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.
(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)
number of stools per day
1 or 2 above normal
3 or 4 above normal
>= 5 above normal
blood in stool
streaks most of the time
obvious blood most of the time
blood only (mostly blood)
patient's functional assessment
good (generally well)
very poor (terrible)
physicians's global assessment
inactive or quiescent
total score =
= SUM(points for all 4 parameters)
• minimum score: 0 (normal)
• maximum score: 16
• The higher the score the more severe the ulcerative colitis.
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Purpose: To evaluate a patient with ulcerative colitis using the Ulcerative Colitis Clinical Score (UCCS) of Feagan et al.
Objective: clinical diagnosis, including family history for genetics, criteria for diagnosis, severity, prognosis, stage