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Validation of the Baylor Continence Scale in children with anorectal malformations

Mary L Brandt1, Carolyn Daigneau, Edward A Graviss

  • 1Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA. brandt@bcm.edu

Journal of Pediatric Surgery
|June 15, 2007
PubMed

Insights

The Baylor Continence Scale (BCS) effectively measures social continence in children with anorectal malformations (ARMs). This validated tool aids in assessing the impact of ARM repair on children and their families.

Area of Science:

  • Pediatric surgery
  • Urology
  • Gastroenterology

Background:

  • Anorectal malformations (ARMs) frequently lead to long-term defecation issues.
  • No validated scoring systems currently exist for assessing fecal incontinence in children post-ARM repair.
  • This study aimed to develop and validate the Baylor Continence Scale (BCS) for measuring social continence in pediatric ARM patients.

Purpose of the Study:

  • To develop and validate the Baylor Continence Scale (BCS) as a tool for assessing social continence.
  • To measure social continence in children who have undergone surgical correction of ARMs.
  • To evaluate the impact of ARM repair on children's social continence and family well-being.

Main Methods:

  • The Baylor Continence Scale (BCS) is a 23-question survey.
  • The BCS was administered to three groups: children with repaired ARMs, children with enuresis, and typically developing children.
  • Statistical analysis was performed to compare BCS scores across the groups.

Main Results:

  • Children with ARMs had a significantly higher average BCS score (28.0) compared to enuresis (16.5) and normal control groups (11.5).
  • A greater proportion of children in the ARM group reported higher Impact on Family Scores (>30) than control groups.
  • These findings highlight the persistent challenges faced by children with ARMs and their families.

Conclusions:

  • The Baylor Continence Scale (BCS) is a valuable tool for future research on interventions for incontinence after ARM repair.
  • The study underscores the significant and lasting impact of caring for a child with an imperforate anus on family life.
  • The BCS can aid in understanding and improving the quality of life for children with ARMs and their families.
Abstract

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