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To ensure that patients can precisely describe their own fecal pattern a diagram of stool type has been added to the text definitions for the seven stool types included in the scale (7). This scale was validated in healthy control subjects and in patients with gastrointestinal disorders as being correlated with complete gut transit time, and its efficacy has been demonstrated clinically and for research purposes (5,6). Heaton and Thompson (4) presented the most widely used seven-point scale, which was called the Bristol Scale Stool Form. However, it is very difficult to obtain an accurate description of stool appearance and consistency, and therefore some descriptive visual scales have been proposed (3). Also, it is well known that changes in stool consistency produced by diets or drugs have been used as a first medical approach for fecal incontinence or severe constipation (2). A patient's description of his or her own stools is important, as well as the description provided by attending physicians or nurses. Stool appearance and consistency represent an important semiologic part of the clinical approach to the patient with gastrointestinal disorders (1). There were no differences in the validation study between physicians, nurses, and patients.Ĭonclusions: this study has shown that the Spanish version of the Bristol Scale Stool Form is reliable for use as a tool to evaluate stool consistency and form. Thirty-two subjects repeated the test for a test-retest assessment in a mean interval of 7.76 days, and the percentage concordance between definition and image was 84.4% with a Kappa index of 0.816. Results: the overall Kappa index was 0.708. A random selection of samples was offered for re-test reliability. Subjects were invited to match a randomly selected text defining one of the seven stool types in the scale with one of seven drawings described originally. Methods: the study population included 79 physicians, 79 nurses, and 78 patients. Differences in validation results between health professionals and patients surveyed were also evaluated. The aim of this study was to translate and adapt the Bristol Scale Stool Form into Spanish. The Bristol Scale Stool Form is a clinical tool to evaluate stool consistency and form. Spainīackground: stool type represents an important semiologic part of medical interviews. Barcelona, Spain.ģCIBER de Epidemiología y Salud Pública (CIBERESP). Barcelona, Spain.ĢDepartment of Evaluation and Clinical Epidemiology. 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