PMID- 28733179
OWN - NLM
STAT- MEDLINE
DCOM- 20180601
LR  - 20180601
IS  - 1878-3562 (Electronic)
IS  - 1590-8658 (Linking)
VI  - 49
IP  - 10
DP  - 2017 Oct
TI  - Nurse in patients' health status assessment: Data from a pilot study assessing 
      agreement among nurse and gastroenterologist in computing IBD-clinical scores.
PG  - 1110-1114
LID - S1590-8658(17)30939-8 [pii]
LID - 10.1016/j.dld.2017.06.009 [doi]
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.
CI  - Copyright (c) 2017 Editrice Gastroenterologica Italiana S.r.l. Published by 
      Elsevier Ltd. All rights reserved.
FAU - Mocciaro, Filippo
AU  - Mocciaro F
AD  - Gastroenterology and Endoscopy Unit, ARNAS Civico-Di Cristina-Benfratelli 
      Hospital, Palermo, Italy. Electronic address: fmocciaro@gmail.com.
FAU - Pecoraro, Giulia Maria
AU  - Pecoraro GM
AD  - Gastroenterology and Endoscopy Unit, ARNAS Civico-Di Cristina-Benfratelli 
      Hospital, Palermo, Italy.
FAU - Di Mitri, Roberto
AU  - Di Mitri R
AD  - Gastroenterology and Endoscopy Unit, ARNAS Civico-Di Cristina-Benfratelli 
      Hospital, Palermo, Italy.
FAU - Scimeca, Daniela
AU  - Scimeca D
AD  - Division of Gastroenterology, Casa Sollievo della Sofferenza Hospital, IRCCS, San 
      Giovanni Rotondo, FG, Italy.
FAU - Bossa, Fabrizio
AU  - Bossa F
AD  - Division of Gastroenterology, Casa Sollievo della Sofferenza Hospital, IRCCS, San 
      Giovanni Rotondo, FG, Italy.
FAU - Russo, Giuseppina
AU  - Russo G
AD  - Gastroenterology and Endoscopy Unit, ARNAS Civico-Di Cristina-Benfratelli 
      Hospital, Palermo, Italy.
FAU - Martino, Giuseppina
AU  - Martino G
AD  - Division of Gastroenterology, Casa Sollievo della Sofferenza Hospital, IRCCS, San 
      Giovanni Rotondo, FG, Italy.
FAU - Costanza, Vincenzo
AU  - Costanza V
AD  - Gastroenterology and Endoscopy Unit, ARNAS Civico-Di Cristina-Benfratelli 
      Hospital, Palermo, Italy.
FAU - Profita, Maria Antonella
AU  - Profita MA
AD  - Gastroenterology and Endoscopy Unit, ARNAS Civico-Di Cristina-Benfratelli 
      Hospital, Palermo, Italy.
FAU - Orlando, Concetta
AU  - Orlando C
AD  - Gastroenterology and Endoscopy Unit, ARNAS Civico-Di Cristina-Benfratelli 
      Hospital, Palermo, Italy.
FAU - Profeta, Gianfranco
AU  - Profeta G
AD  - Gastroenterology and Endoscopy Unit, ARNAS Civico-Di Cristina-Benfratelli 
      Hospital, Palermo, Italy.
FAU - Tine, Fabio
AU  - Tine F
AD  - Gastroenterology Unit, Villa Sofia-V. Cervello Hospital, Palermo, Italy.
LA  - eng
PT  - Journal Article
DEP - 20170623
PL  - Netherlands
TA  - Dig Liver Dis
JT  - Digestive and liver disease : official journal of the Italian Society of 
      Gastroenterology and the Italian Association for the Study of the Liver
JID - 100958385
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Child
MH  - *Colitis, Ulcerative/complications
MH  - *Crohn Disease/complications
MH  - Female
MH  - *Gastroenterology
MH  - Health Status
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Nurse's Role
MH  - *Nursing Staff, Hospital
MH  - Observer Variation
MH  - Pilot Projects
MH  - Severity of Illness Index
MH  - *Symptom Assessment
MH  - Young Adult
OTO - NOTNLM
OT  - Clinical scores
OT  - HBI
OT  - IBD
OT  - Nurse
OT  - Partial Mayo score
EDAT- 2017/07/25 06:00
MHDA- 2018/06/02 06:00
CRDT- 2017/07/23 06:00
PHST- 2017/03/01 00:00 [received]
PHST- 2017/06/05 00:00 [revised]
PHST- 2017/06/07 00:00 [accepted]
PHST- 2017/07/25 06:00 [pubmed]
PHST- 2018/06/02 06:00 [medline]
PHST- 2017/07/23 06:00 [entrez]
AID - S1590-8658(17)30939-8 [pii]
AID - 10.1016/j.dld.2017.06.009 [doi]
PST - ppublish
SO  - Dig Liver Dis. 2017 Oct;49(10):1110-1114. doi: 10.1016/j.dld.2017.06.009. Epub 
      2017 Jun 23.