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Urgency an important factor when assessing fecal incontinence
Umeå University, Faculty of Medicine, Department of Diagnostics and Intervention. Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.ORCID iD: 0000-0002-2075-8228
Umeå University, Faculty of Medicine, Department of Diagnostics and Intervention. Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.ORCID iD: 0000-0002-3806-2114
Umeå University, Faculty of Medicine, Department of Diagnostics and Intervention. Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.ORCID iD: 0000-0001-5838-9133
2024 (English)In: Updates in Surgery, ISSN 2038-131X, Vol. 76, no 8, p. 2805-2811Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to investigate if Low Anterior Resection Syndrome (LARS) score contributed with complementary information to Wexner score when assessing fecal incontinence (FI). The hypothesis was that LARS score would be likely to provide complementary information to Wexner score in the assessment of FI regardless of etiology. LARS score has been used as a complement to traditional scoring systems to assess bowel dysfunction, targeting FI among patients after radical cystectomy, in women with endometriosis, and in colorectal cancer patients. Wexner score as a single tool does not address the complexity of FI and urgency, a disabling symptom. A retrospective cohort study at a surgical outpatient clinic included patients diagnosed with FI who answered LARS and Wexner scores questionnaires at their first visit to the clinic between 1st January 2015 and 31st December 2018. Kendall’s tau, Spearman rank correlation, Cohen’s kappa, and scatterplots were analyzed for participants and specific subgroups to assess any correlation and agreement between answers to the two scoring systems. One hundred nineteen patients met the inclusion criteria, one hundred eight women and eleven men. Kendall’s tau ranged from 0.32 to 0.39, indicating lack of correlation. Correlation coefficients using Spearman rank ranged from 0.36 to 0.55, i.e., only fair to moderate correlation. Kappa was 0.21–0.28, i.e., only slight to fair agreement. Distribution of LARS and Wexner scores in the scatterplot showed wide variability and lack of agreement. Combined use of both the Wexner and LARS scores provided complimentary information, and thus a more complete mapping of FI as well as taking all entities in consideration.

Place, publisher, year, edition, pages
Springer Nature, 2024. Vol. 76, no 8, p. 2805-2811
Keywords [en]
Colorectal surgery, Fecal incontinence, General surgery, Proctology, Scoring methods
National Category
Surgery
Identifiers
URN: urn:nbn:se:umu:diva-229610DOI: 10.1007/s13304-024-01975-4ISI: 001308064000001PubMedID: 39240478Scopus ID: 2-s2.0-85203298345OAI: oai:DiVA.org:umu-229610DiVA, id: diva2:1898498
Available from: 2024-09-17 Created: 2024-09-17 Last updated: 2025-03-26Bibliographically approved

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Almkvist, LouiseGunnarsson, UlfStrigård, Karin

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