Caracterización epidemiológica y clínica de la enfermedad inflamatoria intestinal en una cohorte de pacientes en el Hospital Militar Central entre el año 2012-2017.
Bibliographic record
Abstract
Introduction: Inflammatory Bowel Disease (IBD) includes ulcerative colitis (UC) and Crohn's disease (CD), are chronic inflammatory pathologies of the gastrointestinal tract, with low prevalence, which also have a systemic involvement, with frequent extraintestinal manifestations. Its clinical course has multiple relapses and an increase in the frequency of occurrence worldwide. Materials and Methods: Series of cases that assess the epidemiological characteristics of IBD in the population of the health subsystem of the Military Forces in Colombia in the period between 2012-2017. Data obtained from review of medical records and endoscopic reports stored in the Medicap system and Management Dynamics. With SPSS 20, measures of central tendency and dispersion for continuous variables and frequencies were obtained. Results: The total population after histological confirmation was 140 patients (78.6% with UC, 15.7% with CD and 5.7% with IC). Family history of IBD in 7.3% and history of autoimmune disease up to 9.1%. Extraintestinal manifestations occurred in 51.8% of patients with UC, 72.7% in CD and 37.5% in IC. The endoscopic classification in CU showed a Montreal score in E3 in 41.8% and S3 in 41.8%. In EC the age was A2 in 45.5%, location 52.4% and 57.1% were B2. Conclusions: In our population, the IEE shows gender distribution and ages similar to world populations. CU has a phenotype in which a large extension is accentuated (Montreal E3), poor intestinal symptoms, few outbreaks, and frequent extraintestinal involvement, associating this phenotype with increased colorectal cancer risk. EC is late diagnosis, requiring surgical management in half of the patients at the time of diagnosis, with stenosant phenotype of ileocecal location. Suggesting this data a screening that includes cannulation of the ileum in diagnostic and follow-up colonoscopies.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".