Quality of Life Concepts

Secondary Health Conditions

St. Mark's Fecal Incontinence Grading System (FIGS)

Description: A measure of fecal incontinence based on the type and frequency of anal incontinence (gas, fluid, solid) and the impact on daily life, the need to wear a pad or plug, the use of constipation medication, and the presence of surgery [1].

Format: Not available.

Scoring: Scores range from 0 (complete continence) to 24 (complete incontinence) with higher scores indicating severe symptoms.

Administration and Burden: Not available.

Psychometrics for SCI: Not available.

Languages: English.

QoL Concept: The FIGS is a Health-Related QoL measure, which corresponds to Box C (achievements) on Dijker’s Model.

Permissions/Where to Obtain: Not available.

References:

  1. Vaizey C, Carapeti E, Cahill J, Kamm M. Prospective comparison of faecal incontinence grading systems. Gut 1999;44:77-80.

CLICK ON THE LISTED SECONDARY HEALTH CONDITIONS ON THE LEFT TO READ HOW THE FIGS HAS BEEN USED WITH A PARTICULAR CONDITION


Bowel Dysfunction SCI Studies: One prospective, randomized controlled multi-center trial

  1. Christensen P, Bazzocchi G, Coggrave M, Abel R, Hultling C, Krogh K et al. A randomized, controlled trial of transanal irrigation versus conservative bowel management in spinal cord-injured patients. Gastroenterology 2006;131:738-47.

Sensitivity to Impact: Christensen et al. (2006) compared outcomes of transanal irrigation with conservative bowel management in patients with spinal cord injury (SCI; N = 87). Measures included the Neurogenic Bowel Dysfunction (NBD) score, St. Mark's Fecal Incontinence Grading System (FIGS), the Cleveland Clinic Constipation Scoring System (CCSS), and the Modified American Society of Colorectal Surgeons (ASCRS) Fecal Incontinence Score. Results showed that compared with conservative bowel management, transanal irrigation improves constipation, fecal incontinence, and symptom-related QoL. Persons receiving transanal irrigation received higher scores on the FIGS post-intervention compared to persons who received conservative bowel treatment.

Suggestions for Use: The FIGS has only been validated in non-SCI clinical samples, and therefore more research is needed to establish its psychometric properties and clinical utility in persons with SCI.

0 READER COMMENTS  [post comment]