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01-05-2016 | Original Article

Impact of the Bowel Management Program on the quality of life in children with fecal incontinence

Authors: João H. F. Colares, Marionescu Purcaru, Guilherme P. F. da Silva, Mirna A. Frota, Carlos A. B. da Silva, Antônio A. Melo-Filho, Andrea Bischoff, Alberto Peña

Published in: Pediatric Surgery International | Issue 5/2016

Abstract

Purpose

Evaluate the impact of implementing Bowel Management Program (BMP) on quality of life (QoL) in children with fecal incontinence (FI).

Methods

Children 3–12 years referred to the Children’s Treatment Center of FI were included and categorized accordingto the tendency to constipation (dilated colon; group 1) or diarrhea (non-dilated colon; group 2). Evaluations were performed before and after 3 months of BMP implementation. Perceptions from parents and children about QoL were assessed by the instrument PedsQL4.0 and the severity of FI by the fecal incontinence index (FII) of Wexner scale.

Results

43 children (mean age of 7.7 ± 3.1) were studied. 32 (74.4 %) belonged to group 1 and 11 (25.6 %) to group 2. After 3 months of BMP, it was noticed a significant improvement of the FII (14.5 ± 3.7 versus 2.8 ± 2.5; p < 0.001) in both groups. QoL perception by the parents and children increased on PedsQL4.0 evaluation (p < 0.001). There was a medium inverse statistically significant correlation of the FII and the total PedsQL4.0 score among children and parents (r = −0.47, p = 0.009 and r = −0, 39, p = 0.03, respectively).

Conclusion

The BMP applied by a multidisciplinary dedicated team significantly improves the QoL of children with FI in the short-term period.

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Title: Impact of the Bowel Management Program on the quality of life in children with fecal incontinence
Authors: João H. F. Colares
Marionescu Purcaru
Guilherme P. F. da Silva
Mirna A. Frota
Carlos A. B. da Silva
Antônio A. Melo-Filho
Andrea Bischoff
Alberto Peña
Publication date: 01-05-2016
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Surgery International / Issue 5/2016
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-016-3874-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Impact of the Bowel Management Program on the quality of life in children with fecal incontinence

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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