{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T04:03:18Z","timestamp":1781841798412,"version":"3.54.5"},"reference-count":35,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"abstract":"<jats:p>ABSTRACT  BACKGROUND:  There is a lack of valid and specific tools to measure chronic constipation severity in Brazil.  AIMS: To validate the Constipation Scoring System for Brazilian spoken Portuguese.  METHODS:  Translation, cultural adaptation, and validation itself (reliability and convergent and divergent validation). Translation: definitive version from the original version\u2019s translation and evaluation by specialists. Cultural adaptation: score content analysis of the definitive version, as an interview to patients. Interobserver reliability: application by two researchers on the same day. Intraobserver reliability: same researcher at different times, in a 7-day interval. Divergent validation: non-constipated volunteers. Convergent validation: two groups, good response to clinical treatment and refractory to treatment.  RESULTS:  Cultural adaptation: 81 patients, 89% female, with mean age of 55 and seven years of schooling, and overall content validity index was 96.5%. Inter and intraobserver reliability analysis: 60 patients, 86.7% female, mean age of 56 and six years of schooling, and the respective intraclass correlation coefficients were 0.991 and 0.987, p&lt;0.001. Divergent validation: 40 volunteers, 25 male, mean age of 49 years, and the mean global score was 2. Convergent validation of patients with good response to clinical treatment: 47 patients, 39 female, mean age of 60 and six years of schooling, and the pre- and post-treatment scores were 19 and 8, respectively (p&lt;0.001). Convergent validation of refractory to clinical treatment patients: 75 patients, 70 female, mean age of 53 and seven years of schooling, and the global average score was 22.  CONCLUSIONS:  The Constipation Scoring System (\u00cdndice de Gravidade da Constipa\u00e7\u00e3o Intestinal) validated for the Brazilian population is a reliable instrument for measuring the severity of intestinal chronic constipation.<\/jats:p>","DOI":"10.1590\/0102-672020230067e1785","type":"journal-article","created":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T18:11:42Z","timestamp":1710526302000},"source":"Crossref","is-referenced-by-count":5,"title":["CONSTIPATION SCORING SYSTEM VALIDATED FOR THE PORTUGUESE LANGUAGE (\u00cdNDICE DE GRAVIDADE DA CONSTIPA\u00c7\u00c3O INTESTINAL): IS IT RELIABLE IN ASSESSING THE SEVERITY OF INTESTINAL CHRONIC CONSTIPATION IN OUR POPULATION?"],"prefix":"10.1590","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0823-0674","authenticated-orcid":false,"given":"Ilario","family":"FROEHNER JUNIOR","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2745-4318","authenticated-orcid":false,"given":"Jos\u00e9 Marcio Neves","family":"JORGE","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4293-6301","authenticated-orcid":false,"given":"Carlos Frederico Sparapan","family":"MARQUES","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1288-5761","authenticated-orcid":false,"given":"Vera L\u00facia Concei\u00e7\u00e3o de Gouveia","family":"SANTOS","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3943-7088","authenticated-orcid":false,"given":"Jos\u00e9","family":"JUKEMURA","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2023]]},"reference":[{"issue":"6","key":"ref1","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1007\/BF02056950","article-title":"A constipation scoring system to simplify evaluation and management of constipated patients","volume":"39","author":"Agachan F","year":"1996","journal-title":"Dis Colon Rectum"},{"issue":"1","key":"ref2","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1111\/j.1463-1318.2007.01262.x","article-title":"Set-up and statistical validation of a new scoring system for obstructed defaecation syndrome","volume":"10","author":"Altomare DF","year":"2008","journal-title":"Colorectal Dis"},{"issue":"24","key":"ref3","doi-asserted-by":"crossref","first-page":"3186","DOI":"10.1097\/00007632-200012150-00014","article-title":"Guidelines for the process of cross-cultural adaptation of self-report measures","volume":"25","author":"Beaton DE","year":"2000","journal-title":"Spine (Phila Pa 1976)"},{"issue":"5","key":"ref4","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.1053\/j.gastro.2019.12.034","article-title":"Mechanisms, evaluation, and management of chronic constipation","volume":"158","author":"Bharucha AE","year":"2020","journal-title":"Gastroenterology"},{"issue":"2","key":"ref5","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1016\/0022-0531(92)90046-K","article-title":"Laws of large numbers for dynamical systems with randomly matched individuals","volume":"57","author":"Boylan RT","year":"1992","journal-title":"J Econ Theory"},{"issue":"5","key":"ref6","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1586\/egh.11.53","article-title":"Constipation assessment scales in adults: a literature review including the new Bowel Function Index","volume":"5","author":"Coffin B","year":"2011","journal-title":"Expert Rev Gastroenterol Hepatol"},{"issue":"7","key":"ref7","doi-asserted-by":"crossref","first-page":"1391","DOI":"10.1590\/S0102-311X2010000700018","article-title":"Prevalence of intestinal constipation and associated factors: a population-based study in Pelotas, Rio Grande do Sul State, Brazil, 2007","volume":"26","author":"Collete VL","year":"2010","journal-title":"Cad Sa\u00fade P\u00fablica"},{"issue":"10","key":"ref8","doi-asserted-by":"crossref","first-page":"1185","DOI":"10.1007\/s00192-010-1179-0","article-title":"Validity of the Rome III criteria in assessing constipation in women","volume":"21","author":"Digesu GA","year":"2010","journal-title":"Int Urogynecol J"},{"issue":"3","key":"ref9","first-page":"237","article-title":"Rome III: new standard for functional gastrointestinal disorders","volume":"15","author":"Drossman DA","year":"2006","journal-title":"J Gastrointestin Liver Dis"},{"issue":"6","key":"ref10","doi-asserted-by":"crossref","first-page":"1257","DOI":"10.1053\/j.gastro.2016.03.035","article-title":"Rome IV-functional GI disorders: disorders of gut-brain interaction","volume":"150","author":"Drossman DA","year":"2016","journal-title":"Gastroenterology"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1185\/03007995.2012.657301","article-title":"The Bowel Function Index: a new validated scale for assessing opioid-induced constipation","volume":"28","author":"Ducrott\u00e9 P","year":"2012","journal-title":"Curr Med Opin"},{"issue":"2","key":"ref12","first-page":"379","article-title":"Translation and cultural adaptation of quality of life questionnaires: an evaluation of methodology","volume":"30","author":"Falc\u00e3o DM","year":"2003","journal-title":"J Rheumatol"},{"issue":"9","key":"ref13","doi-asserted-by":"crossref","first-page":"870","DOI":"10.1080\/003655299750025327","article-title":"Psychometric validation of a constipation symptom assessment questionnaire","volume":"34","author":"Frank L","year":"1999","journal-title":"Scand J Gastroenterol"},{"issue":"5","key":"ref14","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1093\/aje\/kwh072","article-title":"Prevalence of constipation: agreement among several criteria and evaluation of the diagnostic accuracy of qualifying symptoms and self-reported definition in a population-based survey in Spain","volume":"159","author":"Garrigues V","year":"2004","journal-title":"Am J Epidemiol"},{"issue":"12","key":"ref15","doi-asserted-by":"crossref","first-page":"1417","DOI":"10.1016\/0895-4356(93)90142-N","article-title":"Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines","volume":"46","author":"Guillemin F","year":"1993","journal-title":"J Clin Epidemiol"},{"issue":"5","key":"ref16","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1111\/j.1365-2036.2006.03238.x","article-title":"Chronic constipation: a survey of the patient perspective","volume":"25","author":"Johanson JF","year":"2007","journal-title":"Aliment Pharmacol Ther"},{"issue":"2","key":"ref17","article-title":"Multiprofessional electronic protocol for digestive surgery validation","volume":"34","author":"Kalil-Filho FA","year":"2021","journal-title":"ABCD Arq Bras Cir Dig"},{"issue":"10","key":"ref18","doi-asserted-by":"crossref","first-page":"1419","DOI":"10.1007\/BF02236639","article-title":"Linear discriminant analysis of symptoms in patients with chronic constipation: validation of a new scoring system (KESS)","volume":"43","author":"Knowles CH","year":"2000","journal-title":"Dis Colon Rectum"},{"issue":"11","key":"ref19","doi-asserted-by":"crossref","first-page":"1789","DOI":"10.1007\/s00247-010-1725-4","article-title":"Starreveld scoring method in diagnosing childhood constipation","volume":"40","author":"Kokke FT","year":"2010","journal-title":"Pediatr Radiol"},{"issue":"2","key":"ref20","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.jcm.2016.02.012","article-title":"A guideline of selecting and reporting intraclass correlation coefficients for reliability research","volume":"15","author":"Koo TK","year":"2016","journal-title":"J Chiropr Med"},{"issue":"10","key":"ref21","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1038\/sj.sc.3101887","article-title":"Neurogenic bowel dysfunction score","volume":"44","author":"Krogh K","year":"2006","journal-title":"Spinal Cord"},{"issue":"12","key":"ref22","doi-asserted-by":"crossref","first-page":"1379","DOI":"10.1007\/s00383-008-2268-8","article-title":"A new ultrasound scoring system for assessing the severity of constipation in children","volume":"24","author":"Lakshminarayanan B","year":"2008","journal-title":"Pediatr Surg Int"},{"issue":"4","key":"ref23","doi-asserted-by":"crossref","first-page":"436","DOI":"10.3122\/jabfm.2011.04.100272","article-title":"Chronic constipation: an evidence-based review","volume":"24","author":"Leung L","year":"2011","journal-title":"J Am Board Fam Med"},{"issue":"1","key":"ref24","first-page":"7","article-title":"Translation into portuguese and validation of an adolescent oral health questionnaire on habits, knowledge and attitudes","volume":"9","author":"Luis HPS","year":"2012","journal-title":"Adolesc Sa\u00fade"},{"issue":"3","key":"ref25","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1097\/00002820-198906000-00012","article-title":"Validity and reliability of the Constipation Assessment Scale","volume":"12","author":"McMillan SC","year":"1989","journal-title":"Cancer Nurs"},{"issue":"4","key":"ref26","first-page":"801","article-title":"Constipation. Consensual and empirical validation","volume":"20","author":"McShane RE","year":"1985","journal-title":"Nurs Clin North Am"},{"key":"ref27","article-title":"Pancreatic solid-pseudopapillary neoplasm in patients with familial adenomatous polyposis","volume":"35","author":"Meira-J\u00fanior JD","year":"2023","journal-title":"Arq Bras Cir Dig"},{"issue":"4","key":"ref28","doi-asserted-by":"crossref","DOI":"10.1111\/nmo.13783","article-title":"Prevalence and impact of self-reported painful and non-painful constipation in the general population","volume":"32","author":"Pannemans J","year":"2020","journal-title":"Neurogastroenterol Motil"},{"issue":"4","key":"ref29","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1097\/00000658-199110000-00005","article-title":"Evaluation and surgical treatment of severe chronic constipation","volume":"214","author":"Pemberton JH","year":"1991","journal-title":"Ann Surg"},{"issue":"3","key":"ref30","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1097\/SGA.0000000000000224","article-title":"Constipation: prevalence and associated factors in adults living in Londrina, Southern Brazil","volume":"39","author":"Schmidt FM","year":"2016","journal-title":"Gastroenterol Nurs"},{"issue":"3","key":"ref31","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.ejpain.2005.03.008","article-title":"Validation of the PAC-SYM questionnaire for opioid-induced constipation in patients with chronic low back pain","volume":"10","author":"Slappendel R","year":"2006","journal-title":"Eur J Pain"},{"issue":"3","key":"ref32","first-page":"287","article-title":"Prevalence of constipation in a tertiary referral Italian Colorectal Unit","volume":"85","author":"Travaglio E","year":"2014","journal-title":"Ann Ital Chir"},{"issue":"4","key":"ref33","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1007\/s00595-015-1179-2","article-title":"The translation and validation of the Japanese version of the patient assessment of constipation quality of life scale","volume":"46","author":"Tsunoda A","year":"2016","journal-title":"Surg Today"},{"issue":"2","key":"ref34","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1177\/1043454205285874","article-title":"A constipation assessment scale for use in pediatric oncology","volume":"23","author":"Woolery M","year":"2006","journal-title":"J Pediatr Oncol Nurs"},{"issue":"3","key":"ref35","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1590\/S0004-28032004000300013","article-title":"Evaluation of quality of life in anal incontinence: validation of the questionnaire FIQL (Fecal Incontinence Quality of Life)","volume":"41","author":"Yusuf SAI","year":"2004","journal-title":"Arq Gastroenterol"}],"container-title":["ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S\u00e3o Paulo)"],"original-title":["O INSTRUMENTO CONSTIPATION SCORING SYSTEM VALIDADO PARA A L\u00cdNGUA PORTUGUESA (\u00cdNDICE DE GRAVIDADE DA CONSTIPA\u00c7\u00c3O INTESTINAL): \u00c9 CONFI\u00c1VEL NA AVALIA\u00c7\u00c3O DA GRAVIDADE DA CONSTIPA\u00c7\u00c3O INTESTINAL CR\u00d4NICA EM NOSSA POPULA\u00c7\u00c3O?"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0102-67202023000100356&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T18:11:57Z","timestamp":1710526317000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-67202023000100356&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":35,"alternative-id":["S0102-67202023000100356"],"URL":"https:\/\/doi.org\/10.1590\/0102-672020230067e1785","relation":{},"ISSN":["2317-6326","0102-6720"],"issn-type":[{"value":"2317-6326","type":"electronic"},{"value":"0102-6720","type":"print"}],"subject":[],"published":{"date-parts":[[2023]]},"article-number":"e1785"}}