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We evaluated the intra\u2010individual reproducibility of <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content> and compared pressures measured with <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content> and high\u2010resolution anorectal manometry (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty\u2010six women with fecal incontinence had an initial <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>1); on the same day, after randomization, 21 had a second (<jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>2). Sixteen women had a third (<jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>3) 4 weeks later. Twenty\u2010five had also been evaluated by <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content> previously. Rectoanal pressures were assessed at rest, during squeeze and simulated evacuation. Concordance among pressures was assessed with Lin's concordance correlation coefficient (<jats:styled-content style=\"fixed-case\">CCC<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Key Results<\/jats:title><jats:p>Anal resting and squeeze pressures measured with <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content> were reproducible on the same and different days; for average resting pressures of <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>1 vs <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>2, <jats:styled-content style=\"fixed-case\">CCC<\/jats:styled-content>\u00a0=\u00a00.73 (95% confidence interval [<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>]: 0.53\u20130.94), and for <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>1 vs <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>3, <jats:styled-content style=\"fixed-case\">CCC<\/jats:styled-content>\u00a0=\u00a00.60 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.28\u20130.93). For maximum squeeze pressures of <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>1 vs <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>2, <jats:styled-content style=\"fixed-case\">CCC<\/jats:styled-content>\u00a0=\u00a00.86 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.75\u20130.97), and for <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>1 vs <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>3, <jats:styled-content style=\"fixed-case\">CCC<\/jats:styled-content>\u00a0=\u00a00.56 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.21\u20130.91). The rectoanal gradient during evacuation was significantly concordant between <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>1 and <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>2 but not <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>1 and <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>3. Resting (<jats:styled-content style=\"fixed-case\">CCC<\/jats:styled-content>\u00a0=\u00a00.38 [95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.14\u20130.62]) and squeeze pressures (<jats:styled-content style=\"fixed-case\">CCC<\/jats:styled-content>\u00a0=\u00a00.73 [95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.57\u20130.89]) measured with <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>1 and <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content> were also concordant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Inferences<\/jats:title><jats:p>Among women with fecal incontinence, measurements with <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content> were reproducible on the same (anal resting and squeeze pressures and rectoanal gradient during evacuation) and different days (anal resting and squeeze pressures) and correlated with <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content> measurements. These findings support use of <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content> for longitudinal assessments of anal resting and squeeze pressures.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nmo.12950","type":"journal-article","created":{"date-parts":[[2016,10,7]],"date-time":"2016-10-07T13:10:42Z","timestamp":1475845842000},"source":"Crossref","is-referenced-by-count":19,"title":["Reproducibility of high\u2010definition (3D) manometry and its agreement with high\u2010resolution (2D) manometry in women with fecal incontinence"],"prefix":"10.1111","volume":"29","author":[{"given":"S.","family":"Chakraborty","sequence":"first","affiliation":[{"name":"Clinical and Enteric Neuroscience Translational and Epidemiological Research Program (C.E.N.T.E.R.) 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