664
2. [학술지(정기간행물)] - Drossman DA / 2006 / Rome III: New standard for functional gastrointestinal disorders / J Gastrointestin Liver Dis 15 : 237 ~ 241
3. [학술지(정기간행물)] - Maeda Y / 2008 / Does the St. Mark's incontinence score reflect patients' perceptions? A review of 390 patients / Dis Colon Rectum 51 : 436 ~ 442
4. [학술지(정기간행물)] - Baxter NN / 2003 / Measuring fecal incontinence / Dis Colon Rectum 46 : 1591 ~ 1605
5. [학술지(정기간행물)] - Miller R / 1988 / Prospective study of conservative and operative treatment for faecal incontinence / Br J Surg 75 : 101 ~ 105
2. [학술지(정기간행물)] - Drossman DA / 2006 / Rome III: New standard for functional gastrointestinal disorders / J Gastrointestin Liver Dis 15 : 237 ~ 241
3. [학술지(정기간행물)] - Maeda Y / 2008 / Does the St. Mark's incontinence score reflect patients' perceptions? A review of 390 patients / Dis Colon Rectum 51 : 436 ~ 442
4. [학술지(정기간행물)] - Baxter NN / 2003 / Measuring fecal incontinence / Dis Colon Rectum 46 : 1591 ~ 1605
5. [학술지(정기간행물)] - Miller R / 1988 / Prospective study of conservative and operative treatment for faecal incontinence / Br J Surg 75 : 101 ~ 105
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UCI(KEPA) : I410-ECN-0101-2013-514-002683623