Endoscopic scoring system utilization for inflammatory bowel disease activity assessment: A multicenter real-world study from Argentina.

Autor:	Lasa J; Gastroenterology Department, CEMIC, Buenos Aires, Argentina. Electronic address: jlasa@hbritanico.com.ar., Smolarczuk A; Gastroenterology Department, Hospital Alemán, Buenos Aires, Argentina., Navar S; Gastroenterology Department, Hospital Alemán, Buenos Aires, Argentina., Ponce C; Gastroenterology Department, Hospital Alemán, Buenos Aires, Argentina., Galvarini M; Gastroenterology Department, Hospital Alemán, Buenos Aires, Argentina., Orellana D; Gastroenterology Department, Hospital Alemán, Buenos Aires, Argentina., Caruso E; Gastroenterology Department, Hospital Alemán, Buenos Aires, Argentina., Espinosa F; Gastroenterology Department, Hospital Alemán, Buenos Aires, Argentina., Meligrana N; Gastroenterology Department, Hospital Universitario Austral, Pilar, Argentina., Rainero G; Gastroenterology Department, Hospital Universitario Austral, Pilar, Argentina., Correa G; Gastroenterology Department, HIGA San Martín, La Plata, Argentina., Yantorno M; Gastroenterology Department, HIGA San Martín, La Plata, Argentina., Garbi M; Gastroenterology Department, HIGA San Martín, La Plata, Argentina., Giraudo F; Gastroenterology Department, HIGA San Martín, La Plata, Argentina., Martínez S; Gastroenterology Department, CEMIC, Buenos Aires, Argentina., García L; Gastroenterology Department, Hospital General de Agudos Carlos Durand, Buenos Aires, Argentina., Marceno F; Gastroenterology Department, Hospital General de Agudos Carlos Durand, Buenos Aires, Argentina., Marturano V; Gastroenterology Department, Hospital General de Agudos Carlos Durand, Buenos Aires, Argentina., Reyes K; Gastroenterology Department, Hospital Universitario Fundación Favaloro, Buenos Aires, Argentina., Steinberg L; Gastroenterology Department, Hospital General de Agudos Carlos Durand, Buenos Aires, Argentina; Gastroenterology Department, Hospital Universitario Fundación Favaloro, Buenos Aires, Argentina., Pereyra L; Gastroenterology Department, Hospital Alemán, Buenos Aires, Argentina., Olivera P; Gastroenterology Department, CEMIC, Buenos Aires, Argentina; Zane Cohen Centre for Digestive Diseases-Lunenfeld-Tanenbaum Research Institute-Sinai Health System-Gastroenterology, Toronto, Canada.
Jazyk:	English; Spanish; Castilian
Zdroj:	Gastroenterologia y hepatologia [Gastroenterol Hepatol] 2024 Mar; Vol. 47 (3), pp. 253-261. Date of Electronic Publication: 2023 Jun 15.
DOI:	10.1016/j.gastrohep.2023.06.002
Abstrakt:	Background: The frequency and patterns of use of scores for the assessment of endoscopic activity in inflammatory bowel disease patients are not known. Aim: To describe the prevalence of adequate use of endoscopic scores in IBD patients who underwent colonoscopy in a real-life setting. Materials and Methods: A multicenter observational study comprising six community hospitals in Argentina was undertaken. Patients with a diagnosis of Crohn's disease or ulcerative colitis who underwent colonoscopy for endoscopic activity assessment between 2018 and 2022 were included. Colonoscopy reports of included subjects were manually reviewed to determine the proportion of colonoscopies that included an endoscopic score report. We determined the proportion of colonoscopy reports that included all of the IBD colonoscopy report quality elements proposed by BRIDGe group. Endoscopist's specialty, years of experience as well as expertise in IBD were assessed. Results: A total of 1556 patients were included for analysis (31.94% patients with Crohn's disease). Mean age was 45.94±15.46. Endoscopic score reporting was found in 58.41% of colonoscopies. Most frequently used scores were Mayo endoscopic score (90.56%) and SES-CD (56.03%) for ulcerative colitis and Crohn's disease, respectively. In addition, 79.11% of endoscopic reports failed to comply with all recommendations on endoscopic reporting for inflammatory bowel disease. Conclusions: A significant proportion of endoscopic reports of inflammatory bowel disease patients do not include the description of an endoscopic score to assess mucosal inflammatory activity in a real-world setting. This is also associated with a lack of compliance in recommended criteria for proper endoscopic reporting. (Copyright © 2023 Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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