Pregled bibliografske jedinice broj: 583506
Diagnostic workup of paediatric patients with inflammatory bowel disease in Europe: results of a 5-year audit of the EUROKIDS registry
Diagnostic workup of paediatric patients with inflammatory bowel disease in Europe: results of a 5-year audit of the EUROKIDS registry // Journal of pediatric gastroenterology and nutrition, 54 (2012), 3; 374-380 doi:10.1097/MPG.0b013e318231d984 (međunarodna recenzija, članak, znanstveni)
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Naslov
Diagnostic workup of paediatric patients with inflammatory bowel disease in Europe: results of a 5-year audit of the EUROKIDS registry
Autori
De Bie, C.I. ; Buderus, S. ; Sandhu, B.K. ; de Ridder, L. ; Paerregaard, A. ; Veres, G. ; Dias, J.A. ; Escher, J.C. ; Amil Dias, J. ; Trindade, E. ; Bochenek, K. ; Lazowska, I. ; Buderus, S. ; Bujanover, Y. ; Chong, S.K. ; Cucchiara, S. ; Fell, J.M. ; Henker, J. ; Hugot, J.P. ; Sladek, M. ; Kolaček, Sanja ; Koletzko, S. ; Levine, A. ; Lionetti, P. ; Maly, J. ; Murphy, M.S. ; Paerregaard, A. ; Sandhu, B.K. ; Spray, C. ; Finkel, Y. ; Holmquist, L.M. ; Ruemmele, F. ; Veres, G. ; Staiano, A. ; Malmborg, P. ; Finkel, Y. ; Hildebrand, H. ; Veereman, G. ; Eglite, L. ; Keller, K ; Hradsky, O. ; Nevoral, J. ; Bronsky, J. ; Orel, R. ; Ravelli, A. ; Roma, E. ; Socha, P. ; Størdal, K. ; Perminow, G. ; van Biervliet, S.
Izvornik
Journal of pediatric gastroenterology and nutrition (0277-2116) 54
(2012), 3;
374-380
Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni
Ključne riječi
IBD; children
Sažetak
In 2005, the Inflammatory Bowel Disease (IBD) Working Group of the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition published consensus guidelines on the diagnostic workup of paediatric IBD, the Porto criteria. According to these guidelines, children suspected of having IBD should undergo an oesophagogastroduodenoscopy (OGD), ileocolonoscopy, and (except in cases of definitive ulcerative colitis) adequate imaging of the small bowel. To audit and evaluate the diagnostic workup of paediatric patients with IBD in Europe, the Working Group created EUROKIDS, a prospective, Web-based registry of newly diagnosed paediatric patients with IBD. Patients with IBD (ages 0-18 years) were registered in 44 centres in 18 countries. Data on diagnostic workup were analysed according to the year of diagnosis, type of IBD, and centre size. Diagnostic yield of OGD and ileal intubation were evaluated. Between 2004 and 2009, 2087 newly diagnosed patients were correctly registered. Both OGD and ileocolonoscopy had been performed in 64% of all of the patients and increased significantly from year 1 (52 %) to 5 (71%, P < 0.001). Small-bowel follow-through use decreased during the years (year 1 n = 213, year 5 n = 108 ; P < 0.001), whereas magnetic resonance imaging use increased (year 1 n = 25, year 5 n = 171 ; P < 0.001). Patients diagnosed as having Crohn disease (CD, 59%) and ulcerative colitis (58%) were more likely to have had a complete diagnostic workup than patients diagnosed as having IBD unclassified (45%). In CD, the diagnostic yield of OGD was 7.5% and the yield of ileal intubation was 13%. The quality of diagnostic workup in paediatric patients with IBD increased steadily between 2004 and 2009. Small-bowel imaging by magnetic resonance imaging superseded the use of small-bowel follow-through. OGD and ileal intubation contributed to a definitive diagnosis of CD.
Izvorni jezik
Engleski
Znanstvena područja
Kliničke medicinske znanosti
POVEZANOST RADA
Projekti:
072-1083107-2054 - Celijakija u djece: primarna prevencija i patogeneza kromosomske nestabilnosti (Kolaček, Sanja, MZOS ) ( CroRIS)
Ustanove:
Klinika za dječje bolesti Medicinskog fakulteta
Citiraj ovu publikaciju:
Časopis indeksira:
- Current Contents Connect (CCC)
- Web of Science Core Collection (WoSCC)
- Science Citation Index Expanded (SCI-EXP)
- SCI-EXP, SSCI i/ili A&HCI
- Scopus
- MEDLINE