Comparison of endoscopy and mobile health index for ulcerative colitis

Le résumé fourni par la source

BACKGROUND AND AIMS: At Haukeland University Hospital, the Mobile Health Index for Ulcerative Colitis (MHI-UC), a patient-reported outcome measure (PROM), is used in the outpatient clinic to detect disease activity in patients. The primary objective of the study was to compare the MHI-UC with the endoscopic Mayo score (e-MAYO) in a Norwegian cohort, and to investigate the impact on treatment decisions and response. MATERIALS AND METHODS: The study is single-center and retrospective. Patients were identified by searching patient journals and screened for participation. Patients who had answered the MHI-UC within ±4 weeks of endoscopy, with no change in treatment, were eligible. Clinical intervention involved treatment changes or referrals to endoscopy or cross-sectional imaging. For those with multiple endoscopies, data from all were collected. Response was defined as a change in e-MAYO score of 1 or more. RESULTS: = 0.001) or with a change in e-MAYO (3.9 ± 2.7 points vs 0.7 ± 2.8 points) had a significantly higher MHI-UC compared to those without need for intervention. CONCLUSIONS: The MHI-UC corresponds well with the endoscopic evaluation in patients with UC. The MHI-UC can be used to detect moderate to severe disease activity in UC with high accuracy and to detect changes in endoscopic activity.

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