标准化对克罗恩氏病内镜的评分公约:国际RAND/UCLA适当性研究
Reena Khanna1, Christopher Ma2, Malcolm Hogan3
1Department of Medicine, Division of Gastroenterology, University of Western Ontario, London, Ontario, Canada.
这项研究为克罗恩氏病 (CD) 活动建立了一致的内镜评分规则,建议包括所有并定义狭窄症标准,以更好地评估治疗反应.
科学领域:
- 胃肠病学 胃肠病学
- 临床内镜检查 临床内镜检查
- 炎症性肠道疾病研究研究
背景情况:
- 内镜评估对于评估克罗恩病 (CD) 治疗反应至关重要.
- 需要标准化的内镜评分规则来一致评估疾病活动.
研究的目的:
- 定义适当的项目来评估CD中的内镜活动.
- 在CD中建立一致的内镜评分规则的公约.
主要方法:
- 一个二轮修改的兰德/UCLA适当性方法研究.
- 一个由15位胃肠病学家组成的小组在9个点的利克特级别上对这些陈述进行了评价.
- 达成共识是基于中间面板评级和分歧的共识.
主要成果:
- 所有的 (,,门) 都应该对CD内镜评分有所贡献.
- 内镜治疗的定义是没有;狭窄的标准得到了澄清.
- 痕和炎症性息肉不适合对受影响区域进行评分;的深度仍然不确定.
结论:
- 概述了CD的简单内镜评分和克罗恩病内镜严重性指数的评分惯例.
- 现有的分数有局限性,需要进一步研究.
- 开发和验证一个更具代表性的CD内镜指数是优先事项.
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