Screening of Inflammatory Bowel Disease and Spondyloarthritis for Referring Patients Between Rheumatology and Gastroenterology. / Criterios de cribado de enfermedad inflamatoria intestinal y espondiloartritis para derivación de pacientes entre Reumatología y Gastroenterología.
Gastroenterol Hepatol
; 41(1): 54-62, 2018 Jan.
Article
em En, Es
| MEDLINE
| ID: mdl-28882616
ABSTRACT
OBJECTIVE:
To define clinical screening criteria for spondyloarthritis (SpA) in patients with inflammatory bowel disease (IBD) and vice versa, which can be used as a reference for referring them to the rheumatology or gastroenterology service.METHOD:
Systematic literature review and a two-round Delphi method. The scientific committee and the expert panel were comprised of 2 rheumatologists and 2 gastroenterologists, and 7 rheumatologists and 7 gastroenterologists, respectively. The scientific committee defined the initial version of the criteria, taking into account sensitivity, specificity, standardization and ease of application. Afterwards, members of the expert panel assessed each item in a two-round Delphi survey. Items that met agreement in the first or second round were included in the final version of the criteria.RESULTS:
Positive screening for SpA if at least one of the following is present onset of chronic low back pain before 45 years of age; inflammatory low back pain or alternating buttock pain; HLA-B27 positivity; sacroiliitis on imaging; arthritis; heel enthesitis; dactylitis. Positive screening for IBD in the presence of one of the major criteria or at least two minor criteria. Major rectal bleeding; chronic diarrhea with organic characteristics; perianal disease. Minor chronic abdominal pain; iron deficiency anemia or iron deficiency; extraintestinal manifestations; fever or low grade fever, of unknown origin and duration >1week; unexplained weight loss; family history of IBD.CONCLUSION:
Screening criteria for IBD in patients with SpA, and vice versa, have been developed. These criteria will be useful for early detection of both diseases.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Encaminhamento e Consulta
/
Reumatologia
/
Doenças Inflamatórias Intestinais
/
Espondilartrite
/
Avaliação de Sintomas
/
Gastroenterologia
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Screening_studies
/
Systematic_reviews
Limite:
Humans
Idioma:
En
/
Es
Revista:
Gastroenterol Hepatol
Ano de publicação:
2018
Tipo de documento:
Article