Pediatric Bowel Management Scoring Tool for Constipation Patients

The Children Bowel Management Scoring Tool (PBMST) was created to help manage constipation in pediatric patients. The study was divided into two stages: questionnaire creation and bowel management score building. About two questionnaires were developed: one for children aged 8-18 years to self-report and one for children aged 4-8 years to be proxied by their parents. There were questions about physical symptoms (n = 6), emotional elements (n = 2), social activities/school (n = 1), and therapy (n = 1). Patients (or their parents) experiencing constipation answered the questionnaire. The Cohen weighted kappa coefficient () was used to calculate the repeatability of each question. A bowel management score was constructed using logistic regression analysis, examining the connections between the questions and their influence on self-reported quality of life (QoL). Questions that were reproducible and strongly related to QoL were included in the score.

About 385 patients completed the questionnaire. Around 6 items satisfied the inclusion criteria and were scored: stool shape (range, 0-3 points), anorectal discomfort (0-4 points), abdominal pain (0-3 points), frequency of fecal incontinence (0-3 points), caregiver help (0-3 points), and interference with social activities (0-3 points) (0-6 points). There were statistically significant differences in bowel management ratings among patients who reported no, little, some, or considerable influence on QoL (P<.001). The PBMST, which was recently created and validated, is a trustworthy measure for assessing bowel management techniques in children with constipation.

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