Comparison of the Fecal Incontinence Severity Scores between Self-administration by Patients and an Oral Interview by
Akira Tsunoda1, Hiroshi Kusanagi1
1Department of Gastroenterological Surgery, Kameda Medical Center, Kamogawa, Japan.
Objectives:
To compare patients' self-administered responses to the Fecal Incontinence Severity Index (FISI) questionnaire (A1) with their responses to physician's oral interview (A3).
Methods:
Patients (n=100: mean age: 72 years; 66 women) with FI completed the FISI and the modified FISI (with written explanations) questionnaires, followed by a physician interview. To identify a threshold for the rating gap between A1 and A3, we calculated each patient's mean difference in the FISI scores.
Results:
There was no significant difference in the FISI scores between A1 and A3. A rating gap existed in the FISI scores (mean difference=8.9). It occurred in 37% of the patients, making its threshold 9. Multivariate analysis revealed that older age and no history of pelvic floor surgery were independently associated with the presence of a rating gap in the FISI scores. The in-coincidence of ticked boxes to all types of leakage between the self-administered responses and those by physician's oral history was 49% (197/400). Older age was associated with the in-coincidence of a ticked box between the assessment results of gas or solid stool leakage.
Conclusions:
Some non-negligible discrepancy existed between patients' self-administered responses and their responses to physician's oral interview, especially in older patients.
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