Kennedy et al used a scale for proctitis following radiation therapy. This was used to assess the impact of a therapeutic intervention. The authors are from Loyola University Rush Presbyterian St. Luke's Medical Centers in Chicago.
Symptoms:
(1) rectal bleeding
(2) rectal pain
(3) diarrhea
(4) fecal urgency
|
Parameter |
Finding |
Points |
|
severity of symptom |
not at all |
0 |
|
|
slight |
1 |
|
|
mild |
2 |
|
|
moderate |
3 |
|
|
severe |
4 |
|
frequency of symptom |
not at all |
0 |
|
|
rare |
1 |
|
|
occasionally |
2 |
|
|
most of the time |
3 |
|
|
all of the time |
4 |
symptom score =
= (points for severity) + (points for frequency)
total score =
= SUM(points for all 4 symptoms)
Interpretation:
• minimum symptom score: 0
• maximum symptom score: 8
• maximum total score: 32
• The higher the score, the more symptomatic the patient.
The overall impact of the symptoms on the person's lifestyle was also recorded.
|
Lifestyle Impact |
Points |
|
no effect on daily life |
0 |
|
slight impact |
1 |
|
need to modify activities |
2 |
|
need to restrict activities |
3 |
|
afraid to leave home |
4 |
Purpose: To grade the severity of radiation proctitis using the scale of Kennedy et al.
Specialty: Hematology Oncology, Gastroenterology
Objective: severity, prognosis, stage, adverse effects
ICD-10: T66,
