Search in the Abstract Database

Search Abstracts 2011

* = Presenting author

P354. The short health scale is a quick and reliable measure of health status in English speaking patients with Crohn's disease

E.M. McDermott1, M. David1, D. Keegan1, I. Blumenstein2, O. Schröder2, A.M. O'Toole1, C. Dunne1, D. O'Donoghue1, G.A. Doherty1, H. Mulcahy1

1St Vincent's University Hospital, Dublin, Ireland; 2First Department of Internal Medicine, Johann Wolfgang Goethe University, Frankfurt, Germany

Background: The short health scale (SHS) is a 4-item self-administered visual analogue scale questionnaire assessing symptoms, functional status, worry and general well being in. Originally developed in Scandinavia and validated in Swedish speaking inflammatory bowel disease patients, its value has not been determined in English speaking patients.

Aim: To evaluate the SHS in English speaking Crohn's disease patients.

Methods: We studied 167 patients with Crohn's disease attending a single University Hospital. Patients completed a self-administered questionnaire that included the SHS, the 32-point Inflammatory Bowel Disease Questionnaire (IBDQ) and a simple distress thermometer. Disease activity, assessed on the same day, was measured using the modified Harvey Bradshaw Index (HBI).

Results: The HBI correlated significantly with all three measures of health status (SHS Correlation Coefficient (CC) 0.66, p < 0.001; IBDQ CC −0.71, p < 0.001 and simple distress thermometer CC 0.49, p < 0.001). The SHS also correlated closely with the previously validated IBDQ, CC −0.83, p < 0.001. In addition, the simple distress thermometer correlated with both SHS, CC 0.63, p < 0.001 and IBDQ, CC 0.71; p < 0.001.

Conclusion: The SHS is quick and easy to perform. It correlates closely with both disease activity and previously validated measures of health status in Crohn's disease and may be a useful tool in both clinical practice and clinical studies in English speaking Crohn's disease patients.