[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-403044-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-403044-en":131},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","vol-12-no-4-april-2018-disease-severity-indexes-and-psych-care-in-chronic-digestive-diseases","VOL. 12 NO. 4 APRIL 2018 - Disease Severity Indexes and Psych Care in Chronic Digestive Diseases","","April 2018 GI & Hepatology News highlights developments in inflammatory bowel disease (IBD) and chronic digestive care. A severity index is described for standardizing disease severity definitions across Crohn’s disease and ulcerative colitis, based on an analysis identifying key severity attributes. The issue also reviews psychogastroenterology approaches, including cognitive-behavioral therapy and gut-directed hypnotherapy, outlining their effects on GI symptoms and patient coping. Additional coverage includes liver cancer trends linked to NASH and editorial perspectives.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/vol-12-no-4-april-2018-disease-severity-indexes-and-psych-care-in-chronic-digestive-diseases/403044/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/vol-12-no-4-april-2018-disease-severity-indexes-and-psych-care-in-chronic-digestive-diseases/403044.png","ImageObject",300,407,{"name":42,"@type":43},"Genevieve","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-06","2026-09-27",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",13,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What is the purpose of the IBD severity index described in the issue?","Question",{"text":63,"@type":64},"The index aims to standardize disease severity definitions in ulcerative colitis and Crohn’s disease using a structured set of severity attributes.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How were severity attributes organized for Crohn’s disease and ulcerative colitis?",{"text":68,"@type":64},"The panel determined 16 severity attributes for Crohn’s disease and 13 for ulcerative colitis, then assessed which attributes contributed most to overall severity.",{"name":70,"@type":61,"acceptedAnswer":71},"Which psychogastroenterology therapies are highlighted, and what outcomes are emphasized?",{"text":72,"@type":64},"The issue reviews cognitive-behavioral therapy (CBT) and gut-directed hypnotherapy, focusing on effects on GI symptoms and patients’ ability to improve coping, resilience, and self-regulation.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},403044,1790785968,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":97,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":140,"language":141,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":12,"update_tm":145,"read_time":146,"preview_page_count":4},1374391974585,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","VOL. 12 NO. 4 APRIL 2018  \nDisease severity indexes were created for each severity attribute on a 100-point scale, reported Dr. Corey A. Siegel.  \nNew study establishes IBD severity index  \nBY MADHU RAJARAMAN  \nFrontline Medical News  \nExperts have established  \na severity index for  \ninflammatory bowel disease (IBD), according to results of an analysis published in the journal Gut (doi: 10.1136/gutjnl-2016-312648) .  \nThe index, conceived by a panel of IBD specialists from the International Organization for the Study of Inflammatory Bowel Diseases, is a step toward the standardization of disease severity definitions in ulcerative colitis and Crohn’s disease.  \nThe panel determined 16 severity attributes for Crohn’s disease and 13 for ulcerative colitis. The anal-  \nysis found that, in Crohn’s disease, mucosal lesions, fistulas, and abscesses were the greatest contributors to disease severity at 15.8%, 10.9%, and 9.7%, respectively. In ulcerative colitis, 18.1% of disease severity was attributed to mucosal lesions, 14% to impact on daily activities, and 11.2% to C-reactive protein, wrote Corey A. Siegel, MD, MS, of the Dartmouth-Hitchcock Medical Center in Lebanon, N. H., and his coauthors.  \nInvestigators used a PubMed literature search to identify three broad elements of disease severity: impact of disease symptoms on daily activities, inflammatory burden, and disease course.  \nSee Index · page 20  \nPresorted Standard U.S . Postage PAID Permit No . 384 Lebanon Jct . KY  \nGI & Hepatology News CHANGE SERVICE REQUESTED  \n151 Fairchild Ave., Suite 2,  \nPlainview, NY 11803-1709  \nCOURTESY DR . COREY A . SIEGEL  \nIncorporating psych care in management of chronic digestive diseases  \nBY CHHAVI JAIN  \nFrontline Medical News  \nPsychogastroenterol  \nogy is the science of  \napplying psychological principles and techniques to alleviate the burden of chronic digestive diseases. This burden includes digestive symptoms and disease severity, as well as patients’ability to cope with them. Chronic digestive diseases, such as irritable bowel syndrome, gastroesophageal reflux disease, and inflammatory bowel diseases, cannot be disentangled from their psychosocial context. In this regard, the role of gastroenterologists in promoting best practices for the assessment and referral  \nof patients across the spectrum of disease to brain-gut psychotherapies is crucial.  \nIn a review by Laurie Keefer, PhD and her coauthors, published in the April issue of Gastroenterology, provided a clinical update on the structure and efficacy of two major classes of psychogastroenterology – cognitivebehavioral therapy (CBT) and gut-directed hypnotherapy (HYP) . Thereview discussed the effects of these therapies on GI symptoms and the patients’ ability to improve coping, resilience, and self-regulation. Thereview also provided a framework to understand  \nSee Psych care · page 21  \nI N S I D E  \nNEWS  \nCommentary  \nSome AGA wins in Congressional budget. • 5  \nFROM THE AGA JOURNALS  \nOpioids linked to mortality in IBD  \nPrescriptions for opioids have increased in the past 20 years. • 9  \nIBD AND INTESTINAL DISORDERS  \nTofacitinib approved for UC  \nFDA panel adds indication. • 21  \nENDOSCOPY  \nNonendoscopic nonmalignant polyp surgery up  \nThis procedure is not recommended, however. • 24  \nNASH rapidly overtaking hepatitis Cas cause of liver cancer  \nBY BIANCA NOGRADY  \nFrontline Medical News  \nNonalcoholic steatohep  \natitis (NASH) is rapidly eclipsing hepatitis C virus (HCV) infection as the leading contributor to liver  \ncancer in the United States. Researchers reported on their analysis of past prevalence of HCV, NASH, and alcoholic cirrhosis and prediction of future trendsand their effect on hepatocellular carcinoma in the  \nJournal of Clinical and Experimental Hepatology. The analysis, based on data from the National Health and Nutrition Examination Survey and the Organ Procurement and  \nSee NASH · page 22  \nSaturday, June 2, 2018  \n8:15 a.m.–5:30 p.m.  \nSunday, Ju","cbCaicidAMPpPUDi","https://ap.wps.com/l/cbCaicidAMPpPUDi","pdf",4839403,26,"English","# Disease severity index for IBD\n## Severity attributes and key contributors\n# Incorporating psych care in chronic digestive disease management\n## CBT and gut-directed hypnotherapy review\n# NASH rapidly overtaking hepatitis C as liver cancer cause\n## Projected trends and reported analysis\n# Letter from the editor\n## Hope, hepatology, and social determinants of health","[{\"question\":\"What is the purpose of the IBD severity index described in the issue?\",\"answer\":\"The index aims to standardize disease severity definitions in ulcerative colitis and Crohn’s disease using a structured set of severity attributes.\"},{\"question\":\"How were severity attributes organized for Crohn’s disease and ulcerative colitis?\",\"answer\":\"The panel determined 16 severity attributes for Crohn’s disease and 13 for ulcerative colitis, then assessed which attributes contributed most to overall severity.\"},{\"question\":\"Which psychogastroenterology therapies are highlighted, and what outcomes are emphasized?\",\"answer\":\"The issue reviews cognitive-behavioral therapy (CBT) and gut-directed hypnotherapy, focusing on effects on GI symptoms and patients’ ability to improve coping, resilience, and self-regulation.\"}]","VOL. 12 NO. 4 APRIL 2018 - Disease Severity Indexes and Psych Care in Chronic Digestive Diseases | PDF",1790536835,66]