A comparison of clinical protocols for assessing postoperative fecal continence in anorectal malformation

Background We compared four protocols for assessing fecal continence (FC) in anorectal malformation (ARM). Methods Of 111 ARM cases we treated by anoplasty from 1995 to 2007, 59 have been followed up for more than 4 years [male high (n = 23), male low (n = 12), female high (n = 7), and female low (n...
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Autor*in:	Ochi, Takanori [verfasserIn] Okazaki, Tadaharu [verfasserIn] Miyano, Go [verfasserIn] Lane, Geoffrey J. [verfasserIn] Yamataka, Atsuyuki [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2011

Schlagwörter:	Anorectal malformation Clinical assessment Fecal continence

Übergeordnetes Werk:	Enthalten in: Pediatric surgery international - Berlin : Springer, 1986, 28(2011), 1 vom: 19. Okt., Seite 1-4
Übergeordnetes Werk:	volume:28 ; year:2011 ; number:1 ; day:19 ; month:10 ; pages:1-4

Links:	Volltext

DOI / URN:	10.1007/s00383-011-2997-y

Katalog-ID:	SPR004716604

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520			\|a Background We compared four protocols for assessing fecal continence (FC) in anorectal malformation (ARM). Methods Of 111 ARM cases we treated by anoplasty from 1995 to 2007, 59 have been followed up for more than 4 years [male high (n = 23), male low (n = 12), female high (n = 7), and female low (n = 17)] and 27 for more than 7 years [male high (n = 11), male low (n = 5), female high (n = 5), and female low (n = 6)]. FC was assessed in these 86 cases using each of the four protocols; the Kelly score (0–6 points), the Japanese Study Group of Anorectal Anomalies (JSGA) score (0–8 points), the Holschneider score (0–14 points), and our original score (0–10 points). Results were re-classified into four outcome levels (good, fair, poor, very poor) for direct comparison. Results Outcome was different by two levels (i.e., good vs. very poor) in 7 (8.1%) assessments and different by one category (i.e., fair vs. poor) in ten assessments (11.6%). Outcome was different most often in male high ARM cases and JSGA scores were most divergent. Conclusions Fecal continence in male high ARM appears to be assessed inconsistently and a review of protocols may be of value to standardize clinical assessment and enhance reliability.
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matchkey_str	article:14379813:2011----::cmaioociiapooosoassigotprtvfclotnn
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publishDate	2011
allfields	10.1007/s00383-011-2997-y doi (DE-627)SPR004716604 (SPR)s00383-011-2997-y-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Ochi, Takanori verfasserin aut A comparison of clinical protocols for assessing postoperative fecal continence in anorectal malformation 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background We compared four protocols for assessing fecal continence (FC) in anorectal malformation (ARM). Methods Of 111 ARM cases we treated by anoplasty from 1995 to 2007, 59 have been followed up for more than 4 years [male high (n = 23), male low (n = 12), female high (n = 7), and female low (n = 17)] and 27 for more than 7 years [male high (n = 11), male low (n = 5), female high (n = 5), and female low (n = 6)]. FC was assessed in these 86 cases using each of the four protocols; the Kelly score (0–6 points), the Japanese Study Group of Anorectal Anomalies (JSGA) score (0–8 points), the Holschneider score (0–14 points), and our original score (0–10 points). Results were re-classified into four outcome levels (good, fair, poor, very poor) for direct comparison. Results Outcome was different by two levels (i.e., good vs. very poor) in 7 (8.1%) assessments and different by one category (i.e., fair vs. poor) in ten assessments (11.6%). Outcome was different most often in male high ARM cases and JSGA scores were most divergent. Conclusions Fecal continence in male high ARM appears to be assessed inconsistently and a review of protocols may be of value to standardize clinical assessment and enhance reliability. Anorectal malformation (dpeaa)DE-He213 Clinical assessment (dpeaa)DE-He213 Fecal continence (dpeaa)DE-He213 Okazaki, Tadaharu verfasserin aut Miyano, Go verfasserin aut Lane, Geoffrey J. verfasserin aut Yamataka, Atsuyuki verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 28(2011), 1 vom: 19. Okt., Seite 1-4 (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:28 year:2011 number:1 day:19 month:10 pages:1-4 https://dx.doi.org/10.1007/s00383-011-2997-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.67 ASE AR 28 2011 1 19 10 1-4
spelling	10.1007/s00383-011-2997-y doi (DE-627)SPR004716604 (SPR)s00383-011-2997-y-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Ochi, Takanori verfasserin aut A comparison of clinical protocols for assessing postoperative fecal continence in anorectal malformation 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background We compared four protocols for assessing fecal continence (FC) in anorectal malformation (ARM). Methods Of 111 ARM cases we treated by anoplasty from 1995 to 2007, 59 have been followed up for more than 4 years [male high (n = 23), male low (n = 12), female high (n = 7), and female low (n = 17)] and 27 for more than 7 years [male high (n = 11), male low (n = 5), female high (n = 5), and female low (n = 6)]. FC was assessed in these 86 cases using each of the four protocols; the Kelly score (0–6 points), the Japanese Study Group of Anorectal Anomalies (JSGA) score (0–8 points), the Holschneider score (0–14 points), and our original score (0–10 points). Results were re-classified into four outcome levels (good, fair, poor, very poor) for direct comparison. Results Outcome was different by two levels (i.e., good vs. very poor) in 7 (8.1%) assessments and different by one category (i.e., fair vs. poor) in ten assessments (11.6%). Outcome was different most often in male high ARM cases and JSGA scores were most divergent. Conclusions Fecal continence in male high ARM appears to be assessed inconsistently and a review of protocols may be of value to standardize clinical assessment and enhance reliability. Anorectal malformation (dpeaa)DE-He213 Clinical assessment (dpeaa)DE-He213 Fecal continence (dpeaa)DE-He213 Okazaki, Tadaharu verfasserin aut Miyano, Go verfasserin aut Lane, Geoffrey J. verfasserin aut Yamataka, Atsuyuki verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 28(2011), 1 vom: 19. Okt., Seite 1-4 (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:28 year:2011 number:1 day:19 month:10 pages:1-4 https://dx.doi.org/10.1007/s00383-011-2997-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.67 ASE AR 28 2011 1 19 10 1-4
allfields_unstemmed	10.1007/s00383-011-2997-y doi (DE-627)SPR004716604 (SPR)s00383-011-2997-y-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Ochi, Takanori verfasserin aut A comparison of clinical protocols for assessing postoperative fecal continence in anorectal malformation 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background We compared four protocols for assessing fecal continence (FC) in anorectal malformation (ARM). Methods Of 111 ARM cases we treated by anoplasty from 1995 to 2007, 59 have been followed up for more than 4 years [male high (n = 23), male low (n = 12), female high (n = 7), and female low (n = 17)] and 27 for more than 7 years [male high (n = 11), male low (n = 5), female high (n = 5), and female low (n = 6)]. FC was assessed in these 86 cases using each of the four protocols; the Kelly score (0–6 points), the Japanese Study Group of Anorectal Anomalies (JSGA) score (0–8 points), the Holschneider score (0–14 points), and our original score (0–10 points). Results were re-classified into four outcome levels (good, fair, poor, very poor) for direct comparison. Results Outcome was different by two levels (i.e., good vs. very poor) in 7 (8.1%) assessments and different by one category (i.e., fair vs. poor) in ten assessments (11.6%). Outcome was different most often in male high ARM cases and JSGA scores were most divergent. Conclusions Fecal continence in male high ARM appears to be assessed inconsistently and a review of protocols may be of value to standardize clinical assessment and enhance reliability. Anorectal malformation (dpeaa)DE-He213 Clinical assessment (dpeaa)DE-He213 Fecal continence (dpeaa)DE-He213 Okazaki, Tadaharu verfasserin aut Miyano, Go verfasserin aut Lane, Geoffrey J. verfasserin aut Yamataka, Atsuyuki verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 28(2011), 1 vom: 19. Okt., Seite 1-4 (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:28 year:2011 number:1 day:19 month:10 pages:1-4 https://dx.doi.org/10.1007/s00383-011-2997-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.67 ASE AR 28 2011 1 19 10 1-4
allfieldsGer	10.1007/s00383-011-2997-y doi (DE-627)SPR004716604 (SPR)s00383-011-2997-y-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Ochi, Takanori verfasserin aut A comparison of clinical protocols for assessing postoperative fecal continence in anorectal malformation 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background We compared four protocols for assessing fecal continence (FC) in anorectal malformation (ARM). Methods Of 111 ARM cases we treated by anoplasty from 1995 to 2007, 59 have been followed up for more than 4 years [male high (n = 23), male low (n = 12), female high (n = 7), and female low (n = 17)] and 27 for more than 7 years [male high (n = 11), male low (n = 5), female high (n = 5), and female low (n = 6)]. FC was assessed in these 86 cases using each of the four protocols; the Kelly score (0–6 points), the Japanese Study Group of Anorectal Anomalies (JSGA) score (0–8 points), the Holschneider score (0–14 points), and our original score (0–10 points). Results were re-classified into four outcome levels (good, fair, poor, very poor) for direct comparison. Results Outcome was different by two levels (i.e., good vs. very poor) in 7 (8.1%) assessments and different by one category (i.e., fair vs. poor) in ten assessments (11.6%). Outcome was different most often in male high ARM cases and JSGA scores were most divergent. Conclusions Fecal continence in male high ARM appears to be assessed inconsistently and a review of protocols may be of value to standardize clinical assessment and enhance reliability. Anorectal malformation (dpeaa)DE-He213 Clinical assessment (dpeaa)DE-He213 Fecal continence (dpeaa)DE-He213 Okazaki, Tadaharu verfasserin aut Miyano, Go verfasserin aut Lane, Geoffrey J. verfasserin aut Yamataka, Atsuyuki verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 28(2011), 1 vom: 19. Okt., Seite 1-4 (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:28 year:2011 number:1 day:19 month:10 pages:1-4 https://dx.doi.org/10.1007/s00383-011-2997-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.67 ASE AR 28 2011 1 19 10 1-4
allfieldsSound	10.1007/s00383-011-2997-y doi (DE-627)SPR004716604 (SPR)s00383-011-2997-y-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Ochi, Takanori verfasserin aut A comparison of clinical protocols for assessing postoperative fecal continence in anorectal malformation 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background We compared four protocols for assessing fecal continence (FC) in anorectal malformation (ARM). Methods Of 111 ARM cases we treated by anoplasty from 1995 to 2007, 59 have been followed up for more than 4 years [male high (n = 23), male low (n = 12), female high (n = 7), and female low (n = 17)] and 27 for more than 7 years [male high (n = 11), male low (n = 5), female high (n = 5), and female low (n = 6)]. FC was assessed in these 86 cases using each of the four protocols; the Kelly score (0–6 points), the Japanese Study Group of Anorectal Anomalies (JSGA) score (0–8 points), the Holschneider score (0–14 points), and our original score (0–10 points). Results were re-classified into four outcome levels (good, fair, poor, very poor) for direct comparison. Results Outcome was different by two levels (i.e., good vs. very poor) in 7 (8.1%) assessments and different by one category (i.e., fair vs. poor) in ten assessments (11.6%). Outcome was different most often in male high ARM cases and JSGA scores were most divergent. Conclusions Fecal continence in male high ARM appears to be assessed inconsistently and a review of protocols may be of value to standardize clinical assessment and enhance reliability. Anorectal malformation (dpeaa)DE-He213 Clinical assessment (dpeaa)DE-He213 Fecal continence (dpeaa)DE-He213 Okazaki, Tadaharu verfasserin aut Miyano, Go verfasserin aut Lane, Geoffrey J. verfasserin aut Yamataka, Atsuyuki verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 28(2011), 1 vom: 19. Okt., Seite 1-4 (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:28 year:2011 number:1 day:19 month:10 pages:1-4 https://dx.doi.org/10.1007/s00383-011-2997-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.67 ASE AR 28 2011 1 19 10 1-4
language	English
source	Enthalten in Pediatric surgery international 28(2011), 1 vom: 19. Okt., Seite 1-4 volume:28 year:2011 number:1 day:19 month:10 pages:1-4
sourceStr	Enthalten in Pediatric surgery international 28(2011), 1 vom: 19. Okt., Seite 1-4 volume:28 year:2011 number:1 day:19 month:10 pages:1-4
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Anorectal malformation Clinical assessment Fecal continence
dewey-raw	610
isfreeaccess_bool	false
container_title	Pediatric surgery international
authorswithroles_txt_mv	Ochi, Takanori @@aut@@ Okazaki, Tadaharu @@aut@@ Miyano, Go @@aut@@ Lane, Geoffrey J. @@aut@@ Yamataka, Atsuyuki @@aut@@
publishDateDaySort_date	2011-10-19T00:00:00Z
hierarchy_top_id	254638937
dewey-sort	3610
id	SPR004716604
language_de	englisch
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Methods Of 111 ARM cases we treated by anoplasty from 1995 to 2007, 59 have been followed up for more than 4 years [male high (n = 23), male low (n = 12), female high (n = 7), and female low (n = 17)] and 27 for more than 7 years [male high (n = 11), male low (n = 5), female high (n = 5), and female low (n = 6)]. FC was assessed in these 86 cases using each of the four protocols; the Kelly score (0–6 points), the Japanese Study Group of Anorectal Anomalies (JSGA) score (0–8 points), the Holschneider score (0–14 points), and our original score (0–10 points). Results were re-classified into four outcome levels (good, fair, poor, very poor) for direct comparison. Results Outcome was different by two levels (i.e., good vs. very poor) in 7 (8.1%) assessments and different by one category (i.e., fair vs. poor) in ten assessments (11.6%). Outcome was different most often in male high ARM cases and JSGA scores were most divergent. Conclusions Fecal continence in male high ARM appears to be assessed inconsistently and a review of protocols may be of value to standardize clinical assessment and enhance reliability.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Anorectal malformation</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Clinical assessment</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Fecal continence</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Okazaki, Tadaharu</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Miyano, Go</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Lane, Geoffrey J.</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Yamataka, Atsuyuki</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Enthalten in</subfield><subfield code="t">Pediatric surgery international</subfield><subfield code="d">Berlin : Springer, 1986</subfield><subfield code="g">28(2011), 1 vom: 19. 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author	Ochi, Takanori
spellingShingle	Ochi, Takanori ddc 610 bkl 44.65 bkl 44.67 misc Anorectal malformation misc Clinical assessment misc Fecal continence A comparison of clinical protocols for assessing postoperative fecal continence in anorectal malformation
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topic_title	610 ASE 44.65 bkl 44.67 bkl A comparison of clinical protocols for assessing postoperative fecal continence in anorectal malformation Anorectal malformation (dpeaa)DE-He213 Clinical assessment (dpeaa)DE-He213 Fecal continence (dpeaa)DE-He213
topic	ddc 610 bkl 44.65 bkl 44.67 misc Anorectal malformation misc Clinical assessment misc Fecal continence
topic_unstemmed	ddc 610 bkl 44.65 bkl 44.67 misc Anorectal malformation misc Clinical assessment misc Fecal continence
topic_browse	ddc 610 bkl 44.65 bkl 44.67 misc Anorectal malformation misc Clinical assessment misc Fecal continence
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title	A comparison of clinical protocols for assessing postoperative fecal continence in anorectal malformation
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title_full	A comparison of clinical protocols for assessing postoperative fecal continence in anorectal malformation
author_sort	Ochi, Takanori
journal	Pediatric surgery international
journalStr	Pediatric surgery international
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author_browse	Ochi, Takanori Okazaki, Tadaharu Miyano, Go Lane, Geoffrey J. Yamataka, Atsuyuki
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title_sort	comparison of clinical protocols for assessing postoperative fecal continence in anorectal malformation
title_auth	A comparison of clinical protocols for assessing postoperative fecal continence in anorectal malformation
abstract	Background We compared four protocols for assessing fecal continence (FC) in anorectal malformation (ARM). Methods Of 111 ARM cases we treated by anoplasty from 1995 to 2007, 59 have been followed up for more than 4 years [male high (n = 23), male low (n = 12), female high (n = 7), and female low (n = 17)] and 27 for more than 7 years [male high (n = 11), male low (n = 5), female high (n = 5), and female low (n = 6)]. FC was assessed in these 86 cases using each of the four protocols; the Kelly score (0–6 points), the Japanese Study Group of Anorectal Anomalies (JSGA) score (0–8 points), the Holschneider score (0–14 points), and our original score (0–10 points). Results were re-classified into four outcome levels (good, fair, poor, very poor) for direct comparison. Results Outcome was different by two levels (i.e., good vs. very poor) in 7 (8.1%) assessments and different by one category (i.e., fair vs. poor) in ten assessments (11.6%). Outcome was different most often in male high ARM cases and JSGA scores were most divergent. Conclusions Fecal continence in male high ARM appears to be assessed inconsistently and a review of protocols may be of value to standardize clinical assessment and enhance reliability.
abstractGer	Background We compared four protocols for assessing fecal continence (FC) in anorectal malformation (ARM). Methods Of 111 ARM cases we treated by anoplasty from 1995 to 2007, 59 have been followed up for more than 4 years [male high (n = 23), male low (n = 12), female high (n = 7), and female low (n = 17)] and 27 for more than 7 years [male high (n = 11), male low (n = 5), female high (n = 5), and female low (n = 6)]. FC was assessed in these 86 cases using each of the four protocols; the Kelly score (0–6 points), the Japanese Study Group of Anorectal Anomalies (JSGA) score (0–8 points), the Holschneider score (0–14 points), and our original score (0–10 points). Results were re-classified into four outcome levels (good, fair, poor, very poor) for direct comparison. Results Outcome was different by two levels (i.e., good vs. very poor) in 7 (8.1%) assessments and different by one category (i.e., fair vs. poor) in ten assessments (11.6%). Outcome was different most often in male high ARM cases and JSGA scores were most divergent. Conclusions Fecal continence in male high ARM appears to be assessed inconsistently and a review of protocols may be of value to standardize clinical assessment and enhance reliability.
abstract_unstemmed	Background We compared four protocols for assessing fecal continence (FC) in anorectal malformation (ARM). Methods Of 111 ARM cases we treated by anoplasty from 1995 to 2007, 59 have been followed up for more than 4 years [male high (n = 23), male low (n = 12), female high (n = 7), and female low (n = 17)] and 27 for more than 7 years [male high (n = 11), male low (n = 5), female high (n = 5), and female low (n = 6)]. FC was assessed in these 86 cases using each of the four protocols; the Kelly score (0–6 points), the Japanese Study Group of Anorectal Anomalies (JSGA) score (0–8 points), the Holschneider score (0–14 points), and our original score (0–10 points). Results were re-classified into four outcome levels (good, fair, poor, very poor) for direct comparison. Results Outcome was different by two levels (i.e., good vs. very poor) in 7 (8.1%) assessments and different by one category (i.e., fair vs. poor) in ten assessments (11.6%). Outcome was different most often in male high ARM cases and JSGA scores were most divergent. Conclusions Fecal continence in male high ARM appears to be assessed inconsistently and a review of protocols may be of value to standardize clinical assessment and enhance reliability.
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title_short	A comparison of clinical protocols for assessing postoperative fecal continence in anorectal malformation
url	https://dx.doi.org/10.1007/s00383-011-2997-y
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author2	Okazaki, Tadaharu Miyano, Go Lane, Geoffrey J. Yamataka, Atsuyuki
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doi_str	10.1007/s00383-011-2997-y
up_date	2024-07-04T02:19:09.131Z
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Methods Of 111 ARM cases we treated by anoplasty from 1995 to 2007, 59 have been followed up for more than 4 years [male high (n = 23), male low (n = 12), female high (n = 7), and female low (n = 17)] and 27 for more than 7 years [male high (n = 11), male low (n = 5), female high (n = 5), and female low (n = 6)]. FC was assessed in these 86 cases using each of the four protocols; the Kelly score (0–6 points), the Japanese Study Group of Anorectal Anomalies (JSGA) score (0–8 points), the Holschneider score (0–14 points), and our original score (0–10 points). Results were re-classified into four outcome levels (good, fair, poor, very poor) for direct comparison. Results Outcome was different by two levels (i.e., good vs. very poor) in 7 (8.1%) assessments and different by one category (i.e., fair vs. poor) in ten assessments (11.6%). Outcome was different most often in male high ARM cases and JSGA scores were most divergent. 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A comparison of clinical protocols for assessing postoperative fecal continence in anorectal malformation

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