Tsunoda Akira, Kusanagi Hiroshi
Department of Gastroenterological Surgery, Kameda Medical Center, Kamogawa, Japan.
J Anus Rectum Colon. 2024 Jul 30;8(3):179-187. doi: 10.23922/jarc.2023-061. eCollection 2024.
To compare patients' self-administered responses to the Fecal Incontinence Severity Index (FISI) questionnaire (A1) with their responses to physician's oral interview (A3).
Patients (n=100: mean age: 72 years; 66 women) with FI completed the FISI and the modified FISI (with written explanations) questionnaires, followed by a physician interview. To identify a threshold for the rating gap between A1 and A3, we calculated each patient's mean difference in the FISI scores.
There was no significant difference in the FISI scores between A1 and A3. A rating gap existed in the FISI scores (mean difference=8.9). It occurred in 37% of the patients, making its threshold 9. Multivariate analysis revealed that older age and no history of pelvic floor surgery were independently associated with the presence of a rating gap in the FISI scores. The in-coincidence of ticked boxes to all types of leakage between the self-administered responses and those by physician's oral history was 49% (197/400). Older age was associated with the in-coincidence of a ticked box between the assessment results of gas or solid stool leakage.
Some non-negligible discrepancy existed between patients' self-administered responses and their responses to physician's oral interview, especially in older patients.
比较患者对大便失禁严重程度指数（FISI）问卷（A1）的自我填写回答与他们对医生口头询问（A3）的回答。
患有大便失禁的患者（n = 100；平均年龄：72岁；66名女性）完成FISI和改良FISI（带有书面解释）问卷，随后接受医生询问。为了确定A1和A3之间评分差距的阈值，我们计算了每位患者FISI分数的平均差异。
A1和A3的FISI分数没有显著差异。FISI分数存在评分差距（平均差异 = 8.9）。37%的患者出现这种情况，其阈值为9。多变量分析显示，年龄较大和无盆底手术史与FISI分数存在评分差距独立相关。自我填写回答与医生口头询问的所有类型渗漏勾选框的不一致率为49%（197/400）。年龄较大与气体或固体粪便渗漏评估结果之间勾选框的不一致相关。
患者的自我填写回答与他们对医生口头询问的回答之间存在一些不可忽视的差异，尤其是在老年患者中。
