November 2017 Standardized Assessment Tools for Pediatric IBD patients Use these reference tools to classify the disease type and extent and with measuring disease activity in the pediatric patient with inflammatory bowel disease. Pediatric Crohn’s Disease Activity Index (PCDAI) Pediatric Crohn’s Disease Activity Index (PCDAI): Validated instrument for measuring disease activity in children and adolescents with Crohn’s disease. Disease activity is determined as a numerical score based on evaluation of: Abdominal pain Number of stools per day Weight Linear growth Physical findings o Abdominal pain o Perianal disease o Extra-intestinal manifestations Laboratory studies o Hemoglobin/Hematocrit o ESR o Albumin Functioning and general well-being ( 1 week recall) Score ranges from 0 to 100 0 – 10 Inactive disease 10 – 30 Mild disease >30 Moderate to severe disease References Hyams JS, Ferry GD, Mandel FS, Gryboski JD, Kibort, PM, Kirschner BS, Griffiths AM, Katz, AJ, Grand RJ, Boyle, JT, Michener WM ,Levy JS & Lesser ML (1991). Development and Validation of a Pediatric Crohn’s Disease Activity Index. Journal of Pediatric Gastroenterology and Nutrition. (12): 439 – 447. Loonen HJ, Griffiths AM, Merkus MP & Derkx HH. (2003) A Critical Assessment of Items on the Pediatric Crohn’s Disease Activity Index. Journal of Pediatric Gastroenterology and Nutrition (36): 90 – 95. Hyams J, Markowitz J, Otley A, Rosh J, Mack D, Bousvaros A, Kugathasan S, Pfefferkorn M, Tolia V, Evans J, Treem W, Wyllie R, Rothbaum R, del Rosario J, Katz A, Mezoff A, Oliva-Hemker M, Lerer T, and Griffiths A ( 2005). Evaluation of the Pediatric Crohn Disease Activity Index: A Prospective Multicenter Experience. Journal of Pediatric Gastroenterology and Nutrition (41): 416 – 421.
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November 2017
Standardized Assessment Tools for Pediatric IBD patients
Use these reference tools to classify the disease type and extent and with measuring disease activity in
the pediatric patient with inflammatory bowel disease.
Pediatric Crohn’s Disease Activity Index (PCDAI)
Pediatric Crohn’s Disease Activity Index (PCDAI): Validated instrument for measuring disease activity in
children and adolescents with Crohn’s disease. Disease activity is determined as a numerical score based
on evaluation of:
Abdominal pain
Number of stools per day
Weight
Linear growth
Physical findings
o Abdominal pain
o Perianal disease
o Extra-intestinal manifestations
Laboratory studies
o Hemoglobin/Hematocrit
o ESR
o Albumin
Functioning and general well-being ( 1 week recall)