Validation of the Russian-language version of the questionnaire for assessing chronic constipation severity


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Abstract

Diagnosis of constipation severity and underlying pathophysiologic mechanisms, including in patients pelvic organ prolapse, is a challenging issue. However, validated and easy-to-use tools to guide constipation management are lacking. Objective: To validate a Russian-language version of the KESS questionnaire in patients with functional defecation disorders (FDD). Materials and methods: English version of the KESS questionnaire was translated and adapted. All patients in the study and control group underwent examination to exclude organic causes of constipation, as well as high- resolution anorectal manometry and X-ray defecography. The data obtained using the KESS questionnaire was compared with that using the previously registered questionnaire "The system of scoring of colon evacuation function disorders." Statistical analysis was performed using a nonparametric module of the SPSS (IBM, USA). Results: Data for the final analysis was available on 273 subjects (in 193 of them, FDD was confirmed by instrumental diagnostic investigations). The time to complete the KESS questionnaire was 3.5±0.76 minutes, the scores in the study and control groups were 18.4±3.1 and 2.7±0.9, respectively (p<0.001). The threshold score for differentiating patients with and without FDD was ≥10; diagnostic sensitivity was 100% [95% confidence interval (95% CI) 97-100%], diagnostic specificity was 100% [95% CI 71-100%]. The correlation of the results with the Scoring System was 0.748. No factors contributing to a possible decrease in the diagnostic value of the KESS questionnaire have been identified. Conclusion: The Russian-language version of the KESS questionnaire is a reliable tool for assessing constipation severity and making a differential diagnosis of the underlying pathophysiologic mechanisms.

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About the authors

Oksana Yu. Fomenko

Ryzhikh National Medical Research Centre for Coloproctology, Ministry of Health of Russia

Email: oksana67l@yandex.ru
Dr. Med. Sci., Associate Professor, Head of the Laboratory of Clinical Pathophysiology

Sergey V. Morozov

Federal Research Center of Nutrition and Biotechnology

MD, Leading Researcher at the Department of Gastroenterology and Hepatology

Dmitriy A. Morozov

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

Dr. Med. Sci. Professor, Head of LP. Aleksanrov Department of Pediatric Surgery and Urology-Andrology

Andrey S. Shkoda

L.A. Vorokhobov City Hospital No 67, Moscow Health Department

Dr. Med. Sci., Professor, Head

Gennady V. Poryadin

Pirogov Russian National Research Medical University

Corresponding Member of the RAS, Dr. Med. Sci., Professor at the Department of Pathophysiology and Clinical Pathophysiology

Vladimir N. Kashnikov

Ryzhikh National Medical Research Centre for Coloproctology, Ministry of Health of Russia

Email: info@gnck.ru
Dr. Med. Sci., Deputy Director for Research and Clinical Work

Aleksandr A. Popov

Moscow Regional Research Institute of Obstetrics and Gynecology

Dr. Med. Sci., Professor, Head of the Department of Endoscopic Surgery

Anton A. Fedorov

Moscow Regional Research Institute of Obstetrics and Gynecology

MD, Senior Researcher at the Department of Endoscopic Surgery

Inna A. Apolikhina

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University); V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Dr. Med. Sci., Professor, Head of the Department of Aesthetic Gynecology and Rehabilitation; Professor of the Department of Obstetrics, Gynecology, Perinatology and Reproductology

Vladimir D. Chuprynin

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

PhD, Head of the Department of Operative Gynecology and General Surgery

Vladimir A. Kozlov

Ryzhikh National Medical Research Centre for Coloproctology, Ministry of Health of Russia

Email: info@gnck.ru
Associate Professor, PhD in Economics, Researcher

Svetlana V. Belousova

Ryzhikh National Medical Research Centre for Coloproctology, Ministry of Health of Russia

PhD, Senior Researcher at the Laboratory of Clinical Pathophysiology

Evgeniya S. Pimenova

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

PhD, Associate Professor at the Aleksanrov Department of Pediatric Surgery and Urology-Andrology

Maksim A. Nekrasov

Ryzhikh National Medical Research Centre for Coloproctology, Ministry of Health of Russia

Email: info@gnck.ru
Junior Researcher at the Laboratory of Clinical Pathophysiology

Sergey I. Achkasov

Ryzhikh National Medical Research Centre for Coloproctology, Ministry of Health of Russia

Dr. Med. Sci., Professor, Head of the Department of Oncology and Colon Surgery

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