Evidence map›Paper›PMID 26740200›Full record

Observational studyInternational urogynecology journal2016

Cultural adaptation and validation of the Wexner scale in patients with anal incontinence in a Brazilian population.

Andrea Moura Fonseca, Mariana Furtado Meinberg, Débora Vianna Lucas, Marilene Vale Monteiro, Elyonara Mello Figueiredo, Leonardo Fonseca, Agnaldo Lopes Filho

Abstract readObservational StudyValidation Study
PubMed Publisher
In one paragraph

Observational study in International urogynecology journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Quality of Life in Women with Defecatory Dysfunctions: Systematic Review of Questionnaires Validated in the Portuguese Language.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2019
    Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Validation of the Wexner scale in a Hebrew-speaking population.International urogynecology journal · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Andrea Moura FonsecaSection of Urogynecology, Department of Gynecology and Obstetrics, Universidade Federal de Minas Gerais, Avenida Professor Alfredo Balena 190 CEP, 30130100, Belo Horizonte, MG, Brazil. andreamrmf@gmail.com.
Mariana Furtado MeinbergSection of Urogynecology, Department of Gynecology and Obstetrics, Universidade Federal de Minas Gerais, Avenida Professor Alfredo Balena 190 CEP, 30130100, Belo Horizonte, MG, Brazil.
Débora Vianna LucasMinas Gerais foundation of support research (FAPEMIG), Belo Horizonte, Brazil.
Marilene Vale MonteiroSection of Urogynecology, Department of Gynecology and Obstetrics, Universidade Federal de Minas Gerais, Avenida Professor Alfredo Balena 190 CEP, 30130100, Belo Horizonte, MG, Brazil.
Elyonara Mello FigueiredoSection of Urogynecology, Department of Physiotherapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Leonardo FonsecaDivision of Colorectal Surgery of the Alfa Institute of Gastroenterology at the University Hospital of the Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Agnaldo Lopes FilhoSection of Urogynecology, Department of Gynecology and Obstetrics, Universidade Federal de Minas Gerais, Avenida Professor Alfredo Balena 190 CEP, 30130100, Belo Horizonte, MG, Brazil.
Universidade Federal de Minas Gerais · BRFundação de Amparo à Pesquisa do Estado de Minas Gerais · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisJorge and Wexner devised a questionnaire for anal incontinence (AI), known as the Wexner scale (WS). Specific validated questionnaires are essential for the assessment of symptom severity. The objective was to accomplish the cultural adaptation and validation of the Portuguese version of the WS.

methodsThe WS was validated according to the international criteria. A Brazilian version was tested, including the item "I do not understand" at the end of each question. If this answer was reported at a rate higher than 15 %, the item would be considered difficult to understand and would thus be modified. The final version of the WS and the Fecal Incontinence Quality of Life (FIQL) were completed by 50 women. Convergent validity was assessed by comparing the data from the first interview of the WS with the FIQL using Spearman's test. Reproducibility was assessed by means of a 2-week test-retest procedure using Cronbach's alpha coefficient.

resultsIn the initial version of the questionnaire, we did not obtain a response of "I do not understand" at a rate greater than 15 % and this version was considered definitive. A significant negative relationship (r = -0.63) was found between the FIQL total score and the WS. The answers obtained on the "test-re-est" questionnaires showed a significant correlation according to the intraclass correlation coefficient (ICC). A high level of internal consistency was found, as demonstrated by a Cronbach's alpha of 0.932.

conclusionThe Brazilian Portuguese version of the WS is a reliable, consistent, and valid instrument.

Indexed as

AgedBrazilCross-Sectional StudiesFecal IncontinenceFemaleHumansMiddle AgedPsychometricsSurveys and QuestionnairesFecal incontinenceQuality of lifeValidationWexner scale

Identifiers

PMID26740200
OpenAlexW2229102084

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.