Tu1076 ENDOSCOPIC ACTIVITY SCORES IN INFLAMMATORY BOWEL DISEASE AND ITS USE IN CLINICAL PRACTICE

Abstract

Endoscopic assessment of disease activity is an essential part of clinical practice in inflammatory bowel disease (IBD) and is used for diagnosis, prognosis, monitoring for dysplasia and increasingly for the evaluation of mucosal or endoscopic response to therapy. Recently, endoscopic healing has emerged as a key goal of therapy However there are numerous endoscopic scoring systems proposed to define endoscopic activity and response to therapy in both ulcerative colitis and Crohns disease. The routine use of endoscopic scoring systems is currently limited to trial settings. Objectives: Evaluate the routine use of endoscopic activity scores in IBD by Argentinian endoscopists in their clinical practice and the variables associated with the use of them. We conducted a cross-sectional descriptive study. Subjects completed an anonymous questionnaire. It consisted of two parts, first: epidemiological data, data related to their training and clinical practice (Number of years in endoscopic practice, number of performed endoscopies and clinical follow-up of IBD patients). Second: Questionnaire that consisted of 10 questions that evaluated the knowledge and use of endoscopic activity indices in Ulcerative colitis (UC) and Crohns disease (CD). 149 endoscopists completed the survey. In UC 75.17% use adequate scores (67.8% MAYO and 7.38% UCEIS) and 20.8% doesnt use any score at all. With respect of CD scores, only 26.84% answered correctly (12.75% CDEIS and 14.09% SES-CD) and 40.9% didnt use scores. We found a significant difference in those who follow more than 10 IBD patients monthly in their clinical practice , in UC 90.91% of correct use vs 70.69% in those who follow <10 p/m (P=0.018)and in CD 48.4% vs 20.6% (p 0.001). Endoscopists between 30-40 years old have greater knowledge in UC, presenting 87.34% of correct use of scores in <40 years vs. 61.43% in >40 years (Pearson chi2=13.3516 P=0.000) and In the case of CD 39.24% in < de 40 years vs 12.86% in > 40 years (p 0.000). There is greater knowledge and adherence in the use of endoscopic activity scores in UC than in CD. The variables that were associated with greater knowledge and use of scores were: Endoscopists under 40 years of age and follow-up of more than 10 patients with IBD per month in their clinical practice.