Nurse in patients’ health status assessment: Data from a pilot study assessing agreement among nurse and gastroenterologist in computing IBD-clinical scores

Filippo Mocciaro, Giulia Maria Pecoraro, Roberto Di Mitri, Daniela Scimeca, Fabrizio Bossa, Giuseppina Russo, Giuseppina Martino, Vincenzo Costanza, Maria Antonella Profita, Concetta Orlando, Gianfranco Profeta, Fabio Tinè

Research output: Contribution to journalArticle

Abstract

Introduction Crohn's Disease (CD) and Ulcerative Colitis (UC) are chronic, systemic Inflammatory Bowel Diseases (IBDs) that need a multidisciplinary approach involving not only different medical specialists but also qualified nurses. Aim We evaluated the concordance between IBD-nurse and physician in computing Clinical Activity Scores in IBD-patients treated with biologics. Methods We enrolled all consecutive IBD-patients treated with biologics in two referral centers for IBD-care. For each patient, a gastroenterologist and a nurse blindly filled-out a form to assess the Harvey–Bradshaw Index (HBI) in CD or the partial MAYO score in UC. All data were recorded to assess the beyond chance agreement (concordance) using the k statistic. Results 87 patients were enrolled. The agreement in all patients by k value was substantial (66%), ranging from moderate to substantial (95% CI from 51% to 80%). The main reason of disagreement was about the scoring of remission versus mild activity, and that of mild versus moderate activity, both in CD and UC. For the HBI, the best agreement was for well-being on the previous day (k 62%) and the least one for abdominal mass (k 35%). Conclusions Our study shows an acceptable strength of agreement among nurse and gastroenterologist in evaluating the disease activity of IBD-patients through the calculation of clinical scores.

Original languageEnglish
Pages (from-to)1110-1114
Number of pages5
JournalDigestive and Liver Disease
Volume49
Issue number10
DOIs
Publication statusPublished - Oct 1 2017

    Fingerprint

Keywords

  • Clinical scores
  • HBI
  • IBD
  • Nurse
  • Partial Mayo score

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Cite this

Mocciaro, F., Pecoraro, G. M., Di Mitri, R., Scimeca, D., Bossa, F., Russo, G., Martino, G., Costanza, V., Profita, M. A., Orlando, C., Profeta, G., & Tinè, F. (2017). Nurse in patients’ health status assessment: Data from a pilot study assessing agreement among nurse and gastroenterologist in computing IBD-clinical scores. Digestive and Liver Disease, 49(10), 1110-1114. https://doi.org/10.1016/j.dld.2017.06.009