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CONSTIPATION SCORING SYSTEM VALIDATED FOR THE PORTUGUESE LANGUAGE (ÍNDICE DE GRAVIDADE DA CONSTIPAÇÃO INTESTINAL): IS IT RELIABLE IN ASSESSING THE SEVERITY OF INTESTINAL CHRONIC CONSTIPATION IN OUR POPULATION?
Froehner Junior, Ilario; Jorge, José Marcio Neves; Marques, Carlos Frederico Sparapan; Santos, Vera Lúcia Conceição de Gouveia; Jukemura, José.
Afiliação
  • Froehner Junior I; Universidade de São Paulo, Faculty of Medicine, Department of Gastroenterology - São Paulo (SP), Brazil.
  • Jorge JMN; Universidade de São Paulo, Faculty of Medicine, Department of Gastroenterology - São Paulo (SP), Brazil.
  • Marques CFS; Universidade de São Paulo, Faculty of Medicine, Department of Gastroenterology - São Paulo (SP), Brazil.
  • Santos VLCG; Universidade de São Paulo, School of Nursing, Medical-Surgical Nursing Department - São Paulo (SP), Brazil.
  • Jukemura J; Universidade de São Paulo, Faculty of Medicine, Department of Gastroenterology - São Paulo (SP), Brazil.
Arq Bras Cir Dig ; 36: e1785, 2024.
Article em En | MEDLINE | ID: mdl-38511799
ABSTRACT

BACKGROUND:

There is a lack of valid and specific tools to measure chronic constipation severity in Brazil.

AIMS:

To validate the Constipation Scoring System for Brazilian spoken Portuguese.

METHODS:

Translation, cultural adaptation, and validation itself (reliability and convergent and divergent validation). Translation definitive version from the original version's translation and evaluation by specialists. Cultural adaptation score content analysis of the definitive version, as an interview to patients. Interobserver reliability application by two researchers on the same day. Intraobserver reliability same researcher at different times, in a 7-day interval. Divergent validation non-constipated volunteers. Convergent validation two groups, good response to clinical treatment and refractory to treatment.

RESULTS:

Cultural adaptation 81 patients, 89% female, with mean age of 55 and seven years of schooling, and overall content validity index was 96.5%. Inter and intraobserver reliability

analysis:

60 patients, 86.7% female, mean age of 56 and six years of schooling, and the respective intraclass correlation coefficients were 0.991 and 0.987, p<0.001. Divergent validation 40 volunteers, 25 male, mean age of 49 years, and the mean global score was 2. Convergent validation of patients with good response to clinical treatment 47 patients, 39 female, mean age of 60 and six years of schooling, and the pre- and post-treatment scores were 19 and 8, respectively (p<0.001). Convergent validation of refractory to clinical treatment patients 75 patients, 70 female, mean age of 53 and seven years of schooling, and the global average score was 22.

CONCLUSIONS:

The Constipation Scoring System (Índice de Gravidade da Constipação Intestinal) validated for the Brazilian population is a reliable instrument for measuring the severity of intestinal chronic constipation.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Constipação Intestinal / Idioma Limite: Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil / Europa Idioma: En Revista: Arq Bras Cir Dig Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Constipação Intestinal / Idioma Limite: Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil / Europa Idioma: En Revista: Arq Bras Cir Dig Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil