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<p>To evaluate the clinical utility of the Pediatric Bowel Management Scoring Tool (PBMST) by assessing its association with healthcare practitioner (HCP) treatment decisions and patient-reported quality of life in children with constipation using transanal irrigation (TAI). A multicenter prospective cohort study was conducted in 121 children (4–18 years) with functional or organic constipation, either newly initiating (NTP) or currently receiving (CTP) TAI. The PBMST and PedsQL™ 4.0 quality of life questionnaires were completed at baseline and one-month follow-up. PBMST outcomes range from 0 to 22; higher scores indicate worse bowel management. HCPs, blinded to PBMST scores, classified treatment strategies as adequate, sub-optimal, or inadequate. Associations between PBMST scores and HCP treatment decisions were analyzed using multiple linear regression, adjusting for age, sex, and participant type (NTP or CTP). Correlations between PBMST and PedsQL™ scores, as well as associations between TAI adherence, duration of TAI use, and predictors of high adherence (MARS-5 ≥ 23), were examined. Survey completion rates were 93% at baseline and 88% at follow-up. Higher PBMST scores were associated with HCP-rated inadequate treatment (<i>B</i> = 2.44, SE = 0.72, <i>p</i> = 0.001), independent of age, sex, and participant type (NTP or CTP). PBMST scores were negatively correlated with PedsQL™ scores (<i>r</i> =  − 0.47, <i>p</i> &lt; 0.001). No significant associations were found between adherence and TAI duration or PBMST scores. Lower adherence to TAI was associated with older age and participants reporting that TAI was too time-consuming.</p><p><i>Conclusion</i>:&#xa0;The PBMST is a valid tool reflecting symptom severity, correlating with HCP treatment decisions and patient-reported quality of life in children with&#xa0;functional or organic constipation using TAI.</p>

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Clinical utility of the Pediatric Bowel Management Scoring Tool in guiding management of childhood constipation—a prospective, multicenter study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年4月7日

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  • Michelle N. Bloem,
  • Lexi D. E. Kassies,
  • Shaista Safder,
  • Udo Rolle,
  • Giovanni Mosiello,
  • David Marshall,
  • Ilan J. N. Koppen,
  • Marc A. Benninga

摘要

To evaluate the clinical utility of the Pediatric Bowel Management Scoring Tool (PBMST) by assessing its association with healthcare practitioner (HCP) treatment decisions and patient-reported quality of life in children with constipation using transanal irrigation (TAI). A multicenter prospective cohort study was conducted in 121 children (4–18 years) with functional or organic constipation, either newly initiating (NTP) or currently receiving (CTP) TAI. The PBMST and PedsQL™ 4.0 quality of life questionnaires were completed at baseline and one-month follow-up. PBMST outcomes range from 0 to 22; higher scores indicate worse bowel management. HCPs, blinded to PBMST scores, classified treatment strategies as adequate, sub-optimal, or inadequate. Associations between PBMST scores and HCP treatment decisions were analyzed using multiple linear regression, adjusting for age, sex, and participant type (NTP or CTP). Correlations between PBMST and PedsQL™ scores, as well as associations between TAI adherence, duration of TAI use, and predictors of high adherence (MARS-5 ≥ 23), were examined. Survey completion rates were 93% at baseline and 88% at follow-up. Higher PBMST scores were associated with HCP-rated inadequate treatment (B = 2.44, SE = 0.72, p = 0.001), independent of age, sex, and participant type (NTP or CTP). PBMST scores were negatively correlated with PedsQL™ scores (r =  − 0.47, p < 0.001). No significant associations were found between adherence and TAI duration or PBMST scores. Lower adherence to TAI was associated with older age and participants reporting that TAI was too time-consuming.

Conclusion: The PBMST is a valid tool reflecting symptom severity, correlating with HCP treatment decisions and patient-reported quality of life in children with functional or organic constipation using TAI.