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Clin Colon Rectal Surg 2021; 34(01): 005-014
DOI: 10.1055/s-0040-1714245
Review Article

Metrics Used to Quantify Fecal Incontinence and Constipation

Cameron W. Hunt   *
1   Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts
,
Paul M. Cavallaro   *
1   Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts
,
Liliana G. Bordeianou
2   Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts
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Abstract

While fecal incontinence and constipation can be measured through physiological testing, the subjective experience of severity and impact on health-related quality of life lead to both being most effectively captured through patient-reported measures. Patient-reported measures of severity and impact help to determine baseline symptoms, guide clinical decision making, and compare various treatments. Here, we take pause to review the psychometric qualities that make effective instruments, and discuss some of the most commonly used instruments along with the reasons behind their use. In addition, we highlight the benefits of a standardized instrument designed to evaluate the major symptoms of patients presenting with pelvic floor disorders (including fecal incontinence and constipation). Ultimately, we aim to provide guidance in choosing appropriate instruments for clinical and research use.

Keywords

patient-reported outcomes - fecal incontinence metrics - constipation metrics - severity measures

* First co-authors.




Publication History

Article published online:
28 January 2021

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