RT Journal Article
T1 Index of the Mayo Endoscopy and Ulcerative Colitis Endoscopy Index of Severity: are they equally valid?
A1 Belvis Jiménez, María
A1 Hergueta-Delgado, Pedro
A1 Gómez Rodríguez, Blas José
A1 Maldonado Pérez, Belén
A1 Castro Laria, Luisa
A1 Rodríguez-Téllez, Manuel
A1 Morales Barroso, María Luisa
A1 Galván Fernández, María Dolores
A1 Guerra Veloz, María Fernanda
A1 Jiménez García, Victoria Alejandra
A1 Romero Castro, Rafael
A1 Benítez Roldán, Antonio
A1 Castro Márquez, Cristina
A1 Aparcero López, Reyes
A1 Garrido Serrano, Antonio
A1 Caunedo Álvarez, Ángel
A1 Argüelles Arias, Federico
AB endoscopy plays an essential role in the management of patients with ulcerative colitis (UC), as it allows us to visualize and assess the severity of the disease. Different scores have been devised to standardize the findings because such assessments are not always objective. the aim of this study was to assess the interobserver variability between the Index of Mayo Endoscopy (IME) and the Ulcerative Colitis Endoscopy Index of Severity (UCEIS), analyzing the severity of the endoscopic lesions in patients with UC. The secondary aim was to analyze if the cathartic preparation affected the degree of concordance amongst the endoscopists. this was a single-cohort observational, comparative study in which a colonoscopy was performed in patients with UC, as the normal clinical practice. The results were classified according to the IME and the UCEIS by three endoscopic specialists. In order to assess the degree of interobserver correlation, the Kappa index for IME was used and the intraclass correlation coefficient was used for UCEIS. sixty-seven patients were included in the study. The average age was 51 (SD ± 16.7) and the average Mayo Clinic index was 3.07 (SD ± 2.54). The weighted Kappa index between endoscopists A and B for the IME was 0.8, 0.52 between A and C and 0.49 between B and C. The intraclass correlation coefficient for UCEIS was 0.922 between the three endoscopists (95 % CI: 0.832-0.959). A better interobserver correlation was found when the cathartic preparation was ≥ 8 based on the Boston Scale. there was a higher correlation between the different endoscopists for the UCEIS than for the IME. Thus, this should be considered to be the best index to use in the clinical practice. A good cleansing preparation is important to improve the interobserver correlation.
SN 1130-0108
YR 2020
FD 2020
LK https://hdl.handle.net/10668/27657
UL https://hdl.handle.net/10668/27657
LA en
DS RISalud
RD Apr 12, 2025