Protocol - Assessment of Functional Gastrointestinal Disorders (Child)
The Questionnaire on Pediatric Gastrointestinal Symptoms—Rome III Version (QPGS-RIII)* is an adaptation and abbreviation of the Questionnaire on Pediatric Gastrointestinal Symptoms (QPGS) (Walker, Caplan-Dover, & Rasquin-Weber, 2000; Walker et al., 2005) that was developed with the support of a grant from the Rome Foundation and that has undergone preliminary validation (Caplan, Walker, & Rasquin, 2005a, 2005b). The QPGS-RIII is an adaptation and abbreviation of the original QPGS. It was developed with input from the Rome III Child and Adolescent Committee and the Rome III Questionnaire Committee. Although the format and many items from the original QPGS have been retained, several new items have been included, and the scoring has been revised to reflect changes in symptom criteria based on Rome III. The questionnaire uses five-point scales to measure frequency, severity, and duration of symptoms. In addition, it may be scored to assess whether a patient meets the criteria for each of the individual functional gastrointestinal disorders (FGIDs). The questionnaire is followed by a coding system that identifies provisional diagnoses from the responses to the questions. The QPGS-RIII cannot substitute for the medical evaluation, and clinical judgment required for an accurate diagnosis. *Developed by Lynn S. Walker, Arlene Caplan, and Andree Rasquin.
Summary of the Questionnaire on Pediatric Gastrointestinal Symptoms—Rome III Version (QPGS-RIII)
This questionnaire asks parents about their childs digestive system (esophagus, stomach, small intestine, and colon) and problems associated with it. Questions are asked about pain and uncomfortable feelings above, below, and around the belly button area that they may have had in the last 2 months. There are also sections that ask about bowel movements and other symptoms.
Scoring information is available as part of the questionnaire. Items are labeled by section (e.g., A1 is item #1 in Section A of the QPGS-RIII). For each disorder, the patient must meet the criteria for all items indicated. Cut-points for symptom frequencies to meet diagnostic criteria are based on provisional recommendations by the Rome III Child and Adolescent Committee.
Personnel and Training RequiredNone
|Specialized requirements for biospecimen collection||No|
|Average time of greater than 15 minutes in an unaffected individual||No|
Mode of Administration
The Rome III Adult Questionnaire should be administered to parents of children aged 4-9 years old.
This questionnaire is based on the commonly used Rome III symptom-based diagnostic criteria for these disorders, which was developed by consensus from a group of experts in the field of functional gastrointestinal disorders (FGIDs).
|caDSR Common Data Elements (CDE)||Child Gastrointestinal Disorder Assessment Score||3163042||CDE Browser|
|Logical Observation Identifiers Names and Codes (LOINC)||Assess func GI disorders child proto||62953-5||LOINC|
|Human Phenotype Ontology||Abnormality of the gastrointestinal tract||HP:0011024||HPO|
Process and Review
Protocol Name from Source
Questionnaire on Pediatric Gastrointestinal Symptoms, Rome III Version (QPGS-RIII)
Questionnaire on Pediatric Gastrointestinal Symptoms, Rome III Version (QPGS-RIII). (Adapted from the Questionnaire on Pediatric Gastrointestinal Symptoms; Walker, Caplan-Dover, & Rasquin-Weber, 2000.)
The Rome III questionnaires are available to view online at: http://www.romecriteria.org/questionnaires/
For copyright policy and licensing fee schedules for translations and usage of the Rome III questionnaires, please contact Michele Pickard at: firstname.lastname@example.org
Caplan, A., Walker, L. S., & Rasquin, A. (2005). Development and preliminary validation of the Questionnaire on Pediatric Gastrointestinal Symptoms to assess functional gastrointestinal disorders in children and adolescents. Journal of Pediatric Gastroenterology Nutrition, 4, 296–304.
Caplan, A., Walker, L. S., & Rasquin, A. (2005). Validation of the Pediatric Rome II Criteria for functional gastrointestinal symptoms using the Questionnaire on Pediatric Gastrointestinal Symptoms. Journal of Pediatric Gastroenterology Nutrition, 41, 305–316.
Drossman, D. A. (2006). The functional gastrointestinal disorders and the Rome III process. Gastroenterology, 130, 1377–1390.
Drossman, D. A. (2006). Rome III: The Functional Gastrointestinal Disorders (3rd ed.). McLean, VA: Degnon Associates.
Walker, L. S., Caplan, A., & Rasquin, A. (2000). Manual for the Questionnaire on Pediatric Gastrointestinal Symptoms. Nashville, TN: Department of Pediatrics, Vanderbilt University Medical Center.
Walker, L. S., Lipani, T. A., Greene, J. W., Caines, K., Stutts, J., Polk, D. B., Caplan, A., & Rasquin-Weber, A. (2004). Recurrent abdominal pain: Subtypes based on the Rome II criteria for pediatric functional gastrointestinal disorders. Journal of Pediatric Gastroenterology Nutrition, 38, 187–191.
|Variable Name||Variable ID||Variable Description||dbGaP Mapping|
|PX190103000000||Protocol 190103 - proprietary. Check DCW for more||Variable Mapping|
Assessment of Functional Gastrointestinal Disorders
December 13, 2010
Questionnaire that asks about gastrointestinal symptoms to help identify the presence of functional gastrointestinal disorders (FGIDs) and their subtypes.
This measure is used to help determine the presence of functional gastrointestinal disorders (FGIDs), such as functional bowel disorders (e.g., irritable bowel syndrome, functional constipation, functional diarrhea, functional abdominal pain, and functional bloating), functional gastroduodenal disorders (e.g., functional dyspepsia, functional nausea, functional vomiting), functional esophageal disorders (e.g., functional heartburn, functional dysphagia), and others.
Gastrointestinal disorders, FGID, functional gastrointestinal disorder, RomeÂ III criteria, dysphagia, constipation, dyspepsia, heartburn, IBS, irritable bowel syndrome, reflux, vomiting, pain, stomach, intestines, esophagus, gallbladder, rectum, proprietary, Gastrointestinal
|Protocol ID||Protocol Name|
|190101||Assessment of Functional Gastrointestinal Disorders (Adult)|
|190102||Assessment of Functional Gastrointestinal Disorders (Adolescent)|
|190103||Assessment of Functional Gastrointestinal Disorders (Child)|
There are no publications listed for this protocol.