Diagnostic Performance of the Simple Clinical Colitis Activity Index Self-Administered Online at Home by Patients With Ulcerative Colitis: CRONICA-UC Study
Autor: | Julián Panés, Carlos Taxonera, Sabino Riestra, Xavier Calvet, Xavier Cortés, Ana Gutiérrez, Luisa Castro Laria, Jordi Guardiola, Berta Juliá, José María Huguet, Ramón Tena Fernández, Luis Cea-Calvo, Ignacio Marín-Jiménez, Eva Iglesias, Pilar Nos, Eugeni Domènech, Cristina Romero, Daniel Carpio, Beatriz Sicilia, Javier P. Gisbert, Óscar Nogales Rincón, Luis Bujanda |
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Rok vydání: | 2015 |
Předmět: |
Adult
Male medicine.medical_specialty Telemedicine Adolescent MEDLINE Severity of Illness Index 03 medical and health sciences Young Adult 0302 clinical medicine Internal medicine Surveys and Questionnaires Severity of illness Medicine Simple clinical colitis activity index Humans 030212 general & internal medicine Diagnosis Computer-Assisted Colitis Young adult Aged Internet Hepatology business.industry Gastroenterology Middle Aged medicine.disease Ulcerative colitis Physical therapy 030211 gastroenterology & hepatology Colitis Ulcerative Female business |
Zdroj: | The American journal of gastroenterology. 111(2) |
ISSN: | 1572-0241 |
Popis: | New e-health technologies can improve patient-physician communication and contribute to optimal patient care. We compared the diagnostic performance of the Simple Clinical Colitis Activity Index (SCCAI) self-administered by patients with ulcerative colitis (UC) at home (through a website) with the in-clinic gastroenterologist-assessed SCCAI.Patients were followed-up over 6 months. At months 3 and 6, patients completed the SCCAI online at home; within 48 h, gastroenterologists (blinded to patients' scores) completed the in-clinic SCCAI (reference). SCCAI scores were dichotomized to remission or active disease, and SCCAI changes in disease activity from month 3 to 6 were classed as worsening, stability, or improvement.A total of 199 patients (median age: 38 years; 56% female) contributed with 340 pairs of questionnaires. Correlation of SCCAI scores by patients and physicians was good (Spearman's ρ=0.79), with 85% agreement for remission or activity (95% CI: 80.8-88.6, κ=0.66). The negative predictive value for active disease was 94.5% (91.4-96.6); the positive predictive value was 68.0% (58.8-69.2). Agreement between patient and physician was higher in the 168 month 6 pairs than in the 172 month 3 pairs of questionnaires (89.3% (83.6-93.1) vs. 80.8% (74.2-86.0), P=0.027).In patients with UC, SCCAI self-administration via an online tool resulted in a high percentage of agreement with evaluation by gastroenterologists, with a remarkably high negative predictive value for disease activity. Remote monitoring of UC patients is possible and might reduce hospital visits. |
Databáze: | OpenAIRE |
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