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Correlation of Patient-Reported Outcome (PRO-2) with Endoscopic and Histological Features in Ulcerative Colitis and Crohn's Disease Patients

METHODS: A cross-sectional study was conducted in consecutive newly diagnosed patients with inflammatory bowel disease in a tertiary care referral center. The initial evaluation included patient-reported outcome for stool frequency subscore and rectal bleeding. Endoscopic activity was determined usi...

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Detalles Bibliográficos
Autores principales: Dragasevic, Sanja, Sokic-Milutinovic, Aleksandra, Stojkovic Lalosevic, Milica, Milovanovic, Tamara, Djuranovic, Srdjan, Jovanovic, Ivan, Rajic, Sanja, Stojkovic, Mirjana, Milicic, Biljana, Kmezic, Stefan, Oluic, Branislav, Aleksic, Marko, Pavlovic Markovic, Aleksandra, Popovic, Dragan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7154964/
https://www.ncbi.nlm.nih.gov/pubmed/32328091
http://dx.doi.org/10.1155/2020/2065383
Descripción
Sumario:METHODS: A cross-sectional study was conducted in consecutive newly diagnosed patients with inflammatory bowel disease in a tertiary care referral center. The initial evaluation included patient-reported outcome for stool frequency subscore and rectal bleeding. Endoscopic activity was determined using the Mayo scoring system for ulcerative colitis and the Simple Endoscopic Score for Crohn's disease. Histopathological activity was assessed using a validated numeric scoring system. RESULTS: We included 159 patients (63 Crohn's disease with colonic involvement and 96 with ulcerative colitis). We found significant correlation between the Mayo endoscopic subscoring system and histology activity in ulcerative colitis, while no correlation was found in patients with Crohn's disease. Patient-reported outcome showed inverse correlation with endoscopic and histological activity in Crohn's disease (r(s) = −0.67; r(s) = −0.72), while positive correlation was found in ulcerative colitis (r(s) = 0.84; r(s) = 0.75). Interpretation and Conclusions. Patient-reported outcome is a practical and noninvasive tool for assessment of disease activity in ulcerative colitis patients but not in Crohn's disease.