Concordance of endoscopic grading and scoring systems for inflammatory bowel diseases
- VernacularTitle:炎症性肠病内镜分级和评分标准的一致性研究
- Author:
Jun SHEN
;
Zhihua RAN
;
Jinlu TONG
;
Xiang CHEN
;
Shudong XIAO
- Publication Type:Journal Article
- Keywords:
Colitis,ulcerative;
Crohn's disease;
Endoscopic;
Reference standards
- From:
Chinese Journal of Digestive Endoscopy
2008;25(5):239-244
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the agreement of different endoscopy grading or scoring systems for inflammatory bowel diseases(IBD)including ulcerative colitis(UC)and Crohn's disease(CD).Methods A standardized table was prepared based on the searches for endoscopic grading or scoring systems on Medline and Chinese Biomedical Database,the data of 80 patients with UC and 31 with CD.who underwent colonoscopy in Shanghai Renji hospital from June 2006 to February 2007,were evaluated with each system by two physicians independently.Data were analyzed with SPSS 13.0.Results Six endoscopic grading and scoring systems of UC and three of CD were included for evaluation.For the systems of UC and CD,Kendall's coefficients of concordance were 0.71(P<0.01)and 0.34(P<0.01),respectively.There was no significant differenee between every two systems for UC.Nonetheless.Spearman's correlation coefficient between Chinese Grading System of Crohn's Disease(CGSCD)and Crohn's Disease Endoscopic Index of Severity(CDEIS)was 0.32(P=0.08).Significant differences in frequencies were detected in endoscopic systems for UC by Kruskal Wallis test(P<0.01).Conclusion There is satisfactory concordance among the endoscopic grading and scoring systems of UC,while CGSCD needs further improvement.Furthermore,Jeroen elassifieation inclines to severe category,while modified Baron scale tends to be a mild one.
