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. 2019 Mar 1;41(3):191–198. doi: 10.1055/s-0039-1678592

Table 3. Population and validation details of the selected validation studies: Wexner Scale and Fecal Incontinence Quality of Life questionnaire.

Authors Target population Sample Age (mean)
Fonseca et al 8 Patients from the urogynecology outpatient clinic 20 patients with AI for the cultural translation and adaptation
50 patients with AI for the validation
57.5 years old
Yusuf et al 9 Patients with AI from the physiology of the colon, rectum, and anus outpatient clinic 40 patients with AI for the cultural adaptation; 50 patients with AI for the reproducibility and construct validity; 30 patients with constipation and 30 healthy patients for the discriminative validity
Total: 150 patients
52.8 years old
Authors Reliability Validity Limitation
Fonseca et al 8 Cronbachs α = 0.932 Convergent validity and discriminant validity The authors did not verify whether the order of application of the face-to-face interview/telephone interview affected the results.
Lack of evidence of sensitivity to change.
7.2% of the patients were illiterate (could be considered a bias in favor of successful results.)
Yusuf et al 9 Intraexaminer and interexaminer reproducibility ranged from 0.929 to 0.957 and from 0.944 to 0.969, respectively (ICC) Construct validity and discriminatory validity In 22% of the cases, there were no results of the AII corresponding to the quality of life index (10% with a slight impact on the quality of life despite high AI/12% with moderate or mild AI), with great repercussions on QoL).
26% of the population was composed by men.

Abbreviations: AI, anal incontinence; AII, anal incontinence index; ICC, intraclass correlation coefficient; QoL, quality of life.