Functional gastrointestinal disorders in children: agreement between Rome III and Rome IV diagnoses
To evaluate the agreement between the Rome III and Rome IV criteria in diagnosing pediatric functional gastrointestinal disorders (FGIDs), we conducted a prospective cohort study in a public school in Cali, Colombia. Children and adolescents between 11 and 18 years of age were given the Spanish vers...
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| Veröffentlicht in: | European journal of pediatrics 2021-07, Vol.180 (7), p.2297-2303 |
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| creator | Baaleman, Desiree F. Velasco-Benítez, Carlos A. Méndez-Guzmán, Laura M. Benninga, Marc A. Saps, Miguel |
| description | To evaluate the agreement between the Rome III and Rome IV criteria in diagnosing pediatric functional gastrointestinal disorders (FGIDs), we conducted a prospective cohort study in a public school in Cali, Colombia. Children and adolescents between 11 and 18 years of age were given the Spanish version of the Questionnaire on Pediatric Functional Gastrointestinal Disorders Rome III version on day 0 and Rome IV version on day 2 (48 h later). The study protocol was completed by 135 children. Thirty-nine (28.9%) children were excluded because of not following the instructions of the questionnaire. The final analysis included data of 96 children (mean 15.2 years old, SD ± 1.7, 54% girls). Less children fulfilled the criteria for an FGID according to Rome IV compared to Rome III (40.6% vs 29.2%,
p
=0.063) resulting in a minimal agreement between the two criteria in diagnosing an FGID (kappa 0.34, agreement of 70%). The prevalence of functional constipation according to Rome IV was significantly lower compared to Rome III (13.5% vs 31.3%,
p |
| doi_str_mv | 10.1007/s00431-021-04013-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8195790</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2502803069</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-6f50e4d716d7da5338c42101e5fcf61cdfffd7d013005e378ea1642c4b4bf1e53</originalsourceid><addsrcrecordid>eNp9kUtv1DAUha2qiE5b_kAXKBIbNoHrR-Kki0qoamGkSkiIsrU89nXqKrGLnYD493iYoTwWXViWfb9zfH0PIWcU3lAA-TYDCE5rYGUJoLxmB2RFBWc1BdkekhVwAXVL-_6IHOd8D0XU0-45OeJccs66fkXM9RLM7GPQYzXoPKfow4x59tsL63NMFlOufKjMnR9twnBe6SEhThjmaoPzd8RQfYoTVuv1utLB7g9filoPIWbMp-SZ02PGF_v9hNxeX32-_FDffHy_vnx3UxshxVy3rgEUVtLWSqsbzjsjGAWKjTOupcY650qlfBSgQS471LQVzIiN2LhC8RNysfN9WDYTWlM6THpUD8lPOv1QUXv1byX4OzXEb6qjfSN7KAav9wYpfl3KFNTks8Fx1AHjkhVrgHXAoe0L-uo_9D4uqQxtS4ky6UZ2rFBsR5kUc07oHpuhoLYZql2GqmSofmWotqKXf3_jUfI7tALwHZBLKQyY_rz9hO1PkbWoVQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2540005782</pqid></control><display><type>article</type><title>Functional gastrointestinal disorders in children: agreement between Rome III and Rome IV diagnoses</title><source>Springer Nature - Complete Springer Journals</source><creator>Baaleman, Desiree F. ; Velasco-Benítez, Carlos A. ; Méndez-Guzmán, Laura M. ; Benninga, Marc A. ; Saps, Miguel</creator><creatorcontrib>Baaleman, Desiree F. ; Velasco-Benítez, Carlos A. ; Méndez-Guzmán, Laura M. ; Benninga, Marc A. ; Saps, Miguel</creatorcontrib><description>To evaluate the agreement between the Rome III and Rome IV criteria in diagnosing pediatric functional gastrointestinal disorders (FGIDs), we conducted a prospective cohort study in a public school in Cali, Colombia. Children and adolescents between 11 and 18 years of age were given the Spanish version of the Questionnaire on Pediatric Functional Gastrointestinal Disorders Rome III version on day 0 and Rome IV version on day 2 (48 h later). The study protocol was completed by 135 children. Thirty-nine (28.9%) children were excluded because of not following the instructions of the questionnaire. The final analysis included data of 96 children (mean 15.2 years old, SD ± 1.7, 54% girls). Less children fulfilled the criteria for an FGID according to Rome IV compared to Rome III (40.6% vs 29.2%,
p
=0.063) resulting in a minimal agreement between the two criteria in diagnosing an FGID (kappa 0.34, agreement of 70%). The prevalence of functional constipation according to Rome IV was significantly lower compared to Rome III (13.5% vs 31.3%,
p
<0.001), whereas functional dyspepsia had a higher prevalence according to Rome IV than Rome III (11.5% vs 0%).
Conclusion
: We found an overall minimal agreement in diagnosing FGIDs according to Rome III and Rome IV criteria. This may be partly explained by the differences in diagnostic criteria. However, limitations with the use of questionnaires to measure prevalence have to be taken into account.
What is Known:
•
The Rome IV criteria replaced the previous Rome III criteria providing updated criteria to diagnose functional gastrointestinal disorders (FGIDs).
•
Differences found between Rome IV and historic Rome III FGID prevalence may have been affected by changes in prevalence over time or differences in sample characteristics.
What is New:
•
We found a minimal agreement between Rome III and Rome IV FGID diagnosis, especially in the diagnoses of functional constipation, irritable bowel syndrome, and functional dyspepsia.
•
The minimal agreement may be partly explained by changes in diagnostic criteria, but limitations with the use of questionnaires to measure prevalence have to be taken into account.</description><identifier>ISSN: 0340-6199</identifier><identifier>EISSN: 1432-1076</identifier><identifier>DOI: 10.1007/s00431-021-04013-2</identifier><identifier>PMID: 33733289</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Agreements ; Children ; Constipation ; Dyspepsia ; Gastrointestinal diseases ; Irritable bowel syndrome ; Medical diagnosis ; Medicine ; Medicine & Public Health ; Original ; Original Article ; Pediatrics ; Questionnaires</subject><ispartof>European journal of pediatrics, 2021-07, Vol.180 (7), p.2297-2303</ispartof><rights>The Author(s) 2021</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-6f50e4d716d7da5338c42101e5fcf61cdfffd7d013005e378ea1642c4b4bf1e53</citedby><cites>FETCH-LOGICAL-c474t-6f50e4d716d7da5338c42101e5fcf61cdfffd7d013005e378ea1642c4b4bf1e53</cites><orcidid>0000-0002-0163-9354</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00431-021-04013-2$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00431-021-04013-2$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33733289$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baaleman, Desiree F.</creatorcontrib><creatorcontrib>Velasco-Benítez, Carlos A.</creatorcontrib><creatorcontrib>Méndez-Guzmán, Laura M.</creatorcontrib><creatorcontrib>Benninga, Marc A.</creatorcontrib><creatorcontrib>Saps, Miguel</creatorcontrib><title>Functional gastrointestinal disorders in children: agreement between Rome III and Rome IV diagnoses</title><title>European journal of pediatrics</title><addtitle>Eur J Pediatr</addtitle><addtitle>Eur J Pediatr</addtitle><description>To evaluate the agreement between the Rome III and Rome IV criteria in diagnosing pediatric functional gastrointestinal disorders (FGIDs), we conducted a prospective cohort study in a public school in Cali, Colombia. Children and adolescents between 11 and 18 years of age were given the Spanish version of the Questionnaire on Pediatric Functional Gastrointestinal Disorders Rome III version on day 0 and Rome IV version on day 2 (48 h later). The study protocol was completed by 135 children. Thirty-nine (28.9%) children were excluded because of not following the instructions of the questionnaire. The final analysis included data of 96 children (mean 15.2 years old, SD ± 1.7, 54% girls). Less children fulfilled the criteria for an FGID according to Rome IV compared to Rome III (40.6% vs 29.2%,
p
=0.063) resulting in a minimal agreement between the two criteria in diagnosing an FGID (kappa 0.34, agreement of 70%). The prevalence of functional constipation according to Rome IV was significantly lower compared to Rome III (13.5% vs 31.3%,
p
<0.001), whereas functional dyspepsia had a higher prevalence according to Rome IV than Rome III (11.5% vs 0%).
Conclusion
: We found an overall minimal agreement in diagnosing FGIDs according to Rome III and Rome IV criteria. This may be partly explained by the differences in diagnostic criteria. However, limitations with the use of questionnaires to measure prevalence have to be taken into account.
What is Known:
•
The Rome IV criteria replaced the previous Rome III criteria providing updated criteria to diagnose functional gastrointestinal disorders (FGIDs).
•
Differences found between Rome IV and historic Rome III FGID prevalence may have been affected by changes in prevalence over time or differences in sample characteristics.
What is New:
•
We found a minimal agreement between Rome III and Rome IV FGID diagnosis, especially in the diagnoses of functional constipation, irritable bowel syndrome, and functional dyspepsia.
•
The minimal agreement may be partly explained by changes in diagnostic criteria, but limitations with the use of questionnaires to measure prevalence have to be taken into account.</description><subject>Agreements</subject><subject>Children</subject><subject>Constipation</subject><subject>Dyspepsia</subject><subject>Gastrointestinal diseases</subject><subject>Irritable bowel syndrome</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original</subject><subject>Original Article</subject><subject>Pediatrics</subject><subject>Questionnaires</subject><issn>0340-6199</issn><issn>1432-1076</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kUtv1DAUha2qiE5b_kAXKBIbNoHrR-Kki0qoamGkSkiIsrU89nXqKrGLnYD493iYoTwWXViWfb9zfH0PIWcU3lAA-TYDCE5rYGUJoLxmB2RFBWc1BdkekhVwAXVL-_6IHOd8D0XU0-45OeJccs66fkXM9RLM7GPQYzXoPKfow4x59tsL63NMFlOufKjMnR9twnBe6SEhThjmaoPzd8RQfYoTVuv1utLB7g9filoPIWbMp-SZ02PGF_v9hNxeX32-_FDffHy_vnx3UxshxVy3rgEUVtLWSqsbzjsjGAWKjTOupcY650qlfBSgQS471LQVzIiN2LhC8RNysfN9WDYTWlM6THpUD8lPOv1QUXv1byX4OzXEb6qjfSN7KAav9wYpfl3KFNTks8Fx1AHjkhVrgHXAoe0L-uo_9D4uqQxtS4ky6UZ2rFBsR5kUc07oHpuhoLYZql2GqmSofmWotqKXf3_jUfI7tALwHZBLKQyY_rz9hO1PkbWoVQ</recordid><startdate>20210701</startdate><enddate>20210701</enddate><creator>Baaleman, Desiree F.</creator><creator>Velasco-Benítez, Carlos A.</creator><creator>Méndez-Guzmán, Laura M.</creator><creator>Benninga, Marc A.</creator><creator>Saps, Miguel</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0163-9354</orcidid></search><sort><creationdate>20210701</creationdate><title>Functional gastrointestinal disorders in children: agreement between Rome III and Rome IV diagnoses</title><author>Baaleman, Desiree F. ; Velasco-Benítez, Carlos A. ; Méndez-Guzmán, Laura M. ; Benninga, Marc A. ; Saps, Miguel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-6f50e4d716d7da5338c42101e5fcf61cdfffd7d013005e378ea1642c4b4bf1e53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Agreements</topic><topic>Children</topic><topic>Constipation</topic><topic>Dyspepsia</topic><topic>Gastrointestinal diseases</topic><topic>Irritable bowel syndrome</topic><topic>Medical diagnosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original</topic><topic>Original Article</topic><topic>Pediatrics</topic><topic>Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baaleman, Desiree F.</creatorcontrib><creatorcontrib>Velasco-Benítez, Carlos A.</creatorcontrib><creatorcontrib>Méndez-Guzmán, Laura M.</creatorcontrib><creatorcontrib>Benninga, Marc A.</creatorcontrib><creatorcontrib>Saps, Miguel</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baaleman, Desiree F.</au><au>Velasco-Benítez, Carlos A.</au><au>Méndez-Guzmán, Laura M.</au><au>Benninga, Marc A.</au><au>Saps, Miguel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Functional gastrointestinal disorders in children: agreement between Rome III and Rome IV diagnoses</atitle><jtitle>European journal of pediatrics</jtitle><stitle>Eur J Pediatr</stitle><addtitle>Eur J Pediatr</addtitle><date>2021-07-01</date><risdate>2021</risdate><volume>180</volume><issue>7</issue><spage>2297</spage><epage>2303</epage><pages>2297-2303</pages><issn>0340-6199</issn><eissn>1432-1076</eissn><abstract>To evaluate the agreement between the Rome III and Rome IV criteria in diagnosing pediatric functional gastrointestinal disorders (FGIDs), we conducted a prospective cohort study in a public school in Cali, Colombia. Children and adolescents between 11 and 18 years of age were given the Spanish version of the Questionnaire on Pediatric Functional Gastrointestinal Disorders Rome III version on day 0 and Rome IV version on day 2 (48 h later). The study protocol was completed by 135 children. Thirty-nine (28.9%) children were excluded because of not following the instructions of the questionnaire. The final analysis included data of 96 children (mean 15.2 years old, SD ± 1.7, 54% girls). Less children fulfilled the criteria for an FGID according to Rome IV compared to Rome III (40.6% vs 29.2%,
p
=0.063) resulting in a minimal agreement between the two criteria in diagnosing an FGID (kappa 0.34, agreement of 70%). The prevalence of functional constipation according to Rome IV was significantly lower compared to Rome III (13.5% vs 31.3%,
p
<0.001), whereas functional dyspepsia had a higher prevalence according to Rome IV than Rome III (11.5% vs 0%).
Conclusion
: We found an overall minimal agreement in diagnosing FGIDs according to Rome III and Rome IV criteria. This may be partly explained by the differences in diagnostic criteria. However, limitations with the use of questionnaires to measure prevalence have to be taken into account.
What is Known:
•
The Rome IV criteria replaced the previous Rome III criteria providing updated criteria to diagnose functional gastrointestinal disorders (FGIDs).
•
Differences found between Rome IV and historic Rome III FGID prevalence may have been affected by changes in prevalence over time or differences in sample characteristics.
What is New:
•
We found a minimal agreement between Rome III and Rome IV FGID diagnosis, especially in the diagnoses of functional constipation, irritable bowel syndrome, and functional dyspepsia.
•
The minimal agreement may be partly explained by changes in diagnostic criteria, but limitations with the use of questionnaires to measure prevalence have to be taken into account.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33733289</pmid><doi>10.1007/s00431-021-04013-2</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-0163-9354</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Springer Nature - Complete Springer Journals |
| subjects | Agreements Children Constipation Dyspepsia Gastrointestinal diseases Irritable bowel syndrome Medical diagnosis Medicine Medicine & Public Health Original Original Article Pediatrics Questionnaires |
| title | Functional gastrointestinal disorders in children: agreement between Rome III and Rome IV diagnoses |
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