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Ulcerative Colitis Clinical Score (UCCS) of Feagan et al

Purpose: To evaluate a patient with ulcerative colitis using the Ulcerative Colitis Clinical Score (UCCS) of Feagan et al.

Description

Feagan et al evaluated patients with ulcerative colitis using the Ulcerative Colitis Clinical Score (UCSS). This can be used to monitor a patient over time and the response to therapy.


The score is similar to the Mayo score and the Sunderland index. These have an endoscopic parameter instead of the patient's functional assessment.

 

Parameters:

(1) number of stools per day relative to normal

(2) rectal bleeding (blood in stool)

(3) patient's functional assessment

(4) physician's global assessment about disease activity (based on observations of physical findings, symptoms, etc)

 

Parameter

Finding

Points

number of stools per day

normal

0

 

1 or 2 above normal

1

 

3 or 4 above normal

2

 

>= 5 above normal

3

blood in stool

none

0

 

streaks most of the time

1

 

obvious blood most of the time

2

 

blood only (mostly blood)

3

patient's functional assessment

good (generally well)

0

 

fair

1

 

poor

2

 

very poor (terrible)

3

physicians's global assessment

inactive or quiescent

0

 

mild

1

 

moderate

2

 

severe

3

 

total score =

= SUM(points for all 4 parameters)

 

Interpretation:

• minimum score: 0 (normal)

• maximum score: 16

• The higher the score the more severe the ulcerative colitis.


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Specialty

Objective

ICD-10