{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T00:04:00Z","timestamp":1705622640250},"reference-count":11,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2011,11,1]],"date-time":"2011-11-01T00:00:00Z","timestamp":1320105600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. pediatr. gastroenterol. nutr."],"published-print":{"date-parts":[[2011,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives:<\/jats:title><jats:p>The aim of the study was to validate a brief Bowel Habit Questionnaire (BHQ) with prospectively obtained data from a 14\u2010day diary and to determine whether the BHQ predicts the development of medically significant constipation (MSC) during the following year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods:<\/jats:title><jats:p>The BHQ was distributed to parents of children ages 5 to 8 years during health supervision visits. Both the BHQ and subsequent diary were scored to indicate constipation if at least 2 of the following were reported: infrequent bowel movements, stool accidents, straining, avoidance, discomfort with defecation, or passing large stools &gt;25% of the time. One year later, the BHQ was repeated to assess for MSC, defined as medical encounters about constipation or use of enemas, suppositories, laxatives, or stool softeners.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>MSC was reported for 57 (13.7%) of 416 children on the first BHQ. Paired BHQ and diary data were obtained for 269 children; 54 (20.1%) had diary scores indicating constipation. BHQ had a sensitivity of 59.6% (95% confidence interval [CI] 46.7%\u201371.4%) and a specificity of 82.6% (95% CI 77.0%\u201387.1%). One year later, 11 children (5.2%) had developed new\u2010onset MSC; 7 (63.6%) of these children had initial BHQ scores of at least 2. Positive and negative predictive values for MSC were 19.4% (95% CI 9.8%\u201335.0%) and 97.7% (94.2%\u201399.1%), respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p>Parents often do not recognize constipation in young school\u2010age children and most constipated children remain untreated. A brief screening questionnaire in this population proved to be valid but only moderately sensitive; efforts to improve sensitivity are needed before recommending it for routine use.<\/jats:p><\/jats:sec>","DOI":"10.1097\/mpg.0b013e31822504fb","type":"journal-article","created":{"date-parts":[[2011,5,26]],"date-time":"2011-05-26T07:53:46Z","timestamp":1306396426000},"page":"520-523","source":"Crossref","is-referenced-by-count":2,"title":["Validation and Clinical Utility of a Bowel Habit Questionnaire in School\u2010age Children"],"prefix":"10.1002","volume":"53","author":[{"given":"Ellen R.","family":"Wald","sequence":"first","affiliation":[{"name":"University of Wisconsin School of Medicine &amp; Public Health Madison WI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanya D.","family":"Jagodzinski","sequence":"additional","affiliation":[{"name":"The Children's Clinic Billings MT"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacey C.L.","family":"Moyer","sequence":"additional","affiliation":[{"name":"University of Wisconsin School of Medicine &amp; Public Health Madison WI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arnold","family":"Wald","sequence":"additional","affiliation":[{"name":"University of Wisconsin School of Medicine &amp; Public Health Madison WI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jens C.","family":"Eickhoff","sequence":"additional","affiliation":[{"name":"University of Wisconsin School of Medicine &amp; Public Health Madison WI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. Bruce","family":"Edmonson","sequence":"additional","affiliation":[{"name":"University of Wisconsin School of Medicine &amp; Public Health Madison WI"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,11]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.114.1.73"},{"key":"e_1_2_6_3_1","first-page":"e115","article-title":"Clinical utility of Rome criteria managing functional gastrointestinal disorders in pediatric primary care","volume":"125","author":"Primavara G","year":"2010","journal-title":"Pediatrics"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mpg.0000172749.71726.13"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.89.6.1007"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-3955(05)70406-5"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-0537"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e31817efbf7"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2005.08.063"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.MPG.0000158071.24327.88"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2007.04.011"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004310050577"}],"container-title":["Journal of Pediatric Gastroenterology and Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1097\/MPG.0b013e31822504fb","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T12:32:30Z","timestamp":1705581150000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1097\/MPG.0b013e31822504fb"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,11]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2011,11]]}},"alternative-id":["10.1097\/MPG.0b013e31822504fb"],"URL":"https:\/\/doi.org\/10.1097\/mpg.0b013e31822504fb","archive":["Portico"],"relation":{},"ISSN":["0277-2116","1536-4801"],"issn-type":[{"value":"0277-2116","type":"print"},{"value":"1536-4801","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,11]]}}}