Assessment of disease activity in a registry of Crohn's disease patients in eastern Pennsylvania.
The objectives of this report are to: 1) compare the Crohn's disease (CD) patient's assessment of their well-being to the physician's assessment of the patient's well-being, 2) use the existing Crohn's disease indices (CDI) in comparing the severity of CD with the patient's self assessment, and 3) compare the CDI with the physician's assessment of patient well-being. The CDI included in this study were the National Cooperative Crohn's Disease Study Index (CDAI), Harvey & Bradshaw Index (HBI), Oxford Index (OXI), Modified-Organisation Mondiale de Gastroenterologie (OMGE), Cape Town Index (CTI), Bristol Index (BRI), St. Marks Index (SMI) and the Van Hees index (VHI). The patient and physician correlation of well-being was poor but statistically significant. The patient assessment of well-being was best measured by the CTI (r = 0.635, p less than or equal to 0.001), followed closely by the OMGE and CDAI (r = 0.615, p less than or equal to 0.001 and r = 0.582, p less than or equal to 0.001 respectively). The physician assessment of well-being was best measured by the VHI (r = 0.527, p less than or equal to 0.001).
Reed
J F
JF
Allentown Hospital, Lehigh Valley Hospital Center, PA 18105.
Faust
L A
LA
Rosen
L
L
D015331:Cohort Studies; D003424:Crohn Disease / Q000175:diagnosis / Q000523:psychology*; D006801:Humans; D010820:Physicians; D011788:Quality of Life; D012647:Self-Assessment; D012720:Severity of Illness Index