Validation of the simplified PIBD‐classes criteria: A single‐center retrospective study.
Background: Pediatric inflammatory bowel disease (PIBD) subtypes are classified according to the PIBD‐classes criteria, comprising 23 items. These criteria were later simplified to 19 diagnostic items. Inflammatory bowel diseases (IBDs) are classified as ulcerative colitis (UC), atypical UC, IBD‐unc...
| Publicado en: | Pediatrics International Vol. 66; no. 1; pp. 1 - 5 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jan2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181824402&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181824402 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13288067 FS4 jtl: Pediatrics International issn: 13288067 maglogo: Y pubinfo: dt: Jan2024 vid: 66 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 181824402 181824402 181824402 10.1111/ped.15846 181824402 ppf: 1 ppct: 4 formats: tig: atl: Validation of the simplified PIBD‐classes criteria: A single‐center retrospective study. aug: au: Miura, Yoshikazu Hagiwara, Shin‐ichiro Hizuka, Keinosuke Saura, Ryutaro Hata, Ayaha Maeyama, Takatoshi Etani, Yuri affil: Department of Pediatric Gastroenterology, Nutrition and Endocrinology, Osaka Women's and Children's Hospital, Osaka, Japan sug: subj: Inflammatory Bowel Diseases Classification Disease Attributes Inflammatory Bowel Diseases Diagnosis Human Asia Asians Retrospective Design Phenotype Inflammatory Bowel Diseases Physiopathology Endoscopy Biological Products Steroids Therapeutic Use Record Review Descriptive Statistics Physicians Validation Studies Child Crohn Disease Colitis, Ulcerative Child: 6-12 years ab: Background: Pediatric inflammatory bowel disease (PIBD) subtypes are classified according to the PIBD‐classes criteria, comprising 23 items. These criteria were later simplified to 19 diagnostic items. Inflammatory bowel diseases (IBDs) are classified as ulcerative colitis (UC), atypical UC, IBD‐unclassified (IBD‐U), Crohn's disease (CD), or isolated colonic CD. This study aimed to validate the simplified PIBD‐classes criteria in an Asian population and evaluate IBD‐U characteristics. Methods: Patients diagnosed with PIBD between 2007 and 2022 were retrospectively enrolled. Data regarding PIBD phenotypes, age at diagnosis, endoscopic and pathological findings, and biologics and/or steroid use were collected from medical records. Physician‐assigned diagnoses were compared with simplified PIBD‐classes criteria‐based diagnoses. Differences in the clinical features of patients with IBD‐U and other IBDs classified using the simplified PIBD‐class criteria were also evaluated. Results: Eighty‐six patients were included, of whom 54 (63%) had UC, 21 (24%) had CD, and 11 (13%) had IBD‐U. Using the simplified PIBD‐classes criteria, 48 (56%) patients were diagnosed with UC, 3 (3%) with atypical UC, 22 (26%) with CD, 1 (1%) with isolated colonic CD, and 12 (14%) with IBD‐U. The diagnoses were changed in 10 cases based on the simplified PIBD‐classes criteria. There were no significant differences in age at diagnosis or rates of steroid and biologic use between IBD subtypes. Conclusions: Simplified PIBD‐classes criteria‐based diagnoses matched physician‐assigned diagnoses in almost all cases. This study suggests that the simplified PIBD‐classes criteria are useful at reducing diagnostic variability in multicenter and international PIBD studies. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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