Comparing Consistency and Usability of Common Bowel Function Scoring Systems in Anorectal Malformation Patients

Shaari MK 1 , Tan YW 2 , Abdullah MY 3 , Sharudin MF 4 , Osman M 5 , Teoh THQ 6 Show all authors , Lim CJ 7 , Nah SA 8

Affiliations 

  • 1 Division of Paediatric Surgery, Department of Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
  • 2 Division of Paediatric Surgery, Department of Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia; Division of Paediatric Surgery, Department of Surgery, University of Malaya Medical Centre, Kuala Lumpur, Malaysia
  • 3 Department of Paediatric Surgery, Hospital Tunku Azizah, Kuala Lumpur, Malaysia
  • 4 Division of Paediatric Surgery, Department of Surgery, Hospital Sultanah Aminah, Johor, Malaysia
  • 5 Department of Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
  • 6 Division of Paediatric Surgery, Department of Surgery, Hospital Pulau Pinang, Pulau Pinang, Malaysia
  • 7 Department of Orthopaedic Surgery, Woodlands Health, Singapore
  • 8 Division of Paediatric Surgery, Department of Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia; Division of Paediatric Surgery, Department of Surgery, University of Malaya Medical Centre, Kuala Lumpur, Malaysia. Electronic address: shireen.nah@um.edu.my
J Pediatr Surg, 2024 Apr;59(4):571-576.
PMID: 38160189 DOI: 10.1016/j.jpedsurg.2023.12.002

Abstract

BACKGROUND: Assessment of postoperative bowel function in anorectal malformation (ARM) patients is crucial for benchmarking outcomes. We compared existing bowel function scoring systems in various aspects in patients with ARM.

METHODS: With ethical approval, this was a cross-sectional study involving 5 paediatric surgery referral centres in Malaysia, comparing the Kelly, Japanese Study Group of Anorectal Anomalies (JSGA), Holschneider and Krickenbeck bowel function questionnaires. We recruited patients aged 4-17 years, who had completed definitive surgery & stoma closure (where relevant) > 12 months prior to participation. We standardised outcomes of each scoring system into categories ('good', 'fair', 'poor' and 'very poor') to facilitate comparison. Parents & patients were surveyed and asked to rate the ease of understanding of each questionnaire. The difference in protocol scores rated between parents and patients were compared. Association of each bowel function scoring protocol with type of anomaly was assessed. Statistical significance was p 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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