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Can We Rely on the Rome IV Questionnaire to Diagnose Children With Functional Gastrointestinal Disorders?

BACKGROUND/AIMS: To investigate the intra-rater (test-retest) reliability of the diagnosis of functional gastrointestinal disorders (FGIDs) as measured by the Questionnaire on Pediatric Functional Gastrointestinal Disorders, Rome IV version (QPGS-IV) in children. METHODS: A prospective cohort study...

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Autores principales: Baaleman, Desiree F, Velasco-Benítez, Carlos A, Méndez-Guzmán, Laura M, Benninga, Marc A, Saps, Miguel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Neurogastroenterology and Motility 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8521469/
https://www.ncbi.nlm.nih.gov/pubmed/34642283
http://dx.doi.org/10.5056/jnm20179
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author Baaleman, Desiree F
Velasco-Benítez, Carlos A
Méndez-Guzmán, Laura M
Benninga, Marc A
Saps, Miguel
author_facet Baaleman, Desiree F
Velasco-Benítez, Carlos A
Méndez-Guzmán, Laura M
Benninga, Marc A
Saps, Miguel
author_sort Baaleman, Desiree F
collection PubMed
description BACKGROUND/AIMS: To investigate the intra-rater (test-retest) reliability of the diagnosis of functional gastrointestinal disorders (FGIDs) as measured by the Questionnaire on Pediatric Functional Gastrointestinal Disorders, Rome IV version (QPGS-IV) in children. METHODS: A prospective cohort study was conducted in a public school in Cali, Colombia. Children and adolescents between 11 and 18 years of age were given the self-report Spanish version of the QPGS-IV at day 0 (baseline) and at day 2 (48 hours later). RESULTS: The study protocol was completed by 215 children, of which 97 (45%) were excluded from analysis due to the inability to follow the questionnaire’s instructions. The final analysis included data of 118 children (mean age 15.0 ± SD 1.8 years old, 58.5% boys). The most common diagnoses were functional dyspepsia, functional constipation, and irritable bowel syndrome. We found a moderate intra-rater reliability ((κ) = 0.61-0.65) for diagnosing an FGID in general, a functional abdominal pain disorder, and the diagnosis of functional dyspepsia. We found a weak intra-rater reliability ((κ) = 0.46-0.54) for diagnosing a functional defecation disorder, functional constipation, irritable bowel syndrome, and the postprandial distress syndrome subtype of functional dyspepsia. CONCLUSIONS: Our study shows that a large proportion of children cannot adequately complete the QPGS-IV and that the intra-rater reliability among those who did adequately follow the instructions is moderate. We advise to test the children’s understanding of the instructions prior to completion of questionnaires and recommend to not rely exclusively on a self-reported questionnaire to select, recruit, or evaluate pediatric patients for FGIDs for research purposes.
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spelling pubmed-85214692021-10-30 Can We Rely on the Rome IV Questionnaire to Diagnose Children With Functional Gastrointestinal Disorders? Baaleman, Desiree F Velasco-Benítez, Carlos A Méndez-Guzmán, Laura M Benninga, Marc A Saps, Miguel J Neurogastroenterol Motil Original Article BACKGROUND/AIMS: To investigate the intra-rater (test-retest) reliability of the diagnosis of functional gastrointestinal disorders (FGIDs) as measured by the Questionnaire on Pediatric Functional Gastrointestinal Disorders, Rome IV version (QPGS-IV) in children. METHODS: A prospective cohort study was conducted in a public school in Cali, Colombia. Children and adolescents between 11 and 18 years of age were given the self-report Spanish version of the QPGS-IV at day 0 (baseline) and at day 2 (48 hours later). RESULTS: The study protocol was completed by 215 children, of which 97 (45%) were excluded from analysis due to the inability to follow the questionnaire’s instructions. The final analysis included data of 118 children (mean age 15.0 ± SD 1.8 years old, 58.5% boys). The most common diagnoses were functional dyspepsia, functional constipation, and irritable bowel syndrome. We found a moderate intra-rater reliability ((κ) = 0.61-0.65) for diagnosing an FGID in general, a functional abdominal pain disorder, and the diagnosis of functional dyspepsia. We found a weak intra-rater reliability ((κ) = 0.46-0.54) for diagnosing a functional defecation disorder, functional constipation, irritable bowel syndrome, and the postprandial distress syndrome subtype of functional dyspepsia. CONCLUSIONS: Our study shows that a large proportion of children cannot adequately complete the QPGS-IV and that the intra-rater reliability among those who did adequately follow the instructions is moderate. We advise to test the children’s understanding of the instructions prior to completion of questionnaires and recommend to not rely exclusively on a self-reported questionnaire to select, recruit, or evaluate pediatric patients for FGIDs for research purposes. The Korean Society of Neurogastroenterology and Motility 2021-10-30 2021-10-30 /pmc/articles/PMC8521469/ /pubmed/34642283 http://dx.doi.org/10.5056/jnm20179 Text en © 2021 The Korean Society of Neurogastroenterology and Motility https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Baaleman, Desiree F
Velasco-Benítez, Carlos A
Méndez-Guzmán, Laura M
Benninga, Marc A
Saps, Miguel
Can We Rely on the Rome IV Questionnaire to Diagnose Children With Functional Gastrointestinal Disorders?
title Can We Rely on the Rome IV Questionnaire to Diagnose Children With Functional Gastrointestinal Disorders?
title_full Can We Rely on the Rome IV Questionnaire to Diagnose Children With Functional Gastrointestinal Disorders?
title_fullStr Can We Rely on the Rome IV Questionnaire to Diagnose Children With Functional Gastrointestinal Disorders?
title_full_unstemmed Can We Rely on the Rome IV Questionnaire to Diagnose Children With Functional Gastrointestinal Disorders?
title_short Can We Rely on the Rome IV Questionnaire to Diagnose Children With Functional Gastrointestinal Disorders?
title_sort can we rely on the rome iv questionnaire to diagnose children with functional gastrointestinal disorders?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8521469/
https://www.ncbi.nlm.nih.gov/pubmed/34642283
http://dx.doi.org/10.5056/jnm20179
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