Diagnosis of functional constipation: Agreement between Rome III and Rome II criteria and evaluation for the practicality

OBJECTIVE: To investigate the agreement between Rome III and Rome II criteria for diagnosing functional constipation (FC) and to evaluate the accuracy of each constipation symptom for FC diagnosis. METHODS: Patients with chronic constipation underwent rigorous biochemical and endoscopic/imaging test...

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Autores principales: Xin, Hai Wei, Fang, Xiu Cai, Zhu, Li Ming, Xu, Tao, Fei, Gui Jun, Wang, Zhi Feng, Chang, Min, Wang, Li Ying, Sun, Xiao Hong, Ke, Mei Yun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4164274/
https://www.ncbi.nlm.nih.gov/pubmed/24620823
http://dx.doi.org/10.1111/1751-2980.12145
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author Xin, Hai Wei
Fang, Xiu Cai
Zhu, Li Ming
Xu, Tao
Fei, Gui Jun
Wang, Zhi Feng
Chang, Min
Wang, Li Ying
Sun, Xiao Hong
Ke, Mei Yun
author_facet Xin, Hai Wei
Fang, Xiu Cai
Zhu, Li Ming
Xu, Tao
Fei, Gui Jun
Wang, Zhi Feng
Chang, Min
Wang, Li Ying
Sun, Xiao Hong
Ke, Mei Yun
author_sort Xin, Hai Wei
collection PubMed
description OBJECTIVE: To investigate the agreement between Rome III and Rome II criteria for diagnosing functional constipation (FC) and to evaluate the accuracy of each constipation symptom for FC diagnosis. METHODS: Patients with chronic constipation underwent rigorous biochemical and endoscopic/imaging tests to exclude organic and metabolic diseases. The questionnaires including general information, constipation symptoms, and the most troublesome constipation symptoms were completed in a face-to-face survey. The accuracy of constipation symptoms for FC diagnosis was examined using the likelihood ratio. RESULTS: Among 184 patients (43 males and 141 females) with chronic constipation, 166 (90.2%) met Rome II criteria and 174 (94.6%) met Rome III criteria for FC, while 166 met both criteria. There was a good diagnostic agreement between the two sets of criteria, with a kappa value of 0.69 and the overall agreement rate was 95.7% (P < 0.001). Based on Rome III criteria, the most accurate symptom for FC diagnosis was sensation of anorectal blockage, followed by straining during defecation and infrequent bowel movements. The most troublesome symptoms reported by patients were lumpy or hard stools, straining during defecation, sensation of incomplete evacuation. More patients indicated that ‘the symptoms in the past 3 months’ was better than ‘those within the past one year’ to reflect their constipation (36.7% vs 6.0%, P < 0.001). CONCLUSIONS: There is good agreement between Rome III and Rome II criteria for FC diagnosis. Rome III criteria are more practical than Rome II criteria for Chinese patients.
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spelling pubmed-41642742014-09-22 Diagnosis of functional constipation: Agreement between Rome III and Rome II criteria and evaluation for the practicality Xin, Hai Wei Fang, Xiu Cai Zhu, Li Ming Xu, Tao Fei, Gui Jun Wang, Zhi Feng Chang, Min Wang, Li Ying Sun, Xiao Hong Ke, Mei Yun J Dig Dis Original Articles OBJECTIVE: To investigate the agreement between Rome III and Rome II criteria for diagnosing functional constipation (FC) and to evaluate the accuracy of each constipation symptom for FC diagnosis. METHODS: Patients with chronic constipation underwent rigorous biochemical and endoscopic/imaging tests to exclude organic and metabolic diseases. The questionnaires including general information, constipation symptoms, and the most troublesome constipation symptoms were completed in a face-to-face survey. The accuracy of constipation symptoms for FC diagnosis was examined using the likelihood ratio. RESULTS: Among 184 patients (43 males and 141 females) with chronic constipation, 166 (90.2%) met Rome II criteria and 174 (94.6%) met Rome III criteria for FC, while 166 met both criteria. There was a good diagnostic agreement between the two sets of criteria, with a kappa value of 0.69 and the overall agreement rate was 95.7% (P < 0.001). Based on Rome III criteria, the most accurate symptom for FC diagnosis was sensation of anorectal blockage, followed by straining during defecation and infrequent bowel movements. The most troublesome symptoms reported by patients were lumpy or hard stools, straining during defecation, sensation of incomplete evacuation. More patients indicated that ‘the symptoms in the past 3 months’ was better than ‘those within the past one year’ to reflect their constipation (36.7% vs 6.0%, P < 0.001). CONCLUSIONS: There is good agreement between Rome III and Rome II criteria for FC diagnosis. Rome III criteria are more practical than Rome II criteria for Chinese patients. Blackwell Publishing Ltd 2014-06 2014-05-01 /pmc/articles/PMC4164274/ /pubmed/24620823 http://dx.doi.org/10.1111/1751-2980.12145 Text en © 2014 The Authors. Journal of Digestive Diseases published by Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and Wiley Publishing Asia Pty Ltd. http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
spellingShingle Original Articles
Xin, Hai Wei
Fang, Xiu Cai
Zhu, Li Ming
Xu, Tao
Fei, Gui Jun
Wang, Zhi Feng
Chang, Min
Wang, Li Ying
Sun, Xiao Hong
Ke, Mei Yun
Diagnosis of functional constipation: Agreement between Rome III and Rome II criteria and evaluation for the practicality
title Diagnosis of functional constipation: Agreement between Rome III and Rome II criteria and evaluation for the practicality
title_full Diagnosis of functional constipation: Agreement between Rome III and Rome II criteria and evaluation for the practicality
title_fullStr Diagnosis of functional constipation: Agreement between Rome III and Rome II criteria and evaluation for the practicality
title_full_unstemmed Diagnosis of functional constipation: Agreement between Rome III and Rome II criteria and evaluation for the practicality
title_short Diagnosis of functional constipation: Agreement between Rome III and Rome II criteria and evaluation for the practicality
title_sort diagnosis of functional constipation: agreement between rome iii and rome ii criteria and evaluation for the practicality
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4164274/
https://www.ncbi.nlm.nih.gov/pubmed/24620823
http://dx.doi.org/10.1111/1751-2980.12145
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