ArticleTherapeutic advances in gastroenterology2025
Discordance between patients' perception and endoscopic assessment of disease activity in ulcerative colitis.
Article in Therapeutic advances in gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.
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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.
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Who cites it
2 citing papers in PubMed.
- Feasibility, Acceptability, and Preliminary Effects of a Nurse-Delivered Self-Management Program for Individuals with Inflammatory Bowel Disease: A Pilot Randomized Controlled Trial.Digestive diseases and sciences · 2026Trial
- Assessment of Bowel Urgency in Ulcerative Colitis: Current Measures and Future Directions.Gastro hep advances · 2026Review
Corrections and comments
- Erratum issued
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Discrepancies between symptoms and endoscopy exist in patients with ulcerative colitis (UC). Most studies focused on patient-reported outcomes-2 rather than their overall perception of disease activity. Objectives: The objectives were to assess the concordance between the patient global assessment (PtGA) and the endoscopic evaluation, to analyse the factors associated with agreement and to describe the concordance between the patient's and the physician's perception of UC activity. Design: Prospective, observational study. Methods: Patients with UC were consecutively included at the time of flexible sigmoidoscopy. The concordance between the Mayo endoscopic subscore (MES) and the PtGA was evaluated. The factors related to concordance were investigated, including the inflammatory bowel disease (IBD)-Disk items that were completed by all patients. Results: Out of 104 analysable patients, 32.7% demonstrated complete alignment with the MES. The more the disease was objectively active, the more the patients were concordant, as reflected by the statistically significant differences between concordant and discordant patients in the median (interquartile range) MES (2 (1-2) vs 1 (0-2), respectively ( Conclusion: Discrepancies between patient-reported disease activity and endoscopy are prevalent in UC. In addition to rectal bleeding, abdominal pain and bowel urgency may be more accurate to reflect clinical disease activity than stool frequency.
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