Quality of Life in Children with Pseudoincontinence After Implementing a Bowel Management Program in Egypt
jpedsurg.org shows its articles on its own site.
Read the article on jpedsurg.org ↗Article · Jan 2020 · 1 min read
In brief
In brief
Study of 115 Egyptian children with pseudoincontinence demonstrates that structured bowel management programs significantly improve both quality of life scores and fecal incontinence severity over 3-12 months. Results show strong inverse correlation between QOL improvement and incontinence reduction, validating BMP as an effective intervention for this population.
Written by the GCMD Library team from the article.
Aim of the study
The aim of this study was to evaluate the impact of implementing a Bowel Management Program (BMP) on the quality of life (QOL) in children with pseudoincontinence.
Method
Children aged 2.5–13 years with pseudoincontinence were included. Evaluations were performed before and after BMP implementation. Perceptions from parents about QOL were assessed by a QOL questionnaire, and the severity of fecal incontinence (FI) was assessed using the fecal incontinence index (FII) of the Wexner scale.
Results
115 children (mean age of 7.54 ± 2.48) were studied over a 3–12 month period (mean duration 4.36 months). QOL improved from 2.45 ± 1.57 to 14.36 ± 1.37, P˂0.05. There was a significant improvement of the FII: 18.65 ± 1.25 versus 0.13 ± 0.39, P˂ 0.05. There was a significant inverse correlation between the final scores of QOL (14.36 ± 1.37) and FII (0.13 ± 0.39) after implementation of the BMP (r = −0.53; P ˂ 0.05).
Conclusion
This is the largest case series examining QOL in pseudoincontinent children. It demonstrates that BMP significantly improves the QOL of these children in the short and midterm. In addition, it is feasible to apply the FII in assessing incontinence in children. To our knowledge, this is the first study of its kind in our region.
Level of evidence
Level IV.