Abstract:SHS is a health measure that shows promising evidence of validity, reliability, and responsiveness in IBS patients. It is quickly completed and evaluated, which supports its usefulness in the busy clinical practice.
“…All these results taken together highlight the importance of taking into consideration the differences that occur when it is self-reported or clinician-rated [47]. Relatedly, subjective health assessment by patients might give gastroenterologists additional information about their overall clinical picture [48]. Incongruences between clinician's and patients perceptions of quality of life have been found in medical conditions such as multiple sclerosis [49], asthma [24], or hip arthroplasty [50], and seems to be related with different clinical outcomes such as macular degeneration [51,52].…”
Incongruence between clinician and self-reported functionality seems to be related to higher levels of psychopathology in patients with functional disorders. These findings underscore the need for routine psychosocial assessment among these patients. Gastroenterologists could use the concept of incongruence and its clinical implications, as a screening tool for psychopathology, facilitating consultation-liaison processes.
“…All these results taken together highlight the importance of taking into consideration the differences that occur when it is self-reported or clinician-rated [47]. Relatedly, subjective health assessment by patients might give gastroenterologists additional information about their overall clinical picture [48]. Incongruences between clinician's and patients perceptions of quality of life have been found in medical conditions such as multiple sclerosis [49], asthma [24], or hip arthroplasty [50], and seems to be related with different clinical outcomes such as macular degeneration [51,52].…”
Incongruence between clinician and self-reported functionality seems to be related to higher levels of psychopathology in patients with functional disorders. These findings underscore the need for routine psychosocial assessment among these patients. Gastroenterologists could use the concept of incongruence and its clinical implications, as a screening tool for psychopathology, facilitating consultation-liaison processes.
“…The questionnaires Short Health Scale, Short Form 36 version 2, the gastrointestinal symptom rating scale and a Rome version III questionnaire on functional gastrointestinal disorders were answered. 33,34 During the six days between the two hospital visits for SeHCAT testing, the patients recorded stool habits using a structured diary with Bristol stool scale pictograms. The patients could collect a voluntary random stool sample at home to be immediately frozen below −18 degrees Celsius.…”
SummaryBackgroundBile acid diarrhoea is often missed because gold standard nuclear medicine tauroselcholic [75‐Se] acid (SeHCAT) testing has limited availability. Empirical treatment effect has unknown diagnostic performance, whereas plasma 7α‐hydroxy‐4‐cholesten‐3‐one (C4) is inexpensive but lacks sensitivity.AimsTo determine diagnostic characteristics of empirical treatment and explore improvements in diagnostics with potential better availability than SeHCAT.MethodsThis diagnostic accuracy study was part of a randomised, placebo‐controlled trial of colesevelam. Consecutive patients with chronic diarrhoea attending SeHCAT had blood and stool sampled. Key thresholds were C4 > 46 ng/mL and SeHCAT retention ≤10%. A questionnaire recorded patient‐reported empirical treatment effect. We analysed receiver operating characteristics and explored machine learning applied logistic regression and decision tree modelling with internal validation.ResultsNinety‐six (38%) of 251 patients had SeHCAT retention ≤10%. The effect of empirical treatment assessed with test results for bile acid studies blinded had 63% (95% confidence interval 44%–79%) sensitivity and 65% (47%–80%) specificity; C4 > 46 ng/mL had 47% (37%–57%) and 92% (87%–96%), respectively. A decision tree combining C4 ≥ 31 ng/mL with ≥1.1 daily watery stools (Bristol type 6 and 7) had 70% (51%–85%) sensitivity and 95% (83%–99%) specificity. The logistic regression model, including C4, the sum of measured stool bile acids and daily watery stools, had 77% (58%–90%) sensitivity and 93% (80%–98%) specificity.ConclusionsDiagnosis of bile acid diarrhoea using empirical treatment was inadequate. Exploration suggested considerable improvements in the sensitivity of C4‐based testing, offering potential widely available diagnostics. Further validation is warranted. ClinicalTrials.gov: NCT03876717.
“…It has been shown that this tionnaire, first used in Swedish in 2002, can be used in UC in 2006 and and came into use. 10,11,12,[15][16][17][18][19] This study demonstrated that the SHS can also be used in Turkish-speaking patients.…”
Objective: Severe symptoms such as bloody diarrhea and abdominal pain in inflammatory bowel disease patients, combined with a chronic course with remissions and relapses, cause significant emotional and social distress. These symptoms severely limit inflammatory bowel disease patients' daily lives, social functions, and functional capacities and have a significant impact on their quality of life. In this context, the importance of quality of life assessment in inflammatory bowel disease patients is increasing daily. The short health scale is a visual analog scale questionnaire consisting of 4 questions. We aimed to validate this scale in Turkish-speaking patients. Methods: The short health scale was applied to 125 inflammatory bowel disease patients with 75 ulcerative colitis and 50 Crohn's disease patients. The short health scale was a 100 mm visual analog scale with 4 questions. Results: The median disease duration of inflammatory bowel disease patients was 5.3 years (0.4-26.5), the mean age was 42.4 ± 14.2 years (19-77), and 60.8% (n = 76) were male patients. A positive correlation was found in comparing Truelove-Witts index and Harvey-Bradshaw index results with short health scale scores. There was no significant difference in the distribution of disease activity severity at the eighth-week follow-up in ulcerative colitis and Crohn's disease patients.
Conclusion:The short health scale, which was determined as a valid and reliable measurement tool, can be used in Turkish-speaking patients with inflammatory bowel disease. It can be a good choice for outpatient and home care patients because it is simple and easy to use.
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