The Department of Obstetrics and Gynecology, the Chaim Sheba Medical Center, Ramat-Gan, Israel, Faculty of Medicine, Tel-Aviv University, Tel Hashomer, 52621, Tel-Aviv, Israel.
The Department of Obstetrics and Gynecology, Urogynecology Unit, Baruch Padeh-Poria Medical Center, Tiberias, Israel.
Int Urogynecol J. 2020 Dec;31(12):2583-2587. doi: 10.1007/s00192-020-04400-7. Epub 2020 Jun 26.
The Cleveland Clinic Incontinence Score, known as the Wexner Score (WS), is a simple, disease-specific questionnaire for anal incontinence (AI) assessment. We aimed to translate and validate a Hebrew version of the WS.
Between November 2018 and December 2019, the WS was back translated and reviewed by a multidisciplinary pelvic floor team. The questionnaire was filled out by patients visiting the urogynecology and surgical pelvic floor clinics. Two weeks after completion, the patients were contacted using telephone surveys to assess the test-retest reliability examination. Construct validity was assessed by comparing the WS to the Colorectal-Anal Distress Inventory 8 (CRADI-8), a part of the validated Hebrew version of the Pelvic Floor Distress Inventory questionnaire (PFDI-20).
Overall, 91 female patients completed the WS questionnaire. Eighty-five percent (n = 78) responded to the re-test WS questionnaire. A high intraclass coefficient of 0.87 was found in the WS total score, with a range from 0.82 to 0.86 for its subscales. A significant positive relationship between the Hebrew versions of the WS and CRADI-8 scores was established (r = 0.66, p < 0.0001).
A new, Hebrew-translated version of the WS is a reliable and valid instrument for assessing AI.
克利夫兰诊所失禁评分（Cleveland Clinic Incontinence Score），又称威克斯纳评分（Wexner Score，WS），是一种用于评估肛门失禁（anal incontinence，AI）的简单、特定于疾病的问卷。我们旨在翻译并验证 WS 的希伯来语版本。
2018 年 11 月至 2019 年 12 月期间，对 WS 进行回译并由多学科盆底团队进行了审查。问卷由就诊于泌尿科和外科盆底诊所的患者填写。完成后两周，通过电话调查联系患者以评估测试-重测信度。通过将 WS 与结直肠肛门窘迫量表 8（Colorectal-Anal Distress Inventory 8，CRADI-8）进行比较来评估结构有效性，CRADI-8 是经过验证的希伯来语版盆底窘迫量表问卷（Pelvic Floor Distress Inventory questionnaire，PFDI-20）的一部分。
共有 91 名女性患者完成了 WS 问卷。85%（n=78）的患者对重测 WS 问卷做出了回应。WS 总分的内部一致性系数为 0.87，范围为 0.82 至 0.86，其各分量表的系数在此范围内。希伯来语版 WS 与 CRADI-8 评分之间存在显著的正相关关系（r=0.66，p<0.0001）。
新的 WS 希伯来语翻译版本是一种可靠且有效的评估 AI 的工具。
