Evaluation of the Diagnostic Accuracy of Three Measures for Assessing Chronic Constipation Among Older Patients Attending a Geriatric Care Facility in Oyo State, Nigeria
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Resumo
Background: Chronic constipation is a symptom-based
disorder that negatively impacts the quality of life of older
people. Its definition is mainly subjective, resulting in wide
estimates. Few empirical reports exist on chronic
constipation among older Nigerians.
Aim: To determine the point prevalence and diagnostic
accuracy using self-report, Bristol Stool Form Scale (BSFS)
and Rome IV criteria for measuring chronic constipation
among older patients (60 years and above) at a geriatric
care facility in Nigeria.
Methods: A cross-sectional, hospital-based study was
carried out among 232 patients. An interviewer
administered, semi-structured questionnaire was to collect
data on chronic constipation, sociodemographic
characteristics, dietary and bowel habits. Data were
analysed using the Statistical Package for Social Sciences
(SPSS) version 27. Descriptive and inferential statistics
were done at p< 0.05.
Results: The mean age was 70.9±7.2 years, and 154 (66.4%)
were females. Point prevalence of chronic constipation
were self-report (22.0%), BSFS (13.4%) and Rome IV criteria
(6.9%). In comparison with Rome IV criteria (the standard),
the area under the curve (AUROC) for the self-report was
71.8% (95% CI:57.4-86.1%) with a sensitivity (62.5%) and
specificity (81.0%). For BSFS, the AUROC was 64.3% (95%
CI:48.0-80.6%) and sensitivity and specificity were 40.0%
and 88.7%, respectively. The agreement was weak between
self-report and Rome IV criteria (kappa: 0.22), BSFS and
Rome IV criteria (kappa: 0.20), and self-reported and BSFS
(kappa: 0.34).
Conclusions: Chronic constipation is common among
older men. The three diagnostic tools yielded different
prevalence with a weak agreement. Rome IV criteria are
advocated for the diagnosis of chronic constipation among
older Nigerians.
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Secção
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