Status:

COMPLETED

Development of an Instrument to Measure Quality of Life in Children With Chronic Constipation and Soiling

Lead Sponsor:

Medical College of Wisconsin

Collaborating Sponsors:

Takeda Pharmaceuticals North America, Inc.

University of South Alabama

Conditions:

Constipation

Fecal Incontinence

Eligibility:

All Genders

2-18 years

Brief Summary

We propose to develop parent and child disease-specific instruments to assess health related quality of life (HRQoL) in children with constipation and fecal incontinence.

Detailed Description

Chronic constipation is a common problem in childhood, accounting for almost 3% of consultations in pediatric practice. In many children constipation is accompanied by overflow soiling (fecal incontin...

Eligibility Criteria

Inclusion

  • Inclusion criteria:
  • Age 2-18 years
  • Child and parents fluent in English
  • Child must meet one of the following criteria;
  • A. Constipation and fecal incontinence: must include 2 or more of the following in a child with insufficient criteria for a diagnosis of IBS (criteria fulfilled at least once per week for at least 2 months before diagnosis in a child over 4 years of age and for at least one month in a child less than 4 years of age):
  • Two or fewer defecations in the toilet per week
  • At least 1 episode of fecal incontinence per week
  • History of retentive posturing or excessive volitional stool retention
  • History of painful or hard bowel movements
  • Presence of a large fecal mass in the rectum
  • History of large diameter stools that may obstruct the toilet
  • B. Constipation predominant IBS: must include the following, once a week for at least 2 months:
  • Abdominal pain/discomfort, associated with 2 of the following:
  • improved with defecation
  • onset associated with 2 or less stools per week
  • onset associated with hard or lump stool
  • no evidence of inflammatory, anatomic, metabolic or neoplastic processes.
  • C. Non retentive fecal incontinence: must include all of the following in a child with a developmental age of at least 4 years (criteria fulfilled at least once per week for at least 2 months before diagnosis) \[4\]:
  • Defecation into places inappropriate to the social context at least once per month.
  • No evidence of an inflammatory, anatomic, metabolic, or neoplastic process that explains the subject's symptoms
  • No evidence of fecal retention.
  • Exclusion criteria:
  • Children with developmental delays and children over 12 years of age who are unable to understand the questionnaires.
  • Associated chronic disease which may have an impact on quality of life such as cerebral palsy, spine deformity or malformations, learning difficulties, severe mental illness, celiac disease, etc.
  • Child and parents not fluent in English.

Exclusion

    Key Trial Info

    Start Date :

    September 1 2005

    Trial Type :

    OBSERVATIONAL

    Allocation :

    ACTUAL

    End Date :

    August 1 2011

    Estimated Enrollment :

    140 Patients enrolled

    Trial Details

    Trial ID

    NCT00677508

    Start Date

    September 1 2005

    End Date

    August 1 2011

    Last Update

    April 30 2020

    Active Locations (1)

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    Medical College of Wisconsin

    Milwaukee, Wisconsin, United States, 53226