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Sökning: onr:"swepub:oai:DiVA.org:oru-71183" > Validating microsco...

Validating microscopic colitis (MC) in Swedish pathology registers

Svensson, Magnus (författare)
Department of Paediatrics, Örebro University Hospital, Örebro, Sweden,Orebro Univ Hosp, Sweden
Bergman, David (författare)
Karolinska Institutet,Karolinska Inst, Sweden
Olén, Ola (författare)
Karolinska Institutet,Karolinska Inst, Sweden; Stockholm South Gen Hosp, Sweden
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Myrelid, Pär (författare)
Linköpings universitet,Avdelningen för Kirurgi, Ortopedi och Onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US
Bohr, Johan (författare)
Department of Gastroenterology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden,Orebro Univ, Sweden
Wickbom, Anna, 1970- (författare)
Örebro universitet,Institutionen för medicinska vetenskaper,Department of Gastroenterology,Orebro Univ, Sweden
Khalili, Hamed (författare)
Department of Medicine Solna, Clinical Epidemiology Unit, Karolinska Institutet, Stockholm, Sweden; Gastroenterology Unit , Crohn's and Colitis Center, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
Münch, Andreas, 1970- (författare)
Department of Gastroenterology, Linköping University Hospital, Linköping, Sweden,Region Östergötland, Mag- tarmmedicinska kliniken
Halfvarson, Jonas, 1970- (författare)
Örebro universitet,Institutionen för medicinska vetenskaper,Department of Gastroenterology,Orebro Univ, Sweden
Ludvigsson, Jonas F., 1969- (författare)
Karolinska Institutet,Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Paediatrics, Örebro University Hospital, Örebro, Sweden; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Division of Epidemiology and Public Health School of Medicine, University of Nottingham, Nottingham, UK; Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, NY, USA,Orebro Univ Hosp, Sweden; Karolinska Inst, Sweden; Univ Nottingham, England; Columbia Univ, NY USA
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 (creator_code:org_t)
2019-01-02
2018
Engelska.
Ingår i: Scandinavian Journal of Gastroenterology. - : Taylor & Francis. - 0036-5521 .- 1502-7708.
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • OBJECTIVE: Microscopic colitis (MC), encompassing collagenous colitis (CC) and lymphocytic colitis (LC), is a diagnosis which relies on histopathologic criteria. This report examines the validity of having a diagnosis of MC in Swedish pathology registers.METHODS: We reviewed patient charts from 215 randomly selected individuals from 15 pathology departments in five healthcare regions in Sweden with a relevant histopathology code for MC on colon biopsies. Information on clinical symptoms and laboratory data were obtained from medical chart review. We obtained sufficient data on 211 individuals for calculating positive predictive values (PPVs) for MC.RESULTS: In total, 200/211 patients with a histopathology diagnosis of MC were confirmed as also having a clinical diagnosis of MC after chart review, yielding a PPV of 95% (95%CI =91-97%). The PPV for CC was 95% (95%CI =87-98%) and 85% for LC (95%CI =78-90%). The median age at biopsy was 67 years (range 17-90 years), and 72% (n = 154) were women. The most common symptoms in patients with MC histopathology were diarrhea (96% of patients), weight loss (24%) and abdominal pain (13%). Four percent (4/111) of patients with available data on stool culture were positive for gastrointestinal pathogens (none had Clostridium difficile). In 81 patients with available celiac serology, five (6%) were positive. Twenty-six percent of all patients had at least one other autoimmune disease, the most frequent being hypothyroidism (8%) and celiac disease (6%).CONCLUSIONS: This study found a high validity for MC as recorded in Swedish pathology registers.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Gastroenterologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)

Nyckelord

Microscopic colitis
collagenous colitis
histopathology
lymphocytic colitis
validation

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