ArticleTechniques in coloproctology2019
A validated severity score for haemorrhoids as an essential prerequisite for future haemorrhoid trials.
Article in Techniques in coloproctology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Limitations of the Goligher classification in randomized trials for hemorrhoidal disease: a qualitative systematic review of selection criteria.Techniques in coloproctology · 2025Pooled it
- Scoring systems as outcomes assessment of the treatments for haemorrhoidal disease: a systematic review of the literature.International journal of colorectal disease · 2020Pooled it
- Endoscopic polidocanol foam sclerobanding for the treatment of grade II-III internal hemorrhoids: A prospective, multi-center, randomized study.World journal of gastroenterology · 2024Trial
- A multicentre, open-label, single-arm phase II trial of the efficacy and safety of sclerotherapy using 3% polidocanol foam to treat second-degree haemorrhoids (SCLEROFOAM).Techniques in coloproctology · 2022Trial
- Beyond Symptom Relief: Quality of Life Recovery After Conservative Management of Early Hemorrhoids.Cureus · 2026Article
- Article
- Early results of modified anorectal mucopexy and hemorrhoidoplasty with transanal suture: a 21 patient case report of "Salinas-Cabrera procedure".International journal of colorectal disease · 2025Article
- Improving Hemorrhoid Outcomes: A Narrative Review and Best Practices Guide for Pharmacists.Pharmacy (Basel, Switzerland) · 2025Review
- Article
- Translation and validation of Indonesian hemorrhoidal disease symptom score (HDSS) and short health scale hemorrhoidal disease (SHSHD).Turkish journal of surgery · 2023Article
- Quality of life and outcomes after rubber band ligation for haemorrhoidal disease.Langenbeck's archives of surgery · 2023Observational
- Evaluation of the Farsi-translated Hemorrhoidal Disease Symptom Score and Short Health Scale questionnaires in patients with hemorrhoid disease: A cross-sectional study.Health science reports · 2023Article
- Evaluation of the current guidelines for the management of haemorrhoidal disease using the Appraisal of Guidelines Research and Evaluation II instrument.Annals of translational medicine · 2023Review
- Radiofrequency thermocoagulation of haemorrhoids: learning curve of a novel approach.Journal of surgical case reports · 2023Article
- Time to change? Present and prospects of hemorrhoidal classification.Frontiers in medicine · 2023Review
- Patient reported outcome measure-haemorrhoidal impact and satisfaction score (PROM-HISS): Development, reliability and construct validity.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2022Article
- Is the Goligher classification a valid tool in clinical practice and research for hemorrhoidal disease?Techniques in coloproctology · 2022Article
- Initial experience of radiofrequency ablation for the treatment of advanced haemorrhoidal disease.Przeglad gastroenterologiczny · 2022Article
- Trends in Treatment for Hemorrhoids, Fistula, and Anal Fissure: Go Along the Current Trends.Journal of the anus, rectum and colon · 2022Review
- The REALISE score: a new statistically validated scoring system to assess the severity of anal fissures.Techniques in coloproctology · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundThere is a lack of standardised outcomes for haemorrhoidal disease making comparison between trials difficult. A need for a very well validated severity score is essential to facilitate meta-analysis of comparative studies, enabling evidence-based clinical practice.
methodsThe Hubble trial provides a large cohort of patients with haemorrhoidal disease randomised to rubber band ligation (RBL) or haemorrhoidal artery ligation. The haemorrhoid severity score (HSS) was collected on each patient at baseline, 6 weeks and 1 year after intervention. This allows for the responsiveness of the HSS instrument to be examined and compared with a more specific instrument, the Vaizey incontinence score (also collected). Responsiveness was tested using four methods (effect size, standardised response means (SRM), significance of change, and responsiveness statistic).
resultsThe four tests of responsiveness demonstrated that the HSS was more responsive to changes in the patient's health status following both of the interventions compared to the Vaizey questionnaire. For example, between baseline and 6 weeks, the RBL intervention effect size scores and SRM calculations indicated a non-significant small amount of change (0.20 and 0.16 respectively). However, using the HSS, the effect size and SRM demonstrated a large magnitude of change (1.12 and 1.01, respectively) which was significant. Similar results were observed at 1 year. Significance of change scores and the index of responsiveness were also higher for the HSS questionnaire than the Vaizey across both treatment modalities.
conclusionsThe HSS is a highly responsive tool for the detection of changes in haemorrhoid symptoms. It should form an essential patient-reported outcome tool for future studies on haemorrhoidal disease.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.