Evidence map›Paper›PMID 36840832›Full record

ArticleInternational journal of colorectal disease2023

Comparison of The Toronto IBD Global Endoscopic Reporting (TIGER) score, Mayo endoscopic score (MES), and ulcerative colitis endoscopic index of severity (UCEIS) in predicting the need for ileal pouch-anal anastomosis in patients with ulcerative colitis.

Weimin Xu, Fangyuan Liu, Zhebin Hua, Yubei Gu, Lei Lian, Long Cui, Zhao Ding, Peng Du

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Article in International journal of colorectal disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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6citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Weimin Xu *Department of Colorectal Surgery, School of Medicine, Xinhua Hospital, Shanghai Jiaotong University, Shanghai, 200092, China.
Fangyuan Liu *Department of Colorectal Surgery, School of Medicine, Xinhua Hospital, Shanghai Jiaotong University, Shanghai, 200092, China.
Zhebin Hua *Department of Colorectal Surgery, School of Medicine, Xinhua Hospital, Shanghai Jiaotong University, Shanghai, 200092, China.
Yubei GuDepartment of Gastroenterology, School of Medicine, Rui Jin Hospital, Affiliated to Shanghai Jiao Tong University, 197 Rui Jin Er Road, Shanghai, 200025, China. gyb11809@rjh.com.cn.
Lei LianDepartment of Gastrointestinal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, 510655, Guangzhou, China.
Long CuiDepartment of Colorectal Surgery, School of Medicine, Xinhua Hospital, Shanghai Jiaotong University, Shanghai, 200092, China.
Zhao DingDepartment of Colorectal and Anal Surgery, Hubei Key Laboratory of Intestinal and Colorectal Diseases, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
Peng DuDepartment of Colorectal Surgery, School of Medicine, Xinhua Hospital, Shanghai Jiaotong University, Shanghai, 200092, China. dupeng@xinhuamed.com.cn.

Funding

National Natural Science Foundation of China 82000481National Natural Science Foundation of China 82000494National Natural Science Foundation of China 82270549Qingfeng Scientific Research Fund of the China Crohn's & Colitis Foundation (CCCF) CCCF-QF-2022C14-21Shanghai Sailing Program 20YF1429400
6 · The paper itself

Abstract

backgroundTotal proctocolectomy (TPC) with ileal pouch-anal anastomosis (IPAA) has been accepted as a radical surgery for refractory ulcerative colitis (UC). We aimed to assess the predictive value of several novel and widely used endoscopic core systems, The Toronto IBD Global Endoscopic Reporting (TIGER) score, Mayo endoscopic score (MES), and ulcerative colitis endoscopic index of severity (UCEIS) in guiding the need for IPAA.

methodsData on patients with UC from June 1986 and June 2022 at our institute were collected. The endoscopic evaluation was recorded according to the first colonoscopy after hospitalization. Primary outcome was the need for IPAA during admission and follow-up.

resultsA total of 313 patients with a median follow-up time and a median TIGER score of 12.0 years (interquartile range (IQR): 6.0-17.0) and 212.0 (IQR: 7.0-327.0) were enrolled. IPAA was conducted in 110 (35.1%) patients, which significantly improved the long-term quality of life. TIGER score had the biggest area under the receiver-operating characteristic curve of 0.810 with a sensitivity of 75.0% and specificity of 87.1% at the cut-off value of 315 (p < 0.001). TIGER score ≥ 315 was an independent risk factor with the highest odds ratio for the need for IPAA and associated with the shortest IPAA-free survival time compared with UCEIS and MES.

conclusionTIGER score was superior to UCEIS and MES in predicting the need for IPAA. For colorectal surgeons, three or more segments with moderate-to-severe endoscopic activity should be considered as a threshold value for decision-making for IPAA.

Indexed as

Colitis, UlcerativeColonic PouchesProctocolectomy, RestorativeAnastomosis, SurgicalColonoscopyHumansQuality of LifeRetrospective StudiesIleal pouch–anal anastomosisMESTIGER scoreUCEISUlcerative colitis

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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.