Measuring episodic abdominal pain and disability in suspected sphincter of Oddi dysfunction
Measuring episodic abdominal pain and disability in suspected sphincter of Oddi dysfunction
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DOI：
10.3748/wjg.v16.i35.4416
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发表时间：
2010-09-21
影响因子：
4.3
通讯作者：
Cotton, Peter
中科院分区：
文献类型：
--
作者：
Durkalski, Valerie;Stewart, Walter;Cotton, Peter
目的评价一种用于测量疑有奇性括约肌功能障碍（SOD）患者因发作性腹痛而导致的残疾的工具的可靠性。方法虽然已经使用了几种治疗方法来减轻疼痛和相关残疾，但尚未开发出可靠的测量工具来跟踪结果。复发性腹痛强度和功能障碍（RAPID）工具RAPID评分是90天的总和，其中各种日常活动的生产力由于腹痛发作而降低，并以偏头痛残疾评估（MIDAS）工具为模型，用于测量头痛-在2个同意的疑似SOD人群（括约肌切开术前人群）中，连续2次通过电话给予相关残疾RAPID（Pilot I，n = 55）和括约肌切开术后人群结果飞行员Ⅰ组和飞行员Ⅱ组RAPID评分分别为82 d [中位数81.5，标准差（SD）64]和48 d（中位数0，SD 91），两个人群的两种评估之间的一致性非常好，括约肌切开术前人群为0.81，括约肌切开术后人群为0.95。结论所描述的初步研究表明，RAPID是一种可靠的工具，用于衡量残疾造成的腹痛（C）2010百世登All rights reserved
AIM To evaluate the reliability of an instrument that measures disability arising from episodic abdominal pain in patients with suspected sphincter of Odd dysfunction (SOD)METHODS Although several treatments have been utilized to reduce pain and associated disability, measurement tools have not been developed to reliably track outcomes Two pilot studies were conducted to assess test-retest reliability of a newly developed instrument, the recurrent abdominal pain intensity and disability (RAPID) instrument The RAPID score is a 90-d summation of days where productivity for various daily activities is reduced as a result of abdominal pain episodes, and is modeled after the migraine disability assessment (MIDAS) instrument used to measure headache-related disability RAPID was administered by telephone on 2 consecutive occasions in 2 consenting populations with suspected SOD a pre-sphincterotomy population (Pilot I, n = 55) and a post-sphincterotomy population (Pilot II, n = 70)RESULTS The average RAPID scores for Pilots I and II were 82 d [median 81 5, standard deviation (SD) 64] and 48 d (median 0, SD 91), respectively The concordance between the 2 assessments for both populations was very good 0 81 for the pre-sphincterotomy population and 0 95 for the post-sphincterotomy populationCONCLUSION The described pilot studies suggest that RAPID is a reliable instrument for measuring disability resulting from abdominal pain in suspected SOD patients (C) 2010 Baishideng All rights reserved