Ewha Med J.  2011 Sep;34(2):39-46. 10.12771/emj.2011.34.2.39.

Reliability and Validity of Korean Bowel Disease Questionnaire for Functional Gastrointestinal Disorders

Affiliations
  • 1Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea.
  • 2Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea. junghk@ewha.ac.kr

Abstract


OBJECTIVES
The Korean version of Bowel disease questionnaire (BDQ-K) was developed to evaluate the symptom items required to meet the definition of functional gastrointestinal disorders (FGIDs). We evaluated the test-retest reliability and validity of the self-reported BDQ-K and prevalence of functional dyspepsia (FD) and irritable bowel syndrome (IBS) according to the Rome-III criteria.
METHODS
Sixty-nine patients participated in the test-retest reliability study, with a two week interval, and another 74 patients were enrolled to assess the self-reported questionnaire versus a doctor's interview (concurrent validity). A total of 3,325 subjects (mean age, 44+/-9 yrs; 58.3% male) presenting for an upper endoscopy responded to the BDQ-K at a health promotion center, but 797 subjects with organic diseases were excluded.
RESULTS
In the validity study of the BDQ-K, the median kappa value was 0.74 (0.36~1.0). The median kappa value for the test-retest was 0.56 (range 0.22~1.0), including abdominal pain (kappa=0.51, P<0.001), pain onset before 6 months (kappa=0.51, P<0.001), epigastric pain (kappa=0.69, P<0.001), early satiety (kappa=0.40, P<0.001), and postprandial fullness (kappa=0.34, P<0.001). The prevalence of FD was 8.3% (209/2,528); epigastric pain more than once a week 4.4%, early satiety 2.5%, and postprandial fullness 6.1%. FD was more prevalent in women (P=0.001). The prevalence of IBS was 6.1% and IBS also predominated in women (7.1% vs 5.1% in men, P=0.032).
CONCLUSION
The BDQ-K is a reliable and valid instrument for identifying FGIDs. The prevalence of FD according to the Rome III criteria was 8.3% and that of IBS was 6.1%.

Keyword

Dyspepsia; Irritable bowel syndrome; Prevalence; Questionnaire

MeSH Terms

Abdominal Pain
Dyspepsia
Endoscopy
Female
Gastrointestinal Diseases
Health Promotion
Humans
Irritable Bowel Syndrome
Male
Prevalence
Reproducibility of Results
Rome
Surveys and Questionnaires

Figure

  • Fig. 1 Patient enrollment of functional gastrointestinal disorders.

  • Fig. 2 The prevalence of functional dyspepsia and subtypes.

  • Fig. 3 The proportions of lower-abdominal symptoms.

  • Fig. 4 The proportions of irritable bowel syndrome subtypes. IBS-C, constipation-predominant IBS; IBS-D, diarrhea-predominant IBS; IBS-M, mixed pattern of IBS; IBS-U, unclassified pattern of IBS.


Reference

1. Locke GR III. The epidemiology of functional gastrointestinal disorders in North America. Gastroenterol Clin North Am. 1996. 25:1–19.
Article
2. Thompson WG, Heaton KW. Functional bowel disorders in apparently healthy people. Gastroenterology. 1980. 79:283–288.
Article
3. Manning AP, Thomson WG, Heaton KW, Morris AF. Towards positive diagnosis of the irritable bowel. Br Med J. 1978. 2:653–654.
Article
4. Talley NJ, McNeil D, Piper DW. Discriminant value of dyspeptic symptoms: a study of the clinical presentation of 221 patients with dyspepsia of unknown cause, peptic ulceration, and cholelithiasis. Gut. 1987. 28:40–46.
Article
5. Tack J, Talley NJ, Calmilleri M, Holtmann G, Hu P, Malagelda JR, et al. Functional gastroduodenal disorders. Gastroenterology. 2006. 130:1466–1479.
Article
6. Drossman DA. The functional gastrointestinal disorders and the Rome III process. Gastroenterology. 2006. 130:1377–1390.
Article
7. Talley NJ, Phillips SF, Melton J 3rd, Wiltgen C, Zinsmeister AR. A patient questionnaire to identify bowel disease. Ann Intern Med. 1989. 111:671–674.
Article
8. Talley NJ, Phillips SF, Wiltgen CM, Zinsmeister AR, Melton LJ 3rd. Assessment of functional gastrointestinal disease: the bowel disease questionnaire. Mayo Clin Proc. 1990. 65:1456–1479.
Article
9. Fleiss JL. Statistical methods for rates and proportions. 1981. 2nd ed. New York: John Wiley and Sons.
10. Kim ES, Lee BJ, Kim YS, Lee SI, Park HJ. Validation to ROME III criteria in the diagnosis of functional gastrointestinal disorders in Korean patients. Korean J Neurogastroenterol Motil. 2008. 14:39–44.
11. Lee EH, Hahm KB, Lee JH, Park JJ, Lee DH, Kim SK, et al. Development and validation of a functional dyspepsia-related quality of life (FD-QOL) scale in South Korea. J Gastroenterol Hepatol. 2006. 21:268–274.
Article
12. Cho YS, Choi MG, Jeong JJ, Chung WC, Lee IS, Kim SW, et al. Prevalence and clinical spectrum of gastroesophageal reflux: a population-based study in Asan-si, Korea. Am J Gastroenterol. 2005. 100:747–753.
Article
13. Locke GR, Talley NJ, Weaver AL, Zinsmeister AR. A new questionnaire for gastroesophageal reflux disease. Mayo Clin Proc. 1994. 69:539–547.
Article
14. Talley NJ, Stanghellini V, Heading RC, Koch KL, Malagelada JR, Tytgat G. Functional gastroduodenal disorders. Gut. 1999. 45:II37–II42.
Article
15. Yang SY, Lee OY, Bak YT, Jun DW, Lee SP, Lee SH, et al. Prevalence of gastroesophageal reflux disease symptoms and uninvestigated dyspepsia in Korea: a population-based study. Dig Dis Sci. 2008. 53:188–193.
Article
16. Lee SY, Lee KJ, Kim SJ, Cho SW. Prevalence and risk factors for overlaps between gastroesophageal reflux disease, dyspepsia, and irritable bowel syndrome: a population-based study. Digestion. 2009. 79:196–201.
Article
17. Hwang SY, Choi CH, Rhie SY, Do MY, Lee SH, Kim HJ, et al. The frequency and related factors of irritable bowel syndrome in health check up subjects. Korean J Neurogastroenterol Motil. 2006. 12:136–143.
18. Han SH, Lee OY, Bae SC, Lee SH, Chang YK, Yang SY, et al. Prevalence of irritable bowel syndrome in Korea: population-based survey using the Rome II criteria. J Gastroenterol Hepatol. 2006. 21:1687–1692.
Article
19. Thompson WG, Longstreth GF, Drossman DA, Heaton KW, Irvine EJ, Muller-Lissner SA. Functional bowel disorders and functional abdominal pain. Gut. 1999. 45:II43–II47.
Article
20. Park JM, Choi MG, Oh JH, Cho YK, Lee IS, Kim SW, et al. Cross-cultural validation of irritable bowel syndrome quality of life in Korea. Dig Dis Sci. 2006. 51:1478–1484.
Article
21. Kwan AC, Bao TN, Chakkaphak S, Ke MY, Law NM, Leelakusolvong S, et al. Validation of Rome II criteria for functional gastrointestinal disorders by factor analysis of symptoms in Asian patient sample. J Gastroenterol Hepatol. 2003. 18:796–802.
Article
22. Rhie SU, Choi CH, Lee HW, Do MY, Lee SH, Han SP, et al. The frequency of functional dyspepsia and its related factors for health check up subjects. Korean J Neurogastroenterol Motil. 2007. 13:31–37.
23. Park KS, Ahn SH, Hwang JS, Cho KB, Chung WJ, Jang BK, et al. A survey about irritable bowel syndrome in south Korea: prevalence and observable organic abnormalities in IBS patients. Dig Dis Sci. 2008. 53:704–711.
Full Text Links
  • EMJ
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr