Defining Relapse of Ulcerative Colitis Using a Symptom-based Activity Index

Jowett, Sarah L.; Seal, Chris; Phillips, Elizabeth; Gregory, W. Larry; Barton, J R; Welfare, Mark

doi:10.1080/00365520310000654

Cited by 127 publications

(110 citation statements)

References 23 publications

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“…We also evaluated the secondary dichotomous endpoint of UC relapse as defined by Jowett et al 29 as an SCCAI of 5 or greater. With use of this definition, six subjects had a clinical relapse in the week after colonoscopy.…”

Section: Resultsmentioning

confidence: 99%

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Does colonoscopy cause increased ulcerative colitis symptoms?

Menees

Higgins

Korsnes

et al. 2007

Inflammatory Bowel Diseases

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Section: Resultsmentioning

confidence: 99%

“…This instrument was developed by Walmsley et al 28 and further validated by Jowett et al 29 in 2003, when a threshold of 5 or more points was defined as a relapse. The SCCAI is a survey of six questions with a point system that measures UC symptoms.…”

Section: Methodsmentioning

confidence: 99%

Does colonoscopy cause increased ulcerative colitis symptoms?

Menees

Higgins

Korsnes

et al. 2007

Inflammatory Bowel Diseases

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show abstract

“…Disease activity was monitored by serum YKL-40, CRP, white blood cell count and albumin and the Simple Clinical Colitis Activity Index (SSCAI) [33, 34]. The activity index is based on 5 parameters including number of stools daily, number of stools nightly, presence of blood in the stools, general well-being, and presence of extraintestinal manifestations.…”

Section: Methodsmentioning

confidence: 99%

Sweet’s Syndrome – An Extraintestinal Manifestation in Inflammatory Bowel Disease

Ytting¹,

Vind²,

Bang

et al. 2005

Digestion

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Background/Aims: Sweet’s syndrome (SS) is a severe dermatosis that may be an extraintestinal manifestation of inflammatory bowel disease (IBD). Worldwide, 35 cases of SS associated with IBD have been reported. We present the first case of severe, recurrent SS in combination with amebic infection and ulcerative colitis complicated with multiple other extraintestinal manifestations. Methods: Disease course was monitored by serum YKL-40 and C-reactive protein (CRP), white blood cell count, albumin and the Simple Clinical Colitis Activity Index (SSCAI). The amebic infection was diagnosed by direct microscopy of wet mount scrapings sampled by repetitive sigmoidoscopies. Results: The patient was diagnosed with left-sided ulcerative colitis and SS combined with extraintestinal manifestations: arthropathies, iridocyclitis and erythema nodosum. Cysts of Entamoeba histolytica were detected in the stools in two separate periods of time. Serum YKL-40 increased prior to CRP and correlated with disease activity, SCCAI, CRP, white blood cell count and inversely with serum albumin. Conclusion: This case gives further support for SS being an extraintestinal manifestation of ulcerative colitis. YKL-40 may be useful in monitoring the disease course of IBD.

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“…While this has been confirmed in several studies, 62 others have found rather conflicting evidence. 63 Yip and Berman 54 in Egypt report a reduction in OOP payments due to the SHIP; Jowett et al 64 show a reduction in OOP payments for Vietnam's not-for-profit health insurance scheme; and Wagstaff 60 also reports a reduction in OOP payments due to insurance in the government-funded HCFP. Ekman 57 in Jordan also found a reduction in OOP due to insurance; and the risk of financial and catastrophic risks are reduced in Mexico from enrolment in the Seguro Popular scheme.…”

mentioning

confidence: 99%

The Impact of Health Insurance on Health-care Utilisation and Out-of-Pocket Payments in South Africa

Ataguba

Goudge

2012

Geneva Pap Risk Insur Issues Pract

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Health insurance is an alternative to direct out-of-pocket (OOP) financing. It aims to improve access to care and reduce direct OOP payments. However, this may not be the case if there is high cost sharing and limited cover. This paper uses the methodology of propensity score matching to investigate the impact of private insurance via membership of a medical scheme in South Africa on health-care utilisation and OOP payments. The paper finds that insurance coverage increases the use of private health services as would be expected but there is no significant effect on the use of public services. Further, such coverage does not result in lower OOP payments for scheme members compared to nonmembers. This calls for a need to design health insurance, in South Africa, in the form that not only ensures adequate utilisation of health services but also provides financial protection to the insured as reflected in the current commitment for a National Health Insurance.

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Defining Relapse of Ulcerative Colitis Using a Symptom-based Activity Index

Abstract: HAV interacts with the host signalling mechanism, and HAV VP3, different from HBX and hepatitis C core protein, may activate only SRE-associated intracellular signalling, a pathway associated with cell proliferation and differentiation.

Cited by 127 publications

References 23 publications

Does colonoscopy cause increased ulcerative colitis symptoms?

Does colonoscopy cause increased ulcerative colitis symptoms?

Sweet’s Syndrome – An Extraintestinal Manifestation in Inflammatory Bowel Disease

The Impact of Health Insurance on Health-care Utilisation and Out-of-Pocket Payments in South Africa

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