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Impact of the Bowel Management Program on the quality of life in children with fecal incontinence

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Abstract

Purpose

Evaluate the impact of implementing Bowel Management Program (BMP) on quality of life (QoL) in children with fecal incontinence (FI).

Methods

Children 3–12 years referred to the Children’s Treatment Center of FI were included and categorized accordingto the tendency to constipation (dilated colon; group 1) or diarrhea (non-dilated colon; group 2). Evaluations were performed before and after 3 months of BMP implementation. Perceptions from parents and children about QoL were assessed by the instrument PedsQL4.0 and the severity of FI by the fecal incontinence index (FII) of Wexner scale.

Results

43 children (mean age of 7.7 ± 3.1) were studied. 32 (74.4 %) belonged to group 1 and 11 (25.6 %) to group 2. After 3 months of BMP, it was noticed a significant improvement of the FII (14.5 ± 3.7 versus 2.8 ± 2.5; p < 0.001) in both groups. QoL perception by the parents and children increased on PedsQL4.0 evaluation (p < 0.001). There was a medium inverse statistically significant correlation of the FII and the total PedsQL4.0 score among children and parents (r = −0.47, p = 0.009 and r = −0, 39, p = 0.03, respectively).

Conclusion

The BMP applied by a multidisciplinary dedicated team significantly improves the QoL of children with FI in the short-term period.

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Authors and Affiliations

  1. Pediatric Surgery Section, Albert Sabin Pediatric Hospital (HIAS), Tertuliano Sales, 544-Vila União, Fortaleza, Ceará, CEP: 60430-230, Brazil

    João H. F. Colares & Antônio A. Melo-Filho

  2. Nursing Department, Albert Sabin Pediatric Hospital (HIAS), Fortaleza, Ceará, Brazil

    Marionescu Purcaru

  3. University of Fortaleza (UNIFOR), Fortaleza, Ceará, Brazil

    Guilherme P. F. da Silva

  4. Master’s Department in Public Health, University of Fortaleza (UNIFOR), Fortaleza, Ceará, Brazil

    Mirna A. Frota & Carlos A. B. da Silva

  5. Department of Surgery, Medical School, Federal University of Ceará (UFC), Fortaleza, Ceará, Brazil

    Antônio A. Melo-Filho

  6. Division of Pediatric Surgery, Colorectal Center for Children, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 45229, USA

    Andrea Bischoff & Alberto Peña

Authors
  1. João H. F. Colares
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  2. Marionescu Purcaru
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  3. Guilherme P. F. da Silva
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  4. Mirna A. Frota
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  5. Carlos A. B. da Silva
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  6. Antônio A. Melo-Filho
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  7. Andrea Bischoff
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  8. Alberto Peña
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Corresponding author

Correspondence to João H. F. Colares.

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Ethical standards

All procedures performed in the study involving human participants were in accordance with the ethical standards of the local institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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The authors declare that they have no conflict of interest.

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Colares, J.H.F., Purcaru, M., da Silva, G.P.F. et al. Impact of the Bowel Management Program on the quality of life in children with fecal incontinence. Pediatr Surg Int 32, 471–476 (2016). https://doi.org/10.1007/s00383-016-3874-5

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  • DOI: https://doi.org/10.1007/s00383-016-3874-5

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