Table 3.
Agreement Between the Rome III and Rome IV Questionnaires Regarding Defecation Frequency, Painful Defecation, Large-diameter Stools, Hard Stools, and Fecal Incontinence
| Rome criteria | Age group | ||
|---|---|---|---|
|
| |||
| < 4 yr (n = 81) | 4–17 yr (n = 133) | Total (N = 214) | |
| Defecation frequency ≤ 2/wk | |||
| Rome III−/Rome IV− | 79 (97.5) | 120 (90.2) | 199 (93) |
| Rome III−/Rome IV+ | 1 (1.2) | 0 (0.0) | 1 (0.5) |
| Rome III+/Rome IV− | 1 (1.2) | 3 (2.2) | 4 (1.9) |
| Rome III+/Rome IV+ | 0 (0.0) | 10 (7.5) | 10 (4.7) |
| Painful defecation | |||
| Rome III−/Rome IV− | 58 (71.6) | 88 (66.1) | 145 (68.1) |
| Rome III−/Rome IV+ | 4 (4.9) | 5 (3.8) | 9 (4.2) |
| Rome III+/Rome IV− | 2 (2.5) | 5 (3.8) | 7 (3.3) |
| Rome III+/Rome IV+ | 17 (21.0) | 35 (26.3) | 52 (24.4) |
| Large-diameter stools | |||
| Rome III−/Rome IV− | 77 (95.1) | 121(91) | 198 (92.5) |
| Rome III−/Rome IV+ | 0 (0.0) | 1 (0.7) | 1 (0.5) |
| Rome III+/Rome IV− | 0 (0.0) | 1 (0.7) | 1 (0.5) |
| Rome III+/Rome IV+ | 4 (4.5) | 10 (7.5) | 14 (6.5) |
| Hard stools | |||
| Rome III−/Rome IV− | 65 (80.2) | 94 (70.7) | 159 (74.3) |
| Rome III−/Rome IV+ | 7 (8.6) | 8 (6.0) | 15 (7.0) |
| Rome III+/Rome IV− | 1 (1.2) | 13 (9.8) | 14 (6.5) |
| Rome III+/Rome IV+ | 8 (9.9) | 18 (13.5) | 26 (12.1) |
| Fecal incontinence | |||
| Rome III−/Rome IV− | 13 (76.4) | 124 (93.2) | 137 (91.3) |
| Rome III−/Rome IV+ | 0 (0.0) | 1 (0.7) | 1 (0.6) |
| Rome III+/Rome IV− | 3 (17.6) | 3 (2.3) | 6 (4.0) |
| Rome III+/Rome IV+ | 1 (5.8) | 5 (3.8) | 6 (4.0) |
−, negative diagnosis; +, positive diagnosis.
Data are presented as n (%).