{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T15:23:08Z","timestamp":1777044188695,"version":"3.51.4"},"reference-count":28,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Gastroenterol."],"abstract":"<jats:p>ABSTRACT  Objectives: This study aimed to translate the Neurogenic Bowel Dysfunction Score into Brazilian Portuguese, adapting it culturally and validating it semantically.  Methods: The process followed international guidelines for translation, back-translation, cultural adaptation, and semantic validation, involving a committee of specialists and a pre-test with 10 Brazilian pediatric patients with neurogenic bowel dysfunction (mean age: 11 years). Participants were divided into two groups, depending on whether they used transanal irrigation for intestinal management. The translated version was evaluated considering its clarity, equivalence (Likert scale), Kendall\u2019s Coefficient of Concordance, and applicability.  Results: The Brazilian version of the pediatric Neurogenic Bowel Dysfunction Score, presented here, showed high levels of linguistic and cultural equivalence (Kendall greater than 0.8) according to the specialists, after the second round of evaluations. Furthermore, participants understood the questionnaire very well (mean clarity on a Likert scale: 4.7\u00b10.1). The groups were homogeneous for most variables analyzed. The score of Group 1, which used transanal irrigation, was found to be less severe than that of Group 2 (P=0.004). Group 1 showed more satisfaction with their bowel function control than Group 2 (P=0.008).  Conclusion: The initial validation of the pediatric Neurogenic Bowel Dysfunction Score is a step forward in its integration into the national clinical context. The instrument was found to be reliable and viable for use in clinical practice and research, enabling standardized assessments and global comparisons. Its implementation will help ensure efficient neurogenic bowel dysfunction management and improve the health and quality of life of these children and adolescents.<\/jats:p>","DOI":"10.1590\/s0004-2803.24612025-034","type":"journal-article","created":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T15:05:44Z","timestamp":1757084744000},"source":"Crossref","is-referenced-by-count":1,"title":["TRANSLATION, CULTURAL ADAPTATION, AND SEMANTIC VALIDATION OF THE PEDIATRIC NEUROGENIC BOWEL DYSFUNCTION SCORE (NDBS) INTO BRAZILIAN PORTUGUESE AND A PILOT STUDY"],"prefix":"10.1590","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1152-4603","authenticated-orcid":false,"given":"Lenamaris Mendes Rocha","family":"DUARTE","sequence":"first","affiliation":[{"name":"Rede SARAH de Hospitais de Reabilita\u00e7\u00e3o,  Brasil; Escola Superior de Ci\u00eancias da Sa\u00fade,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1181-5948","authenticated-orcid":false,"given":"Ana L\u00facia Ribeiro","family":"SALOMON","sequence":"additional","affiliation":[{"name":"Escola Superior de Ci\u00eancias da Sa\u00fade,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4866-205X","authenticated-orcid":false,"given":"Carmelia Matos Santiago","family":"REIS","sequence":"additional","affiliation":[{"name":"Escola Superior de Ci\u00eancias da Sa\u00fade,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","first-page":"293","article-title":"Bowel management in children with spina bifida","volume":"11","author":"Ambartsumyan L","year":"2018","journal-title":"J Pediatr Rehabil Med"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1016\/j.jpurol.2023.01.015","article-title":"Pediatric neurogenic bowel dysfunction: ICCS review document","volume":"19","author":"Kelly MS","year":"2023","journal-title":"J Pediatr Urol"},{"key":"ref3","doi-asserted-by":"crossref","DOI":"10.1016\/j.jpurol.2021.01.024","article-title":"Utility estimation for neurogenic bowel dysfunction in the general population","volume":"17","author":"Simmons KL","year":"2021","journal-title":"J Pediatr Urol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1669","DOI":"10.3390\/jcm10081669","article-title":"Neurogenic bowel dysfunction in children and adolescents","volume":"10","author":"Mosiello G","year":"2021","journal-title":"J Clin Med"},{"issue":"F1000 Faculty Rev","key":"ref5","doi-asserted-by":"crossref","first-page":"1800","DOI":"10.12688\/f1000research.20529.1","article-title":"Neurogenic bowel dysfunction","volume":"8","author":"Emmanuel A","year":"2019","journal-title":"F1000Res"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"3103","DOI":"10.1007\/s00381-023-05985-2","article-title":"Global, regional, and national epidemiological trends in neural tube defects between 1990 and 2019: a summary","volume":"39","author":"Lu VM","year":"2023","journal-title":"Childs Nerv Syst"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1038\/sj.sc.3101705","article-title":"High prevalence of incontinence among young adults with spina bifida: description, prediction and problem perception","volume":"43","author":"Verhoef M","year":"2005","journal-title":"Spinal Cord"},{"key":"ref8","first-page":"491","article-title":"Bowel function and care: guidelines for the care of people with spina bifida","volume":"13","author":"Beierwaltes P","year":"2020","journal-title":"J Pediatr Rehabil Med"},{"key":"ref9","first-page":"675","article-title":"Who is managing the bowels? A survey of clinical practice patterns in spina bifida clinics","volume":"14","author":"Kelly MS","year":"2021","journal-title":"J Pediatr Rehabil Med"},{"key":"ref10","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0159394","article-title":"Long-term cost-effectiveness of transanal irrigation in patients with neurogenic bowel dysfunction","volume":"11","author":"Emmanuel A","year":"2016","journal-title":"PLoS One"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"905","DOI":"10.1016\/j.apmr.2015.01.011","article-title":"Outcomes of neurogenic bowel management in individuals living with a spinal cord injury for at least 10 years","volume":"96","author":"Adriaansen JJ","year":"2015","journal-title":"Arch Phys Med Rehabil"},{"key":"ref12","first-page":"303","article-title":"Variation in surgical management of neurogenic bowel among centers participating in National Spina Bifida Patient Registry","volume":"10","author":"Routh JC","year":"2017","journal-title":"J Pediatr Rehabil Med"},{"issue":"5","key":"ref13","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1038\/s41393-022-00786-x","article-title":"Guideline for the management of neurogenic bowel dysfunction in spinal cord injury\/disease","volume":"60","author":"Kurze I","year":"2022","journal-title":"Spinal Cord"},{"key":"ref14","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"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1002\/nau.22694","article-title":"Development, reliability and validation of a neurogenic bowel dysfunction score in pediatric patients with spina bifida","volume":"35","author":"Kelly MS","year":"2016","journal-title":"Neurourol Urodyn"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1007\/s00383-020-04670-8","article-title":"Assessment of neurogenic bowel symptoms with the bowel dysfunction score in children with spina bifida: a prospective case-control study","volume":"36","author":"Gibbons C","year":"2020","journal-title":"Pediatr Surg Int"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1016\/j.medcli.2020.06.058","article-title":"Validaci\u00f3n al espa\u00f1ol de la versi\u00f3n en ingl\u00e9s del Neurogenic Bowel Dysfunction score (NBD score) en pacientes con lesi\u00f3n neurol\u00f3gica de origen central","volume":"157","author":"Gonz\u00e1lez Viejo M\u00c1","year":"2021","journal-title":"Med Clin"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/j.purol.2016.06.008","article-title":"Neurogenic bowel dysfunction (NBD) translation and linguistic validation to classical Arabic","volume":"26","author":"Mallek A","year":"2016","journal-title":"Prog Urol"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1038\/s41393-021-00668-8","article-title":"Neurogenic bowel dysfunction score in spinal cord-injured patients: translation and validation of the Dutch-language NBD score","volume":"60","author":"van Doorn T","year":"2022","journal-title":"Spinal Cord"},{"key":"ref20","series-title":"Der Neurogene Darmdysfunktions-Score (NBD): Fragebogen zur Bewertung der neurogenen Darmdysfunktion","author":"GmbH Coloplast","year":"2018"},{"key":"ref21","first-page":"45","article-title":"Transanal irrigation to manage neurogenic bowel in the pediatric population with spina bifida: a scoping review","volume":"19","author":"Xavier TS","year":"2023","journal-title":"J Pediatr Urol"},{"key":"ref22","first-page":"55","article-title":"Irriga\u00e7\u00e3o transanal simplificada em pacientes com mielomeningocele e incontin\u00eancia fecal: Resultados funcionais e impacto na qualidade de vida","volume":"42","author":"Pinheiro MM","year":"2022","journal-title":"J Coloproctol"},{"key":"ref23","series-title":"International perspectives on spinal cord injury","year":"2013"},{"key":"ref24","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"},{"key":"ref25","series-title":"Delphi Method. A structured communication technique to gather expert consensus","year":"1975"},{"key":"ref26","series-title":"Adapting Educational and Psychological Tests for Cross-Cultural Assessment","author":"Hambleton RK","year":"2005"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1214\/aoms\/1177732186","article-title":"The problem of m rankings","volume":"10","author":"Kendall MG","year":"1939","journal-title":"Ann Math Statist"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1016\/j.jped.2018.01.006","article-title":"Brazilian Portuguese translation, cross-cultural adaptation and reproducibility assessment of the modified Bristol Stool Form Scale for children","volume":"95","author":"Jozala DR","year":"2019","journal-title":"J Pediatr"}],"container-title":["Arquivos de Gastroenterologia"],"original-title":["Tradu\u00e7\u00e3o, adapta\u00e7\u00e3o cultural e valida\u00e7\u00e3o sem\u00e2ntica do Neurogenic Bowel Dysfunction Score (NBDS) pedi\u00e1trico para o portugu\u00eas brasileiro e um estudo piloto"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0004-28032025000101500&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T15:05:48Z","timestamp":1757084748000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0004-28032025000101500&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":28,"alternative-id":["S0004-28032025000101500"],"URL":"https:\/\/doi.org\/10.1590\/s0004-2803.24612025-034","relation":{},"ISSN":["1678-4219","0004-2803"],"issn-type":[{"value":"1678-4219","type":"electronic"},{"value":"0004-2803","type":"print"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e25034"}}