Article ; Online: The Accuracy of a Home-performed Faecal Calprotectin Test in Paediatric Patients With Inflammatory Bowel Disease.
Journal of pediatric gastroenterology and nutrition
2019 Volume 69, Issue 1, Page(s) 75–81
Abstract: Objectives: Owing to the invasiveness of endoscopy, the use of biomarkers, especially faecal calprotectin (FC), has become standard for remission assessment. This study aimed to compare the accuracy for detection of endoscopic activity using recently ... ...
| Abstract | Objectives: Owing to the invasiveness of endoscopy, the use of biomarkers, especially faecal calprotectin (FC), has become standard for remission assessment. This study aimed to compare the accuracy for detection of endoscopic activity using recently developed FC home test using smartphone application (FC-IBDoc) against standard enzyme-linked immunosorbent assay (ELISA). Methods: In all, 102 consecutive observations (89 participants) were included in prospective observational study. FC-IBDoc was performed parallelly with FC-ELISA in paediatric patients with inflammatory bowel disease indicated for endoscopy. Both tests were performed by trained staff. Mucosal healing was defined using Simple Endoscopic Score for Crohn disease (CD) ≤2 in patients with CD (n = 44), ulcerative colitis (UC) Endoscopic Index of Severity ≤4 in patients with UC (n = 27) and Rutgeerts score i0 and i1 without colon involvement in patients with CD after ileocaecal resection (n = 19). Results: Out of 102 endoscopic findings 23 were assessed as mucosal healing. We found an association of the mucosal healing scores of the entire group both with FC-ELISA (P = 0.002) and FC-IBDoc (P = 0.001). The area under the receiver operating characteristic curve for FC-ELISA was 0.883 (95% confidence interval 0.807-0.960), with optimal cut-off at 136.5 μg/g. The area under the receiver operating characteristic curve for FC-IBDoc was 0.792 (95% confidence interval 0.688-0.895) with optimal cut-off at 48 μg/g. The FC-ELISA was more accurate than FC-IBDoc when tested by a Delong test (P = 0.023). Conclusions: Standard FC-ELISA for FC evaluation is more reliable predictor of mucosal healing than the FC-IBDoc in paediatric patients with inflammatory bowel disease. The cut-off values for both tests were incongruous. |
|---|---|
| MeSH term(s) | Adolescent ; Area Under Curve ; Biomarkers/analysis ; Child ; Colitis, Ulcerative/diagnostic imaging ; Colitis, Ulcerative/metabolism ; Crohn Disease/diagnostic imaging ; Crohn Disease/metabolism ; Endoscopy, Gastrointestinal ; Enzyme-Linked Immunosorbent Assay ; Feces/chemistry ; Female ; Humans ; Intestinal Mucosa/diagnostic imaging ; Intestinal Mucosa/physiopathology ; Leukocyte L1 Antigen Complex/analysis ; Male ; Mobile Applications ; Prospective Studies ; ROC Curve ; Reagent Kits, Diagnostic/standards ; Reproducibility of Results ; Self Care ; Severity of Illness Index ; Smartphone ; Wound Healing |
| Chemical Substances | Biomarkers ; Leukocyte L1 Antigen Complex ; Reagent Kits, Diagnostic |
| Language | English |
| Publishing date | 2019-03-21 |
| Publishing country | United States |
| Document type | Comparative Study ; Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't |
| ZDB-ID | 603201-1 |
| ISSN | 1536-4801 ; 0277-2116 |
| ISSN (online) | 1536-4801 |
| ISSN | 0277-2116 |
| DOI | 10.1097/MPG.0000000000002331 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
| Zs.A 1728: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.