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Translation and validation of the Japanese version of the fecal incontinence quality of life scale

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Abstract

Purpose

The aim of the study was to conduct a psychometric evaluation of the fecal incontinence quality of life scale (FIQL) in the Japanese language using rigorous methodologies.

Methods

The FIQL was translated into Japanese. After being linguistically validated, the Japanese version of the FIQL was administered to a sample of 119 patients who completed the questionnaire at baseline and again after 2 weeks. The patients filled out a general questionnaire regarding health (the Short-Forum 36 Health Survey), and the severity of incontinence was assessed at baseline (Wexner scale).

Results

Internal consistency was good/excellent for all scales (Cronbach’s alpha >0.70, between 0.72 and 0.94). Stability over time was good for all scales (Intra-class correlation >0.80, between 0.86 and 0.93). The four scales of the FIQL were significantly correlated with the scales of the generic questionnaire on health (P < 0.0001) and the Wexner scale (P < 0.0001). The mean FIQL score improved significantly after treatment in the 22 patients whose Wexner scale scores decreased >4 points, thus indicating good sensitivity in all four scales and the total scale.

Conclusions

The linguistic and psychometric evaluation demonstrated the validity of the Japanese version of the FIQL.

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References

  1. Sailer M, Bussen D, Debus ES, Fuchs KH, Thiede A. Quality of life in patients with benign anorectal disorders. Br J Surg. 1998;85:1716–9.

    Article  PubMed  CAS  Google Scholar 

  2. Perry S, Shaw C, McGrother C, Matthews RJ, Assassa RP, Dallosso H, et al. Prevalence of faecal incontinence in adults aged 40 years or more living in the community. Gut. 2002;50:480–4.

    Article  PubMed  CAS  Google Scholar 

  3. Nakanishi N, Tatara K, Naramura H, Fujiwara H, Takashima Y, Fukuda H. Urinary and fecal incontinence in a community-residing older population in Japan. J Am Geriatr Soc. 1997;45:215–9.

    PubMed  CAS  Google Scholar 

  4. Jorge JM, Wexner SD. Etiology and management of fecal incontinence. Dis Colon Rectum. 1993;36:77–97.

    Article  PubMed  CAS  Google Scholar 

  5. Rockwood TH, Church JM, Fleshman JW, Kane RL, Mavrantonis C, Thorson AG, et al. Fecal Incontinence Quality of Life Scale: quality of life instrument for patients with fecal incontinence. Dis Colon Rectum. 2000;43:9–16.

    Article  PubMed  CAS  Google Scholar 

  6. Menteş BB, Tezcaner T, Yilmaz U, Leventoğlu S, Oguz M. Results of lateral internal sphincterotomy for chronic anal fissure with particular reference to quality of life. Dis Colon Rectum. 2006;49:1045–51.

    Article  PubMed  Google Scholar 

  7. Maslekar S, Gardiner AB, Duthie GS. Anterior anal sphincter repair for fecal incontinence: good longterm results are possible. J Am Coll Surg. 2007;204:40–6.

    Article  PubMed  Google Scholar 

  8. El-Gazzaz G, Zutshi M, Salcedo L, Hammel J, Rackley R, Hull T. Sacral neuromodulation for the treatment of fecal incontinence and urinary incontinence in female patients: long-term follow-up. Int J Colorectal Dis. 2009;24:1377–81.

    Article  PubMed  Google Scholar 

  9. Barisic G, Markovic V, Popovic M, Dimitrijevic I, Gavrilovic P, Krivokapic Z. Function after intersphincteric resection for low rectal cancer and its influence on quality of life. Colorectal Dis. 2011;13:638–43.

    Article  PubMed  CAS  Google Scholar 

  10. Rullier E, Zerbib F, Marrel A, Amouretti M, Lehur PA. Validation of the French version of the Fecal Incontinence Quality-of-Life (FIQL) scale. Gastroenterol Clin Biol. 2004;28:562–8.

    Article  PubMed  Google Scholar 

  11. Minguez M, Garrigues V, Soria MJ, Andreu M, Mearin F, Clave P. Adaptation to Spanish language and validation of the fecal incontinence quality of life scale. Dis Colon Rectum. 2006;49:490–9.

    Article  PubMed  Google Scholar 

  12. Dedeli O, Fadiloglu C, Bor S. Validity and reliability of a Turkish version of the Fecal Incontinence Quality of Life Scale. J Wound Ostomy Continence Nurs. 2009;36:532–8.

    Article  PubMed  Google Scholar 

  13. Dehli T, Martinussen M, Mevik K, Stordahl A, Sahlin Y, Lindsetmo RO. Translation and validation of the Norwegian version of the fecal incontinence quality-of-life scale. Scand J Surg. 2011;100:190–5.

    PubMed  CAS  Google Scholar 

  14. Ogata H, Mimura T, Hanazaki K. Validation study of the Japanese version of the Faecal Incontinence Quality of Life Scale. Colorectal Dis. 2012;14:194–9.

    Article  PubMed  CAS  Google Scholar 

  15. Fukuhara S, Ware JE Jr, Kosinski M, Wada S, Gandek B. Translation, adaptation, and validation of the SF-36 Health Survey for use in Japan. J Clin Epidemiol. 1998;51:1037–44.

    Article  PubMed  CAS  Google Scholar 

  16. Fayes PM, Machin D. Quality of life: assessment, analysis and interpretation. Chichester: Wiley; 2000.

    Google Scholar 

  17. Rothbarth J, Bemelman WA, Meijerink WJ, Stiggelbout AM, Zwinderman AH, Buyze-Westerweel ME, et al. What is the impact of fecal incontinence on quality of life? Dis Colon Rectum. 2001;44:67–71.

    Article  PubMed  CAS  Google Scholar 

  18. Yamada K, Ogata S, Saiki Y, Fukunaga M, Tsuji Y, Takano M. Functional results of intersphincteric resection for low rectal cancer. Br J Surg. 2007;94:1272–7.

    Article  PubMed  CAS  Google Scholar 

  19. Hashimoto H, Shiokawa H, Funahashi K, Saito N, Sawada T, Shirouzu K, et al. Development and validation of a modified fecal incontinence quality of life scale for Japanese patients after intersphincteric resection for very low rectal cancer. J Gastroenterol. 2010;45:928–35.

    Article  PubMed  Google Scholar 

  20. Rockwood TH. Incontinence severity and QOL scales for fecal incontinence. Gastroenterology. 2004;126:S106–13.

    Article  PubMed  Google Scholar 

  21. Byrne CM, Pager CK, Rex J, Roberts R, Solomon MJ. Assessment of quality of life in the treatment of patients with neuropathic fecal incontinence. Dis Colon Rectum. 2002;45:1431–6.

    Article  PubMed  Google Scholar 

  22. Sprangers MA, te Velde A, Aaronson NK. The construction and testing of the EORTC colorectal cancer-specific quality of life questionnaire module (QLQ-CR38). European Organization for Research and Treatment of Cancer Study Group on Quality of Life. Eur J Cancer. 1999;35:238–47.

    Article  PubMed  CAS  Google Scholar 

  23. Tsunoda A, Yasuda N, Nakao K, Yokoyama N, Marumori T, Hashimoto H, et al. Validation of the Japanese version of EORTC QLQ-CR38. Qual Life Res. 2008;17:317–22.

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

The authors thank Mr. Shiro Wada for providing forward translation, Mr. John C. Wocher for providing back translation and Dr. Yuko Tsunoda for providing assistance with the statistical analyses.

Conflict of interest

Akira Tsunoda and his co-authors have no conflicts of interest to declare.

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Authors and Affiliations

  1. Department of Surgery, Kameda Medical Center, 929 Higasicho, Kamogawa City, Chiba, 296-8602, Japan

    Akira Tsunoda & Nobuyasu Kano

  2. Department of Surgery, Coloproctology Center, Takano Hospital, Kumamoto, Japan

    Kazutaka Yamada & Masahiro Takano

Authors
  1. Akira Tsunoda
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  2. Kazutaka Yamada
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  3. Nobuyasu Kano
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  4. Masahiro Takano
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Correspondence to Akira Tsunoda.

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Tsunoda, A., Yamada, K., Kano, N. et al. Translation and validation of the Japanese version of the fecal incontinence quality of life scale. Surg Today 43, 1103–1108 (2013). https://doi.org/10.1007/s00595-012-0412-5

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  • DOI: https://doi.org/10.1007/s00595-012-0412-5

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