New objective scoring system to clinically assess fecal incontinence

Table 5 Four dimensions, 3 levels [modified EQ-5D+ (EuroQol)] description system utilized in the study and assignment of disability score for each fecal incontinence

Dimension	Dimension description	Perception of severity level
Usual routine activity	Performance of usual role activities such as working at a job, housework, child care, volunteer work, etc. Need to wear a pad, take a constipating medicine	Minimal problems with performing usual activities (0–5)
		Some problems with performing usual activities and moderate alteration in lifestyle (6–15)
		Unable to perform usual activities and severe alteration in lifestyle (16–25)
Anxiety/depression	Negative psychological states include anxiety, depression, behavioral, emotional control, loneliness, etc.	Minimal anxiety or depression (0–5)
		Moderate anxiety or depression (social isolation and loss of appetite) (6–15)
		Extremely anxious or depressed (suicidal ideation) (16–25)
Self-esteem	Perception about self	Minimal loss of self-esteem (0–5)
		Some loss of self-esteem (6–15)
		Marked loss of self-esteem (16–25)
Social life	How frequently the person goes out for socializing, like going to the cinema to watch a movie, going to a party, going out of the station for vacation	Minimal impact on social life (0–5)
		Some loss of social life (6–15)
		Marked curtailment of social life (16–25)

For example, an interviewee assessing liquid fecal incontinence assigns 18 points to Usual routine activity (out of 25), 20 points to anxiety/depression (out of 25), 15 points to self-esteem (out of 25), and 22 points to social life dimension (out of 25), then the total disability score assigned to liquid FI would be 75 (out of 100).