Usefulness of Different Pathological Scores to Assess Healing of the Mucosa in Inflammatory Bowel Diseases: A Real Life Study

Abstract The concept of remission for patients with inflammatory bowel diseases has recently evolved, and should also include histological healing of the mucosa, difficult to evaluate since there is no agreement on pathological scores and those available are quite complex to use in the daily routine...

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Autores principales:	Vincenzo Villanacci, Elisabetta Antonelli, Francesco Lanzarotto, Anna Bozzola, Moris Cadei, Gabrio Bassotti
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/0c1ee93f5f46415fa05d8f9923b095e1
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spelling	oai:doaj.org-article:0c1ee93f5f46415fa05d8f9923b095e12021-12-02T12:32:25ZUsefulness of Different Pathological Scores to Assess Healing of the Mucosa in Inflammatory Bowel Diseases: A Real Life Study10.1038/s41598-017-07338-x2045-2322https://doaj.org/article/0c1ee93f5f46415fa05d8f9923b095e12017-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-07338-xhttps://doaj.org/toc/2045-2322Abstract The concept of remission for patients with inflammatory bowel diseases has recently evolved, and should also include histological healing of the mucosa, difficult to evaluate since there is no agreement on pathological scores and those available are quite complex to use in the daily routine. We evaluated the possible usefulness of a simplified pathological score to assess histological healing of the mucosa in inflammatory bowel diseases patients compared with four commonly proposed pathological scores. Slides from 24 patients (12 Crohn’s disease, 12 ulcerative colitis, age range 24–62 years), pre- and post-treatment with biological agents and displaying endoscopic remission were assessed by two pathologists. Pre- and post-treatment results and the time employed to calculate the various scores were obtained. All scores were useful to document highly significant post-treatment decreases of histological activity. However, the simplified score needed significant less time to be calculated for each slide, had high inter-rater agreement, and avoided subjectivity from the pathologists. The simplified score is easy to calculate and seems apt to document histological healing of the mucosa, in a manner similar to the more complex scores. It remains to be established whether this score could simplify the daily routinary practice in this context.Vincenzo VillanacciElisabetta AntonelliFrancesco LanzarottoAnna BozzolaMoris CadeiGabrio BassottiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-8 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Vincenzo Villanacci Elisabetta Antonelli Francesco Lanzarotto Anna Bozzola Moris Cadei Gabrio Bassotti Usefulness of Different Pathological Scores to Assess Healing of the Mucosa in Inflammatory Bowel Diseases: A Real Life Study
description	Abstract The concept of remission for patients with inflammatory bowel diseases has recently evolved, and should also include histological healing of the mucosa, difficult to evaluate since there is no agreement on pathological scores and those available are quite complex to use in the daily routine. We evaluated the possible usefulness of a simplified pathological score to assess histological healing of the mucosa in inflammatory bowel diseases patients compared with four commonly proposed pathological scores. Slides from 24 patients (12 Crohn’s disease, 12 ulcerative colitis, age range 24–62 years), pre- and post-treatment with biological agents and displaying endoscopic remission were assessed by two pathologists. Pre- and post-treatment results and the time employed to calculate the various scores were obtained. All scores were useful to document highly significant post-treatment decreases of histological activity. However, the simplified score needed significant less time to be calculated for each slide, had high inter-rater agreement, and avoided subjectivity from the pathologists. The simplified score is easy to calculate and seems apt to document histological healing of the mucosa, in a manner similar to the more complex scores. It remains to be established whether this score could simplify the daily routinary practice in this context.
format	article
author	Vincenzo Villanacci Elisabetta Antonelli Francesco Lanzarotto Anna Bozzola Moris Cadei Gabrio Bassotti
author_facet	Vincenzo Villanacci Elisabetta Antonelli Francesco Lanzarotto Anna Bozzola Moris Cadei Gabrio Bassotti
author_sort	Vincenzo Villanacci
title	Usefulness of Different Pathological Scores to Assess Healing of the Mucosa in Inflammatory Bowel Diseases: A Real Life Study
title_short	Usefulness of Different Pathological Scores to Assess Healing of the Mucosa in Inflammatory Bowel Diseases: A Real Life Study
title_full	Usefulness of Different Pathological Scores to Assess Healing of the Mucosa in Inflammatory Bowel Diseases: A Real Life Study
title_fullStr	Usefulness of Different Pathological Scores to Assess Healing of the Mucosa in Inflammatory Bowel Diseases: A Real Life Study
title_full_unstemmed	Usefulness of Different Pathological Scores to Assess Healing of the Mucosa in Inflammatory Bowel Diseases: A Real Life Study
title_sort	usefulness of different pathological scores to assess healing of the mucosa in inflammatory bowel diseases: a real life study
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/0c1ee93f5f46415fa05d8f9923b095e1
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Usefulness of Different Pathological Scores to Assess Healing of the Mucosa in Inflammatory Bowel Diseases: A Real Life Study

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