TY - JOUR
T1 - Nurse in patients’ health status assessment
T2 - Data from a pilot study assessing agreement among nurse and gastroenterologist in computing IBD-clinical scores
AU - Mocciaro, Filippo
AU - Pecoraro, Giulia Maria
AU - Di Mitri, Roberto
AU - Scimeca, Daniela
AU - Bossa, Fabrizio
AU - Russo, Giuseppina
AU - Martino, Giuseppina
AU - Costanza, Vincenzo
AU - Profita, Maria Antonella
AU - Orlando, Concetta
AU - Profeta, Gianfranco
AU - Tinè, Fabio
PY - 2017/10/1
Y1 - 2017/10/1
N2 - 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.
AB - 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.
KW - Clinical scores
KW - HBI
KW - IBD
KW - Nurse
KW - Partial Mayo score
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U2 - 10.1016/j.dld.2017.06.009
DO - 10.1016/j.dld.2017.06.009
M3 - Article
AN - SCOPUS:85024502344
VL - 49
SP - 1110
EP - 1114
JO - Digestive and Liver Disease
JF - Digestive and Liver Disease
SN - 1590-8658
IS - 10
ER -