Test of the child/adolescent Rome III criteria

Agreement with physician diagnosis and daily symptoms

M. A.L. Van Tilburg, M. Squires, N. Blois-Martin, Alycia Leiby, A. Langseder

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

Background Establishment of the Rome criteria advanced diagnosis of children with Functional Gastrointestinal Disorders. The criteria were overhauled in 2006, but these revisions were never systematically tested. The aim of the current study was to assess psychometric properties of the childhood Rome III criteria and determine how well they agree with physician diagnoses and daily symptoms. Methods A total of N=135 families from two pediatric gastroenterology clinics completed the Questionnaire on Pediatric Gastrointestinal Symptoms (QPGS- RIII). Half of the families completed the QPGS-RIII again in 2weeks, the other half completed 2-week daily diaries. Children above the age of 10 also provided data (N=64). Physician diagnoses were obtained from the medical records. Key Results Diagnoses: The most common diagnoses per child/parent report were Irritable Bowel Syndrome (IBS; 43-47%) and Abdominal Migraine (26-36%). The most frequent physician diagnoses were Functional Constipation (FC; 53%) and Functional Abdominal Pain (FAP; 29%). Reliability: Moderate to substantial agreement was found between baseline and 2-week follow-up for most diagnoses (kappa=19-.78) and between parent and child reports (kappa=-.04-.64). Validity: There was low agreement between QPGS-RIII and physician diagnosis (kappa=-.02-.34) as well as diaries (kappa=06-30). Conclusions & Inferences The Rome criteria have reasonable test-retest reliability and seem to be inclusive, as the majority of children obtain a diagnosis. However, validity is still an issue: The Rome criteria do not overlap well with physician diagnosis or daily symptoms. These issues will need to be addressed in future revisions of the Rome criteria.

Original languageEnglish (US)
JournalNeurogastroenterology and Motility
Volume25
Issue number4
DOIs
StatePublished - Apr 1 2013
Externally publishedYes

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Physicians
Pediatrics
Irritable Bowel Syndrome
Gastrointestinal Diseases
Gastroenterology
Constipation
Migraine Disorders
Psychometrics
Reproducibility of Results
Abdominal Pain
Medical Records

All Science Journal Classification (ASJC) codes

  • Physiology
  • Endocrine and Autonomic Systems
  • Gastroenterology

Cite this

Van Tilburg, M. A.L. ; Squires, M. ; Blois-Martin, N. ; Leiby, Alycia ; Langseder, A. / Test of the child/adolescent Rome III criteria : Agreement with physician diagnosis and daily symptoms. In: Neurogastroenterology and Motility. 2013 ; Vol. 25, No. 4.
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abstract = "Background Establishment of the Rome criteria advanced diagnosis of children with Functional Gastrointestinal Disorders. The criteria were overhauled in 2006, but these revisions were never systematically tested. The aim of the current study was to assess psychometric properties of the childhood Rome III criteria and determine how well they agree with physician diagnoses and daily symptoms. Methods A total of N=135 families from two pediatric gastroenterology clinics completed the Questionnaire on Pediatric Gastrointestinal Symptoms (QPGS- RIII). Half of the families completed the QPGS-RIII again in 2weeks, the other half completed 2-week daily diaries. Children above the age of 10 also provided data (N=64). Physician diagnoses were obtained from the medical records. Key Results Diagnoses: The most common diagnoses per child/parent report were Irritable Bowel Syndrome (IBS; 43-47{\%}) and Abdominal Migraine (26-36{\%}). The most frequent physician diagnoses were Functional Constipation (FC; 53{\%}) and Functional Abdominal Pain (FAP; 29{\%}). Reliability: Moderate to substantial agreement was found between baseline and 2-week follow-up for most diagnoses (kappa=19-.78) and between parent and child reports (kappa=-.04-.64). Validity: There was low agreement between QPGS-RIII and physician diagnosis (kappa=-.02-.34) as well as diaries (kappa=06-30). Conclusions & Inferences The Rome criteria have reasonable test-retest reliability and seem to be inclusive, as the majority of children obtain a diagnosis. However, validity is still an issue: The Rome criteria do not overlap well with physician diagnosis or daily symptoms. These issues will need to be addressed in future revisions of the Rome criteria.",
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Test of the child/adolescent Rome III criteria : Agreement with physician diagnosis and daily symptoms. / Van Tilburg, M. A.L.; Squires, M.; Blois-Martin, N.; Leiby, Alycia; Langseder, A.

In: Neurogastroenterology and Motility, Vol. 25, No. 4, 01.04.2013.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Test of the child/adolescent Rome III criteria

T2 - Agreement with physician diagnosis and daily symptoms

AU - Van Tilburg, M. A.L.

AU - Squires, M.

AU - Blois-Martin, N.

AU - Leiby, Alycia

AU - Langseder, A.

PY - 2013/4/1

Y1 - 2013/4/1

N2 - Background Establishment of the Rome criteria advanced diagnosis of children with Functional Gastrointestinal Disorders. The criteria were overhauled in 2006, but these revisions were never systematically tested. The aim of the current study was to assess psychometric properties of the childhood Rome III criteria and determine how well they agree with physician diagnoses and daily symptoms. Methods A total of N=135 families from two pediatric gastroenterology clinics completed the Questionnaire on Pediatric Gastrointestinal Symptoms (QPGS- RIII). Half of the families completed the QPGS-RIII again in 2weeks, the other half completed 2-week daily diaries. Children above the age of 10 also provided data (N=64). Physician diagnoses were obtained from the medical records. Key Results Diagnoses: The most common diagnoses per child/parent report were Irritable Bowel Syndrome (IBS; 43-47%) and Abdominal Migraine (26-36%). The most frequent physician diagnoses were Functional Constipation (FC; 53%) and Functional Abdominal Pain (FAP; 29%). Reliability: Moderate to substantial agreement was found between baseline and 2-week follow-up for most diagnoses (kappa=19-.78) and between parent and child reports (kappa=-.04-.64). Validity: There was low agreement between QPGS-RIII and physician diagnosis (kappa=-.02-.34) as well as diaries (kappa=06-30). Conclusions & Inferences The Rome criteria have reasonable test-retest reliability and seem to be inclusive, as the majority of children obtain a diagnosis. However, validity is still an issue: The Rome criteria do not overlap well with physician diagnosis or daily symptoms. These issues will need to be addressed in future revisions of the Rome criteria.

AB - Background Establishment of the Rome criteria advanced diagnosis of children with Functional Gastrointestinal Disorders. The criteria were overhauled in 2006, but these revisions were never systematically tested. The aim of the current study was to assess psychometric properties of the childhood Rome III criteria and determine how well they agree with physician diagnoses and daily symptoms. Methods A total of N=135 families from two pediatric gastroenterology clinics completed the Questionnaire on Pediatric Gastrointestinal Symptoms (QPGS- RIII). Half of the families completed the QPGS-RIII again in 2weeks, the other half completed 2-week daily diaries. Children above the age of 10 also provided data (N=64). Physician diagnoses were obtained from the medical records. Key Results Diagnoses: The most common diagnoses per child/parent report were Irritable Bowel Syndrome (IBS; 43-47%) and Abdominal Migraine (26-36%). The most frequent physician diagnoses were Functional Constipation (FC; 53%) and Functional Abdominal Pain (FAP; 29%). Reliability: Moderate to substantial agreement was found between baseline and 2-week follow-up for most diagnoses (kappa=19-.78) and between parent and child reports (kappa=-.04-.64). Validity: There was low agreement between QPGS-RIII and physician diagnosis (kappa=-.02-.34) as well as diaries (kappa=06-30). Conclusions & Inferences The Rome criteria have reasonable test-retest reliability and seem to be inclusive, as the majority of children obtain a diagnosis. However, validity is still an issue: The Rome criteria do not overlap well with physician diagnosis or daily symptoms. These issues will need to be addressed in future revisions of the Rome criteria.

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DO - 10.1111/nmo.12056

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SN - 1350-1925

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