P110 Symptomology and most bothersome symptoms among pediatric Crohn’s disease and ulcerative colitis patients: Results from a physician and patient survey
Bibliographic record
Abstract
Abstract Background Crohn’s disease (CD) and ulcerative colitis (UC) are chronic gastrointestinal diseases, which often present during one’s most productive years. The objective of this study was to assess the symptomology and most bothersome symptoms of pediatric CD and UC patients. Methods Data from a cross-sectional survey of physicians and their pediatric CD and UC patients (age 2–17 years) conducted in France, Germany, Italy, Spain, United Kingdom, Japan, and United States were analyzed. Data were collected in 2019–2020 via physician-completed patient record forms and patient-self completed forms. Patients age 12–17 years completed their own questionnaires, while caregivers of younger children completed their respective questionnaires. Patient demographics and current symptoms were reported by physicians, while the most bothersome symptoms were reported by the patient/caregiver. All descriptive analyses were conducted for CD and UC patients separately. Results Data from 1,213 CD patients and 1,162 UC patients were included in this analysis. CD patients had a mean age of 12.8 years, 59.5% were male, 75.5% were Caucasian and had a mean sPCDAI score of 10.7. Similarly, UC patients had a mean age of 12.9 years, 54.0% were male, 71.0% were Caucasian, and had a mean PUCAI score of 23.7. The majority of CD (94.9%) and UC patients (94.6%) were currently enrolled in school/education; however, 68.3% of CD and 61.1% of UC patients indicated that they have missed school/education because of their IBD symptoms. Abdominal pain was the most frequently reported symptoms among CD (41.9%) and UC (38.6%) patients. CD and UC patients reported abdominal pain, diarrhea, abdominal cramps, and bowel urgency as their most bothersome symptoms. Conclusion Pediatric CD and UC patients experience multiple symptoms with the most bothersome symptoms being related to abdominal pain and bowel movements. These symptoms may impact pediatric CD and UC patients’ daily lives and cause them to miss school.
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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 | 0.001 | 0.003 |
| 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 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 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".