Starreveld scoring method in diagnosing childhood constipation.

Autor: Kokke FT; Pediatric Gastroenterology, Wilhelmina Childrens Hospital, KE 1.144.3, PO Box 85090, Utrecht 3508 AB, The Netherlands, f.t.m.kokke@umcutrecht.nl, Sittig JS, de Bruijn A, Wiersma T, Van Rijn RR, Limpen JL, Houwen RH, Fischer K, Benninga MA
Jazyk: angličtina
Zdroj: Pediatric radiology [Pediatr Radiol] 2010 Nov; Vol. 40 (11), pp. 1789-93. Date of Electronic Publication: 2010 Jul 01.
DOI: 10.1007/s00247-010-1725-4
Abstrakt: Background: Four scoring methods exist to assess severity of fecal loading on plain abdominal radiographs in constipated patients (Barr-, Starreveld-, Blethyn- and Leech). So far, the Starreveld score was used only in adult patients.
Objective: To determine accuracy and intra- and inter-observer agreement of the Starreveld scoring method in the diagnosis of functional constipation among pediatric patients. In addition, we compared the Starreveld with the Barr scoring method.
Materials and Methods: Thirty-four constipated and 34 non-constipated children were included. Abdominal radiographs, obtained before treatment, were rated (Starreveld- and Barr) by 4 observers. A second observation after 4 weeks was done by 3 observers. Cut-off level for the Starreveld score, accuracy as measured by the area under the receiver operator characteristics curve, and inter- and intra-observer agreement were calculated.
Results: Cut-off value for the Starreveld score was 10. AUC for Starreveld score was 0.54 and for Barr score 0.38, indicating poor discriminating power. Inter-observer agreement was 0.49-0.52 4 (Starreveld) and 0.44 (Barr), which is considered moderate. Intra-observer agreement was 0.52-0.71 (Starreveld) and 0.62- 0.76 (Barr).
Conclusion: The Starreveld scoring method to assess fecal loading on a plain abdominal radiograph is of limited value in the diagnosis of childhood constipation.
Databáze: MEDLINE
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