Diagnosing functional abdominal pain with the Rome II criteria: parent, child, and clinician agreement.

摘要: Objectives: To compare the Rome II diagnoses made in children with recurrent abdominal pain by physicians and parent child responses on Questionnaire Pediatric Gastrointestinal Symptoms. Rates of diagnostic agreement reasons for disagreement were examined to determine whether changes criteria are needed improve classification. Methods: One hundred forty-eight their parents or guardians completed Symptoms during first visit a pediatric gastroenterology clinic. Parent- child-report based scoring criteria, whereas physician's diagnosis was clinical impression from history physical examination at this visit. Statistical comparisons involved Pearson χ2 tests Fisher exact tests. Kappa weighted kappa measured rates. Results: Most met functional gastrointestinal disorder criteria. Functional dyspepsia most common all three sources. The percentage classified as “no diagnosis” small often function symptom duration (especially when rested self-report). Diagnostic fair moderate. Diagnoses questionnaires agreed more than irritable bowel syndrome. likely result defecation symptoms. Conclusions: classification system shows promise improving diagnosis, study treatment pain. However, further refinement clarification frequency may be agreement.