Lippincott Williams & Wilkins



Supplemental Table 7. Scoring of IMPACT Bowel Function SFScoreWhat is being measured Question NumberLocation in IMPACTFinal Scoring RecommendationBristol ScaleTyle of Stools11Report TypeWexner ScoreSolid fecal incontinence frequency1 (solid incontinence) =0 8a =NoWexner Q1: Highest answer to 8a1 (solid incontinence) =18a frequency = rarely1 (solid incontinence) =28a frequency =sometimes1 (solid incontinence) =38a frequency =weekly1 (solid incontinence) =48a frequency =dailyLiquid fecal incontinence frequency 2 (liquid incontinence) =08b=NoWexner Q2: Highest answer to 8b2 (liquid incontinence) =18b frequency = rarely2 (liquid incontinence) =28b frequency =sometimes2 (liquid incontinence) =38b frequency =weekly2 (liquid incontinence) =48b frequency =dailyWexner Q3: Highest answer to 8cFlatal fecal incontinence frequency3 (gas incontinence) =08c=No3 (gas incontinence) =18c frequency = rarely3 (gas incontinence) =28c frequency =sometimes3 (gas incontinence) =38c frequency =weekly3 (gas incontinence) =48c=NoPad usage frequency4 (pad) =08d=neverWexner Q4: Highest answer to 8d4 (pad) =18d frequency =rarely4 (pad) =28d frequency =sometimes4 (pad) =38d frequency =weekly4 (pad) =48d frequency =dailyLifestyle alterations frequency5 (lifestyle) =08f frequency =neverWexner Q5: Highest answer to 8f5 (lifestyle) =18f frequency =rarely5 (lifestyle) =28f frequency =sometimes5 (lifestyle) =38f frequency =weekly5 (lifestyle) =48f frequency =dailySt Marks FI ScoreSolid fecal incontinence frequency1 (solid incontinence) =0 8a =NoSMFIS Q1: Highest answer to 8a1 (solid incontinence) =18a frequency = rarely1 (solid incontinence) =28a frequency =sometimes1 (solid incontinence) =38a frequency =weekly1 (solid incontinence) =48a frequency =dailyLiquid fecal incontinence frequency 2 (liquid incontinence) =08b=NoSMFIS Q3: Highest answer to 8b2 (liquid incontinence) =18b frequency = rarely2 (liquid incontinence) =28b frequency =sometimes2 (liquid incontinence) =38b frequency =weekly2 (liquid incontinence) =48b frequency =dailyFlatal fecal incontinence frequency3 (gas incontinence) =08c=NoSMFIS Q3: Highest answer to 8c3 (gas incontinence) =18c frequency = rarely3 (gas incontinence) =28c frequency =sometimes3 (gas incontinence) =38c frequency =weekly3 (gas incontinence) =48c frequency =dailyLifestyle alteration frequency4 (lifestyle) =08f frequency=neverSMFIS Q4: Highest answer to 8f4(lifestyle) =18f frequency =rarely4 (lifestyle) =28f frequency =sometimes4 (lifestyle) =38f frequency =weekly4 (lifestyle) =48f frequency =dailyPad usage 5 (pad)=08d frequency =neverSMFIS Q5: Dichotomize 8 d5 (pad)=28d 8f frequency = not neverConstiation meds usage for symptoms6(meds) =08e=noSMFIS Q6: Dichotomize 8e6(meds) =28e=yesPresence of urgency7 (urge) -09=noSMFIS Q7: Dichotomize97 (urge)=49=yesColorectal Anal Distress Inventory 8(CRADI-8) Presence of straining and the degree of bother1(straining)=05=noCRADI8 Q1: Highest answer to 5c impact 1(straining)=15c impact =not 1(straining)=25c impact =little or somewhat1(straining)=35c impact =very1(straining)=45c impact =extremelyPresence of incomplete emptying and the degree of bother2(emptying)=06=noCRADI8 Q2: Highest answer to 6c impact2 (emptying) )=16c impact =not 2(emptying 26c impact =little or somewhat 2(emptying)=36c impact=very2(emptying)=46c impact=extremelyPresence of ssolid fecal incontinence and the degree of bother3 (solid incontinence) =0 8a=noCRADI8 Q3: Highest answer to 8a impact3 (solid incontinence) =18a impact =not 3 (solid incontinence) =28a impact = t little or somewhat 3 (solid incontinence) =38a impact = very3 (solid incontinence) =48a impact = extremelyPresence of liquid fecal incontinence and the degree of bother4 (liquid incontinence) =08b=noCRADI8 Q4: Highest answer to 8b impact4 (liquid incontinence) =18b impact =not 4 (liquid incontinence) =28b impact = t little or somewhat 4 (liquid incontinence) =38b impact = very4 (liquid incontinence) =48b impact = extremelyPresence of flatal fecal incontinence and the degree of bother5(gas incontinence) =08c=noCRADI8 Q5: Highest answer to 8c impact5 (gas incontinence) =18c impact =not 5 (gas incontinence) =28c impact = t little or somewhat 5 (gas incontinence) =38c impact = very5 (gas incontinence) =48c impact = extremelyPresence of pai with defecation and the degree of bother6 (painful BM) = 010 = noCRADI 9 Q6: Highest answer to 10 suffering6 (painful BM) = 110 suffering = none6 (painful BM) = 210 suffering = mild or somewhat6 (painful BM) = 310 suffering = severe6 (painful BM) = 410 suffering = extremely severe7 (urgency) =09=noCRADI Q5: highest answer to 97 (urgency) =19=not botheresome7 (urgency) =29=a little or somewhat7 (urgency) =39 = very7 (urgency) =49= extremelyProlapse rectum//rectocele presence and degree of bother8 (buldge)= 011 =noCRADI Q 8: : highest answer to 118 (buldge)= 111 =not botheresome8 (buldge)= 211 = a little or somewhat8 (buldge)= 311 = very8 (buldge)= 411 = extremelyConstipation Severity Instrument: Incomplete bowel movements frequencyCSI 1=06=noCSI Q1a: highest 6 frequencyCSI 1a =1 6 frequency = occasionallyCSI 1a =2sometimesCSI 1a =3 6 frequency = usually CSI 1a =46 frequency = alwaysIncomplete bowel movements severityCSI 1b =06 severity = notCSI Q1b: highest 6 severityCSI 1b =16 severity = mildCSI 1b =26 severity = somewhatCSI 1b =36 severity = severeCSI 1b=46 severity – extremely severeIncomplete bowel movements botherCSI 1c =06c impact =not CSI Q1c: highest 6 impactCSI 1c =16c impact =little CSI 1c =26c impact=somewhatCSI 1c =36c impact=veryCSI 1c=46c impact =extremelyStraining/difficulty emptying frequencyCSI 2a=05=noCSI 2a: highest 5 frequencyCSI 2a =1 5 frequency = occasionallyCSI 2a =2sometimesCSI 2a =3 5 frequency = usually CSI 2a =45 frequency = alwaysStraining/difficulty emptying severityCSI 2b=05 severity = notCSI Q2b: highest 5 severityCSI 2b=15 severity = mildCSI 2b=25 severity = somewhatCSI 2b=35 severity = severeCSI 2b=45 severity – extremely severeCSI 2c =05c impact =not CSI Q2c: highest 5 impactCSI 2c =15c impact =little CSI 2c =25c impact=somewhatCSI 2c =35c impact=veryCSI 2c=45c impact =extremelyFrequency of difficult bowel movementsCSI 3=02=NoCSI 3: highest 2 frequencyCSI 3=12=dailyCSI 3 =22= a few/weekCSI 3=32 = once/weekCSI 3 =42 = once every 2 weeksCSI 3 =5 2= once a monthIncomplete bowel movements Presence and FrequencyCSI 4a=03=noCSI Q4a: highest 3 frequencyCSI 4a =1 3 frequency = occasionallyCSI 4a =2sometimesCSI 4a =3 3 frequency = usually CSI 4a =43 frequency = alwaysIncomplete bowel movements severityCSI 4b=03 severity = notCSI Q2b: highest 3 severityCSI 4b=13 severity = mildCSI 4b=23 severity = somewhatCSI 4b=33 severity = severeCSI 4b=43 severity – extremely severeIncomplete bowel movements degree of botherCSI 4c =03c impact =not CSI Q2b: highest 3 severityCSI 4c =13 impact =little CSI 4c =23 impact=somewhatCSI 4c =33 impact=veryCSI4c=43 impact =extremelyLack of urge to defecate presence and severity CSI 5a=04=not presentCSI Q5a: highest 4 severityCSI 5a=14 severity = not severeCSI 5a=24 severity = mildCSI 5a=34 severity = somewhat severeCSI 5a=44 severity = severeCSI5a=54 severity = extremely severeLack of urge to defecate botherCSI 5b=04 = noCSI Q5b: highest 4 impactCSI 5b=14 mpact =not CSI 5b=24 impact =little CSI 5b=34 impact=somewhatCSI 5b=44 impact=veryCSI 5b=54 impact =extremelyPain with Defecation: Presence and Severity During Last Month CSI 6=010 last month = not experiencedCSI 6: highest 10 last monthCSI 6=110 last month = mildCSI 6 =210 last month = somewhat severeCSI 6=310 last month severeCSI 6 =410 last month extremely severePain with Defecation: Presence and Severity at Present TimeCSI 7=010 at present = no painCSI 7: highest 10 at presentCSI 7=110 at present = mildCSI7 =210 at present = = somewhat severeCSI 7=310 at present = severeCSI 7=410 at present = extremely severeDegree of suffering due to pain with defecation CSI 8=010 suffering = noneCSI 8: highest 10 impactCSI 8=110 suffering = mild CSI 8 =210 suffering = somewhat severeCSI 8=310 suffering = severeCSI 8=410 suffering = extremely severeBleeding during or after defecation CSI 9=012= neverCSI 9: highest 12CSI 9=112 = rarelyCSI 9 =212= occasionallyCSI 9=312= usuallyCSI 9=412=always Patient Assessment of Constipation (PAC-SYM)Discomfort in abdomenPAC-SYM 1 =07a=absentPAC-SYM 1: highest 7aPAC-SYM 1 =17a=mildPAC-SYM 1 =27a=moderatePAC-SYM 1 =37a=severePAC-SYM 1 =47a=very severePain in abdomenPAC-SYM 2 =07b=absentPAC-SYM 2: highest 7bPAC-SYM 2 =17b=mildPAC-SYM 2 =27b=moderatePAC-SYM 2 =37b=severePAC-SYM 2=47b=very severeBloating in abdomenPAC-SYM 3 =0cb=absent PAC-SYM 2: highest 7cPAC-SYM 3 =17c=mildPAC-SYM 3 =27c=moderatePAC-SYM 3 =37c=severePAC-SYM 3=47c=very severeStomach crampsPAC-SYM 4=07d=absent PAC-SYM 4: highest 7dPAC-SYM 4=17d=mildPAC-SYM 4=27d=moderatePAC-SYM 4 =37d=severePAC-SYM 4 =47d=very severePainful bowel movementsPAC-SYM 5=010 last month = nonePAC-SYM 5: highest 10 last monthPAC-SYM 5=110 last month =mildPAC-SYM 5=210 last month = somewhat severePAC-SYM 5 =310 last month = severePAC-SYM6 =410 last month = extremely severeBurning before or after defecationPAC-SYM 6=07e=absentPAC-SYM 6: highest 7ePAC-SYM 6=17e=mildPAC-SYM 6=27e=moderatePAC-SYM 6=37e=severePAC-SYM 6 =47e=very severeBleeding with defecation and its frequencyPAC-SYM 7=012= neverPAC-SYM 6: highest 12PAC-SYM 7=112 = rarelyPAC-SYM 7=212= occasionallyPAC-SYM 7=312= usuallyPAC-SYM 7 =412=always Incomplete bowel movements presence and frequencyPAC-SYM 8=03=noPAC-SYM 8: highest 3PAC-SYM 8=1 3 frequency = occasionallyPAC-SYM 8=2sometimesPAC-SYM 8=3 3 frequency = usually PAC-SYM 8 =43 frequency = alwaysBowel movements too hardPAC-SYM 9=07f=absentPAC-SYM 9: highest 7fPAC-SYM 9=17f=mildPAC-SYM 9=27f=moderatePAC-SYM 9=37f=severePAC-SYM 9 =47f=very severeBowel movements too small PAC-SYM 10=07g=absentPAC-SYM 10: highest 7gPAC-SYM 10=17g = mildPAC-SYM 10=27g=moderatePAC-SYM 10=37g=severePAC-SYM 10 =47g=very severeStraining to pass bowel movement presence and severityPAC-SYM 11=05 severity = nonePAC-SYM 11: highest 5 severityPAC-SYM 11=15 severity = mild PAC-SYM 11=25 severity = somewhat severe PAC-SYM 11=35 severity = severePAC-SYM 11=4 5 severity = extremely severeFeeling like you had to pass a bowel movement but could not severity PAC-SYM 12=07h=absentPAC-SYM 12: highest 7hPAC-SYM 12=17h = mildPAC-SYM 12=27h=moderatePAC-SYM 12=37h=severePAC-SYM 12=47h=very severeFDA Required Additional Fecal Incontinence DescriptorsExtent of solid fecal incontinence8a severity = none8 a severity = stain8 a severity =more than stain8 a severity =entire bowel movementExtent of liquid fecal incontinence8b severity = none8 b severity = stain8b severity =more than stain8 b severity =entire bowel movement ................
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