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Clinical activity assessment in inflammatory bowel disease

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Abstract

Standardized methods of making and recording clinical observations of patients with inflammatory bowel disease are needed for the conduct of controlled clinical trials and for the application of the results of such trials to clinical practice. A number of attempts to develop such methods have been made since the early 1950s, and such efforts continue at present. A universally accepted and acceptable clinical instrument to measure the disease activity of either Crohn's disease or ulcerative colitis will probably never be achieved. However, if interested clinicians can agree on a basic set of observations and how to make and record them, accurate comparisons of therapeutic outcomes across time and space will become possible. Toward this goal several groups of clinicians are currently working.

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References

  1. Daniel M, Hill AB: Chemotherapy of pulmonary tuberculosis in young adults: an analysis of the combined results of three Medical Research Council trials. Br Med J 1:1162–1168, 1952

    Google Scholar 

  2. Truelove SC, Witts LJ: Cortisone in ulcerative colitis. Final report on a therapeutic trial. Br Med J 2:1041–1048, 1955

    Google Scholar 

  3. Powell-Tuck J, Bown RL, Lennard-Jones JE: A comparison of oral prednisone given as single or multiple daily doses for active proctocolitis. Scand J Gastroenterol 13:833–837, 1978

    Google Scholar 

  4. Best WR, Becktel JM, Singleton JW, Kern F Jr: Development of a Crohn's disease activity index: National Cooperative Crohn's Disease Study. Gastroenterology 70:439–444, 1976

    Google Scholar 

  5. Best WR, Becktel JM, Singleton JW: Rederived values of the eight coefficients of the Crohn's disease activity index (CDAI). Gastroenterology 77:843–846, 1979

    Google Scholar 

  6. Lloyd-Still JD, Wessel HU: A clinical scoring system for chronic inflammatory bowel disease in children.In Recent Advances in Crohn's Disease. AS Pena, IT Weterman, CC Booth, W Strober (eds). Amsterdam, Nijhoff, 1981, pp 25–29.

    Google Scholar 

  7. Harvey RF, Bradshaw JM: A simple index of Crohn's-disease activity. Lancet 1:514, 1980

    Google Scholar 

  8. van Hees PAM, van Elteren PH, vanLier HJJ, van Tongeren JHM: An index of inflammatory activity in patients with Crohn's disease. Gut 21:279–286, 1980

    Google Scholar 

  9. Present DH, Korelitz BI, Wisch N, Glass JL, Sachar DB, Pasternack BS: Treatment of Crohn's disease with 6-mercaptopurine: A long-term, randomized, double-blind study. N Engl J Med 302:981–987, 1980

    Google Scholar 

  10. Myren J, Bouchier IAD, Watkinson G, Softley A, Clamp SE, de Dombal FT: The OMGE Multinational Inflammatory Bowel Disease Survey 1976–1982. A further report on 2657 cases. Scand J Gastroenterol Suppl 95:1–27, 1984

    Google Scholar 

  11. Wright JP, Marks IN, Parfitt A: A simple clinical index of Crohn's disease activity—the Cape Town index. S Afr Med J 68:502–503, 1985

    Google Scholar 

  12. Beck, IT: Laboratory assessment of inflammatory bowel disease. Dig Dis Sci 32(suppl):S26-S41, 1987

    Google Scholar 

Download references

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Singleton, J.W. Clinical activity assessment in inflammatory bowel disease. Digest Dis Sci 32 (Suppl 12), S42–S45 (1987). https://doi.org/10.1007/BF01312462

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