用内镜评分系统进行炎症性肠病活动评估:来自阿根廷的多中心现实研究
Juan Lasa1, Astrid Smolarczuk2, Sofía Navar2
1Gastroenterology Department, CEMIC, Buenos Aires, Argentina.
炎症性肠病 (IBD) 的内镜评分在现实世界的结肠镜检查中未得到充分利用. 许多报告缺乏必要的得分,并且未能满足评估疾病活动的质量建议.
科学领域:
- 胃肠病学 胃肠病学
- 临床医学 临床医学
- 内镜检查是指内镜检查.
背景情况:
- 在炎症性肠病 (IBD) 中评估内镜活动对于患者管理至关重要.
- 在IBD患者护理中使用内镜评分的频率和模式没有得到充分的记录.
研究的目的:
- 为了确定充足的内镜分数在IBD患者接受结肠镜检查的患病率,在现实临床环境中使用.
- 评估是否符合IBD推的内镜报告标准.
主要方法:
- 一项多中心观测研究分析了阿根廷6家医院 (2018-2022) 的1556名IBD患者 (克罗恩病和性结肠炎) 的结肠镜报告.
- 手动审查评估了内镜分数的包含和遵守BRIDGe组质量元素.
- 还评估了内镜医生的专业,经验和IBD专业知识.
主要成果:
- 在58.41%的结肠镜检查中,内镜评分报告存在.
- 梅奥内镜评分和SES-CD分别在性结肠炎和克罗恩病中最常见.
- 显著的79.11%的报告不符合所有推的IBD内镜报告标准.
结论:
- 对于IBD患者的大量内镜报告缺乏评估粘膜炎症活动的得分.
- 这种利用不足与不充分遵守IBD护理中高质量的内镜报告的指导方针有关.
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