Screening and diagnosis

Classification and risk stratification

Perioperative care

Quality improvement

Patient education

Nonpharmacologic interventions

Therapeutic procedures

Respiratory support

Follow-up and surveillance

Specific circumstances

Preventative measures

Medical management

Surgical interventions

Inpatient care

Diagnostic procedures

Diagnostic investigations

Insufficient evidence to make a recommendation.

Strongly favor this test or intervention.

The Wexner/Cleveland Clinic Fecal Incontinence Score (CCFIS) is a clinical calculator used in the assessment of patients suffering from fecal incontinence. This scoring system is designed to quantify the severity of fecal incontinence, which can be a debilitating condition affecting quality of life. The CCFIS takes into account factors such as frequency of incontinence to gas, liquid or solid stool, and the ability to engage in daily activities. The score ranges from 0 (complete continence) to 20 (complete incontinence). The higher the score, the more severe the incontinence. This calculator is particularly useful in monitoring the progress of treatment and in comparing the efficacy of different therapeutic interventions. There are no specific exclusion criteria for its use, but it is most applicable to patients who have fecal incontinence.

Wexner/Cleveland Clinic Fecal Incontinence Score (CCFIS)

# Criteria
 ## Incontinence to solid stool
A. Never (+0)
B. Rarely (< 1/month) (+1)
C. Sometimes (< 1/week, >= 1/month) (+2)
D. Usually (< 1/day, >= 1/week) (+3)
E. Always (>= 1/day) (+4)
## Incontinence to liquid stool
F. Never (+0)
G. Rarely (< 1/month) (+1)
H. Sometimes (< 1/week, >= 1/month) (+2)
I. Usually (< 1/day, >= 1/week) (+3)
J. Always (>= 1/day) (+4)
## Incontinence to gas
K. Never (+0)
L. Rarely (< 1/month) (+1)
M. Sometimes (< 1/week, >= 1/month) (+2)
N. Usually (< 1/day, >= 1/week) (+3)
O. Always (>= 1/day) (+4)
## Pads use
P. Never (+0)
Q. Rarely (< 1/month) (+1)
R. Sometimes (< 1/week, >= 1/month) (+2)
S. Usually (< 1/day, >= 1/week) (+3)
T. Always (>= 1/day) (+4)
## Impact on lifestyle
U. Never (+0)
V. Rarely (< 1/month) (+1)
W. Sometimes (< 1/week, >= 1/month) (+2)
X. Usually (< 1/day, >= 1/week) (+3)
Y. Always (>= 1/day) (+4)

# Conditions
- score == 0
- score <= 7
- score <= 14
- score <= 19
- score == 20