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P141 Development of a self screening tool for perianal disease in patients with crohn's disease; a pilot study

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Author(s)
Eun Soo KimHyun Seok LeeSung Kook KimChang Heon YangByung Ik JangKyeong Ok KimEun Young KimYoo Jin LeeKi Hwan Song
Keimyung Author(s)
Lee, Yoo JinKim, Eun Soo
Department
Dept. of Internal Medicine (내과학)
Journal Title
Inflammatory Bowel Diseases
Issued Date
2018
Volume
24
Issue
suppl.1
Abstract
Backgrounds: Perianal disease including perianal fistula and perianal abscess is
known as one of the poor prognostic factors of Crohn’s disease (CD). However, there
has been no tool for CD patients to check their perianal symptoms. We aimed to develop
self-screening tool for perianal disease in CD patients.
Methods: A prospective pilot study was conducted at 3 tertiary referral centers
between Jan 2017 and May 2017. Questions regarding perianal symptoms were
created by experts using the Delphi method. Each question had a 4-point likert
scale. Patients who were diagnosed of CD and followed up for at least 3 months
were asked to fill out a self-completed questionnaire. All patients underwent pelvic
MRI which was regarded as a gold standard.
Results: A total of 49 patients were enrolled in the study (male 73.7%, median age
25 [18–64]), of which 28 showed perianal disease in pelvic MRI. Questionnaires
included 5 questions regarding anal discharge, anal pain, anal bleeding, perianal
heat sense and incomplete sense of defecation, respectively. Total score showed
a significant correlation with perianal disease (Spearman correlation ρ=0.439,
p=0.002) whereas C reactive protein, WBC and Crohn’s disease activity index score
Keimyung Author(s)(Kor)
이유진
김은수
Publisher
School of Medicine (의과대학)
Citation
Eun Soo Kim et al. (2018). P141 Development of a self screening tool for perianal disease in patients with crohn’s disease; a pilot study. Inflammatory Bowel Diseases, 24(suppl.1), s50–s50. doi: 10.1093/ibd/izy037.008
Type
Article
ISSN
1078-0998
Source
https://academic.oup.com/ibdjournal/article/24/suppl_1/S50/4816596
DOI
10.1093/ibd/izy037.008
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/41179
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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