Patient self-reported symptoms using visual analog scales are useful to estimate endoscopic activity in ulcerative colitis

Autor: T Ogashiwa, Mayu Murakami, Masafumi Nishio, Jun Kato, Reiko Kunisaki, Saya Tsuda, Takeichi Yoshida, Masayuki Kitano, Hideaki Kimura
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Intestinal Research, Vol 16, Iss 4, Pp 579-587 (2018)
Intestinal Research
ISSN: 2288-1956
1598-9100
Popis: Background/Aims: In clinical practice, colonoscopy has been regarded as the gold standard for the evaluation of disease se verity as well as mucosal healing in ulcerative colitis (UC). Some activity indices incorporating patient symptoms as parameters have been shown to reflect the endoscopic activity of UC. The aim of this study was to examine whether self-reported symp toms with visual analog scales (VAS) can predict endoscopic activity. Methods: A cross-sectional study of 150 UC patients who underwent colonoscopy with submission of VAS scores of 4 symptoms: general condition, bloody stools, stool form, and abdominal pain (0: no symptoms, 10: the most severe symptoms). Each VAS score was compared with colonoscopic activity assessed with the Mayo endoscopic subscore (MES). Results: All VAS scores were significantly correlated with the endoscopic severity (Spearman correlation coefficients of general condition, bloody stools, stool form, and abdominal pain: 0.63, 0.64, 0.58, and 0.43, respectively). Mucosal healing defined as MES 0 alone was predicted by VAS score
Databáze: OpenAIRE