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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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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Korean Society of Neurogastroenterology and Motility
2021
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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. |
format | Online Article Text |
id | pubmed-8521469 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The Korean Society of Neurogastroenterology and Motility |
record_format | MEDLINE/PubMed |
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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