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Development of the Lémann index to assess digestive tract damage in patients with Crohn's disease.

Identifieur interne : 003200 ( PubMed/Corpus ); précédent : 003199; suivant : 003201

Development of the Lémann index to assess digestive tract damage in patients with Crohn's disease.

Auteurs : Benjamin Pariente ; Jean-Yves Mary ; Silvio Danese ; Yehuda Chowers ; Peter De Cruz ; Geert D'Haens ; Edward V. Loftus ; Edouard Louis ; Julian Panés ; Jürgen Schölmerich ; Stefan Schreiber ; Maurizio Vecchi ; Julien Branche ; David Bruining ; Gionata Fiorino ; Matthias Herzog ; Michael A. Kamm ; Amir Klein ; Maïté Lewin ; Paul Meunier ; Ingrid Ordas ; Ulrike Strauch ; Gian-Eugenio Tontini ; Anne-Marie Zagdanski ; Cristiana Bonifacio ; Jordi Rimola ; Maria Nachury ; Christophe Leroy ; William Sandborn ; Jean-Frédéric Colombel ; Jacques Cosnes

Source :

RBID : pubmed:25241327

English descriptors

Abstract

There is a need for a scoring system that provides a comprehensive assessment of structural bowel damage, including stricturing lesions, penetrating lesions, and surgical resection, for measuring disease progression. We developed the Lémann Index and assessed its ability to measure cumulative structural bowel damage in patients with Crohn's disease (CD).

DOI: 10.1053/j.gastro.2014.09.015
PubMed: 25241327

Links to Exploration step

pubmed:25241327

Le document en format XML

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<nlm:affiliation>Department of Hepatogastroenterology, Hôpital Saint-Louis, Paris, France; Department of Hepatogastroenterology, University of Lille, Hôpital Claude Huriez, Lille, France.</nlm:affiliation>
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<nlm:affiliation>Department of Gastroenterology, Rambam Health Care Campus, Haifa, Bat Galim, Israel.</nlm:affiliation>
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<name sortKey="De Cruz, Peter" sort="De Cruz, Peter" uniqKey="De Cruz P" first="Peter" last="De Cruz">Peter De Cruz</name>
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<name sortKey="D Haens, Geert" sort="D Haens, Geert" uniqKey="D Haens G" first="Geert" last="D'Haens">Geert D'Haens</name>
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<name sortKey="Schreiber, Stefan" sort="Schreiber, Stefan" uniqKey="Schreiber S" first="Stefan" last="Schreiber">Stefan Schreiber</name>
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<name sortKey="Vecchi, Maurizio" sort="Vecchi, Maurizio" uniqKey="Vecchi M" first="Maurizio" last="Vecchi">Maurizio Vecchi</name>
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<name sortKey="Branche, Julien" sort="Branche, Julien" uniqKey="Branche J" first="Julien" last="Branche">Julien Branche</name>
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<nlm:affiliation>Department of Hepatogastroenterology, University of Lille, Hôpital Claude Huriez, Lille, France.</nlm:affiliation>
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<name sortKey="Bruining, David" sort="Bruining, David" uniqKey="Bruining D" first="David" last="Bruining">David Bruining</name>
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<nlm:affiliation>Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.</nlm:affiliation>
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<name sortKey="Fiorino, Gionata" sort="Fiorino, Gionata" uniqKey="Fiorino G" first="Gionata" last="Fiorino">Gionata Fiorino</name>
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<name sortKey="Herzog, Matthias" sort="Herzog, Matthias" uniqKey="Herzog M" first="Matthias" last="Herzog">Matthias Herzog</name>
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<name sortKey="Kamm, Michael A" sort="Kamm, Michael A" uniqKey="Kamm M" first="Michael A" last="Kamm">Michael A. Kamm</name>
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<name sortKey="Klein, Amir" sort="Klein, Amir" uniqKey="Klein A" first="Amir" last="Klein">Amir Klein</name>
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<name sortKey="Lewin, Maite" sort="Lewin, Maite" uniqKey="Lewin M" first="Maïté" last="Lewin">Maïté Lewin</name>
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<nlm:affiliation>Radiology Department, Hôpital Saint-Antoine, Paris, France.</nlm:affiliation>
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<name sortKey="Meunier, Paul" sort="Meunier, Paul" uniqKey="Meunier P" first="Paul" last="Meunier">Paul Meunier</name>
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<nlm:affiliation>Department of Medical Imaging, Centre Hospitalier Universitaire de Liège, Liège University, Liège, Belgium.</nlm:affiliation>
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<name sortKey="Ordas, Ingrid" sort="Ordas, Ingrid" uniqKey="Ordas I" first="Ingrid" last="Ordas">Ingrid Ordas</name>
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<name sortKey="Strauch, Ulrike" sort="Strauch, Ulrike" uniqKey="Strauch U" first="Ulrike" last="Strauch">Ulrike Strauch</name>
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<nlm:affiliation>Department of Internal Medicine I, University of Regensburg, Regensburg, Germany.</nlm:affiliation>
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<name sortKey="Tontini, Gian Eugenio" sort="Tontini, Gian Eugenio" uniqKey="Tontini G" first="Gian-Eugenio" last="Tontini">Gian-Eugenio Tontini</name>
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<nlm:affiliation>Radiology Department, Hôpital Saint-Louis, Paris, France.</nlm:affiliation>
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<name sortKey="Leroy, Christophe" sort="Leroy, Christophe" uniqKey="Leroy C" first="Christophe" last="Leroy">Christophe Leroy</name>
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<name sortKey="Sandborn, William" sort="Sandborn, William" uniqKey="Sandborn W" first="William" last="Sandborn">William Sandborn</name>
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<nlm:affiliation>Division of Gastroenterology, UC San Diego Health System, La Jolla, California.</nlm:affiliation>
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<name sortKey="Colombel, Jean Frederic" sort="Colombel, Jean Frederic" uniqKey="Colombel J" first="Jean-Frédéric" last="Colombel">Jean-Frédéric Colombel</name>
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<nlm:affiliation>Department of Gastroenterology, Icahn Medical School at Mount Sinai, New York, New York.</nlm:affiliation>
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<name sortKey="Cosnes, Jacques" sort="Cosnes, Jacques" uniqKey="Cosnes J" first="Jacques" last="Cosnes">Jacques Cosnes</name>
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<nlm:affiliation>Department of Hepatogastroenterology, Hôpital Saint-Louis, Paris, France; Department of Hepatogastroenterology, University of Lille, Hôpital Claude Huriez, Lille, France.</nlm:affiliation>
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<nlm:affiliation>BD Center, Department of Gastroenterology, Istituto Clinico Humanitas, Rozzano, Milan, Italy.</nlm:affiliation>
</affiliation>
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<name sortKey="Chowers, Yehuda" sort="Chowers, Yehuda" uniqKey="Chowers Y" first="Yehuda" last="Chowers">Yehuda Chowers</name>
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<nlm:affiliation>Department of Gastroenterology, Rambam Health Care Campus, Haifa, Bat Galim, Israel.</nlm:affiliation>
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<name sortKey="De Cruz, Peter" sort="De Cruz, Peter" uniqKey="De Cruz P" first="Peter" last="De Cruz">Peter De Cruz</name>
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<nlm:affiliation>St Vincent's Hospital & University of Melbourne, Melbourne, Australia.</nlm:affiliation>
</affiliation>
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<name sortKey="D Haens, Geert" sort="D Haens, Geert" uniqKey="D Haens G" first="Geert" last="D'Haens">Geert D'Haens</name>
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<nlm:affiliation>Academic Medical Center, Amsterdam, The Netherlands; Imelda GI Clinical Research Center, Bonheiden, Belgium.</nlm:affiliation>
</affiliation>
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<name sortKey="Loftus, Edward V" sort="Loftus, Edward V" uniqKey="Loftus E" first="Edward V" last="Loftus">Edward V. Loftus</name>
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<nlm:affiliation>Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.</nlm:affiliation>
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<name sortKey="Louis, Edouard" sort="Louis, Edouard" uniqKey="Louis E" first="Edouard" last="Louis">Edouard Louis</name>
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<nlm:affiliation>Department of Hepatogastroenterology, Centre Hospitalier Universitaire de Liège, Liège University, Liège, Belgium.</nlm:affiliation>
</affiliation>
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<name sortKey="Panes, Julian" sort="Panes, Julian" uniqKey="Panes J" first="Julian" last="Panés">Julian Panés</name>
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<nlm:affiliation>Gastroenterology Department, Hospital Clinic of Barcelona, IDIBAPS, CIBERehd, Barcelona, Spain.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Scholmerich, Jurgen" sort="Scholmerich, Jurgen" uniqKey="Scholmerich J" first="Jürgen" last="Schölmerich">Jürgen Schölmerich</name>
<affiliation>
<nlm:affiliation>Department of Internal Medicine I, University of Regensburg, Regensburg, Germany.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Schreiber, Stefan" sort="Schreiber, Stefan" uniqKey="Schreiber S" first="Stefan" last="Schreiber">Stefan Schreiber</name>
<affiliation>
<nlm:affiliation>Institute of Clinical Molecular Biology, Christian-Albrechts University, Kiel, Germany.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Vecchi, Maurizio" sort="Vecchi, Maurizio" uniqKey="Vecchi M" first="Maurizio" last="Vecchi">Maurizio Vecchi</name>
<affiliation>
<nlm:affiliation>Gastroenterology and Gastrointestinal Endoscopy Unit, IRCCS Policlinico San Donato and University of Milan, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Branche, Julien" sort="Branche, Julien" uniqKey="Branche J" first="Julien" last="Branche">Julien Branche</name>
<affiliation>
<nlm:affiliation>Department of Hepatogastroenterology, University of Lille, Hôpital Claude Huriez, Lille, France.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Bruining, David" sort="Bruining, David" uniqKey="Bruining D" first="David" last="Bruining">David Bruining</name>
<affiliation>
<nlm:affiliation>Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Fiorino, Gionata" sort="Fiorino, Gionata" uniqKey="Fiorino G" first="Gionata" last="Fiorino">Gionata Fiorino</name>
<affiliation>
<nlm:affiliation>BD Center, Department of Gastroenterology, Istituto Clinico Humanitas, Rozzano, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Herzog, Matthias" sort="Herzog, Matthias" uniqKey="Herzog M" first="Matthias" last="Herzog">Matthias Herzog</name>
<affiliation>
<nlm:affiliation>Institute of Clinical Molecular Biology, Christian-Albrechts University, Kiel, Germany.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Kamm, Michael A" sort="Kamm, Michael A" uniqKey="Kamm M" first="Michael A" last="Kamm">Michael A. Kamm</name>
<affiliation>
<nlm:affiliation>St Vincent's Hospital & University of Melbourne, Melbourne, Australia; Imperial College, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Klein, Amir" sort="Klein, Amir" uniqKey="Klein A" first="Amir" last="Klein">Amir Klein</name>
<affiliation>
<nlm:affiliation>Department of Gastroenterology, Rambam Health Care Campus, Haifa, Bat Galim, Israel.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Lewin, Maite" sort="Lewin, Maite" uniqKey="Lewin M" first="Maïté" last="Lewin">Maïté Lewin</name>
<affiliation>
<nlm:affiliation>Radiology Department, Hôpital Saint-Antoine, Paris, France.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Meunier, Paul" sort="Meunier, Paul" uniqKey="Meunier P" first="Paul" last="Meunier">Paul Meunier</name>
<affiliation>
<nlm:affiliation>Department of Medical Imaging, Centre Hospitalier Universitaire de Liège, Liège University, Liège, Belgium.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Ordas, Ingrid" sort="Ordas, Ingrid" uniqKey="Ordas I" first="Ingrid" last="Ordas">Ingrid Ordas</name>
<affiliation>
<nlm:affiliation>Gastroenterology Department, Hospital Clinic of Barcelona, IDIBAPS, CIBERehd, Barcelona, Spain.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Strauch, Ulrike" sort="Strauch, Ulrike" uniqKey="Strauch U" first="Ulrike" last="Strauch">Ulrike Strauch</name>
<affiliation>
<nlm:affiliation>Department of Internal Medicine I, University of Regensburg, Regensburg, Germany.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Tontini, Gian Eugenio" sort="Tontini, Gian Eugenio" uniqKey="Tontini G" first="Gian-Eugenio" last="Tontini">Gian-Eugenio Tontini</name>
<affiliation>
<nlm:affiliation>Gastroenterology and Gastrointestinal Endoscopy Unit, IRCCS Policlinico San Donato and University of Milan, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Zagdanski, Anne Marie" sort="Zagdanski, Anne Marie" uniqKey="Zagdanski A" first="Anne-Marie" last="Zagdanski">Anne-Marie Zagdanski</name>
<affiliation>
<nlm:affiliation>Radiology Department, Hôpital Saint-Louis, Paris, France.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Bonifacio, Cristiana" sort="Bonifacio, Cristiana" uniqKey="Bonifacio C" first="Cristiana" last="Bonifacio">Cristiana Bonifacio</name>
<affiliation>
<nlm:affiliation>Department of Radiology, Istituto Clinico Humanitas, Rozzano, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Rimola, Jordi" sort="Rimola, Jordi" uniqKey="Rimola J" first="Jordi" last="Rimola">Jordi Rimola</name>
<affiliation>
<nlm:affiliation>Radiology Department, CDI-Hospital Clinic, Barcelona, Spain.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Nachury, Maria" sort="Nachury, Maria" uniqKey="Nachury M" first="Maria" last="Nachury">Maria Nachury</name>
<affiliation>
<nlm:affiliation>Department of Hepatogastroenterology, University of Lille, Hôpital Claude Huriez, Lille, France.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Leroy, Christophe" sort="Leroy, Christophe" uniqKey="Leroy C" first="Christophe" last="Leroy">Christophe Leroy</name>
<affiliation>
<nlm:affiliation>Radiology Department, University Hospital, Lille, France.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Sandborn, William" sort="Sandborn, William" uniqKey="Sandborn W" first="William" last="Sandborn">William Sandborn</name>
<affiliation>
<nlm:affiliation>Division of Gastroenterology, UC San Diego Health System, La Jolla, California.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Colombel, Jean Frederic" sort="Colombel, Jean Frederic" uniqKey="Colombel J" first="Jean-Frédéric" last="Colombel">Jean-Frédéric Colombel</name>
<affiliation>
<nlm:affiliation>Department of Gastroenterology, Icahn Medical School at Mount Sinai, New York, New York.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Cosnes, Jacques" sort="Cosnes, Jacques" uniqKey="Cosnes J" first="Jacques" last="Cosnes">Jacques Cosnes</name>
<affiliation>
<nlm:affiliation>Gastroenterology and Nutrition Department, Hôpital Saint-Antoine, Paris, France. Electronic address: jacques.cosnes@sat.ap-hop-paris.fr.</nlm:affiliation>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Gastroenterology</title>
<idno type="eISSN">1528-0012</idno>
<imprint>
<date when="2015" type="published">2015</date>
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<term>Adult</term>
<term>Australia</term>
<term>Colonoscopy</term>
<term>Crohn Disease (diagnosis)</term>
<term>Crohn Disease (diagnostic imaging)</term>
<term>Crohn Disease (pathology)</term>
<term>Cross-Sectional Studies</term>
<term>Diagnostic Imaging (methods)</term>
<term>Europe</term>
<term>Female</term>
<term>Gastrointestinal Tract (diagnostic imaging)</term>
<term>Gastrointestinal Tract (pathology)</term>
<term>Humans</term>
<term>Israel</term>
<term>Linear Models</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multimodal Imaging</term>
<term>Observer Variation</term>
<term>Predictive Value of Tests</term>
<term>Prognosis</term>
<term>Prospective Studies</term>
<term>Reproducibility of Results</term>
<term>Severity of Illness Index</term>
<term>Tomography, X-Ray Computed</term>
</keywords>
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<term>Crohn Disease</term>
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<term>Cross-Sectional Studies</term>
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<div type="abstract" xml:lang="en">There is a need for a scoring system that provides a comprehensive assessment of structural bowel damage, including stricturing lesions, penetrating lesions, and surgical resection, for measuring disease progression. We developed the Lémann Index and assessed its ability to measure cumulative structural bowel damage in patients with Crohn's disease (CD).</div>
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<DateCreated>
<Year>2014</Year>
<Month>12</Month>
<Day>22</Day>
</DateCreated>
<DateCompleted>
<Year>2015</Year>
<Month>03</Month>
<Day>06</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>11</Month>
<Day>25</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1528-0012</ISSN>
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<Volume>148</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2015</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>Gastroenterology</Title>
<ISOAbbreviation>Gastroenterology</ISOAbbreviation>
</Journal>
<ArticleTitle>Development of the Lémann index to assess digestive tract damage in patients with Crohn's disease.</ArticleTitle>
<Pagination>
<MedlinePgn>52-63.e3</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1053/j.gastro.2014.09.015</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0016-5085(14)01137-8</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND & AIMS" NlmCategory="OBJECTIVE">There is a need for a scoring system that provides a comprehensive assessment of structural bowel damage, including stricturing lesions, penetrating lesions, and surgical resection, for measuring disease progression. We developed the Lémann Index and assessed its ability to measure cumulative structural bowel damage in patients with Crohn's disease (CD).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We performed a prospective, multicenter, international, cross-sectional study of patients with CD evaluated at 24 centers in 15 countries. Inclusions were stratified based on CD location and duration. All patients underwent clinical examination and abdominal magnetic resonance imaging analyses. Upper endoscopy, colonoscopy, and pelvic magnetic resonance imaging analyses were performed according to suspected disease locations. The digestive tract was divided into 4 organs and subsequently into segments. For each segment, investigators collected information on previous operations, predefined strictures, and/or penetrating lesions of maximal severity (grades 1-3), and then provided damage evaluations ranging from 0.0 (no lesion) to 10.0 (complete resection). Overall level of organ damage was calculated from the average of segmental damage. Investigators provided a global damage evaluation (from 0.0 to 10.0) using calculated organ damage evaluations. Predicted organ indexes and Lémann Index were constructed using a multiple linear mixed model, showing the best fit with investigator organ and global damage evaluations, respectively. An internal cross-validation was performed using bootstrap methods.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Data from 138 patients (24, 115, 92, and 59 with upper tract, small bowel, colon/rectum, and anus CD location, respectively) were analyzed. According to validation, the unbiased correlation coefficients between predicted indexes and investigator damage evaluations were 0.85, 0.98, 0.90, 0.82 for upper tract, small bowel, colon/rectum, anus, respectively, and 0.84 overall.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In a cross-sectional study, we assessed the ability of the Lémann Index to measure cumulative structural bowel damage in patients with CD. Provided further successful validation and good sensitivity to change, the index should be used to evaluate progression of CD and efficacy of treatment.</AbstractText>
<CopyrightInformation>Copyright © 2015 AGA Institute. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
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<LastName>Pariente</LastName>
<ForeName>Benjamin</ForeName>
<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>Department of Hepatogastroenterology, Hôpital Saint-Louis, Paris, France; Department of Hepatogastroenterology, University of Lille, Hôpital Claude Huriez, Lille, France.</Affiliation>
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<Affiliation>BD Center, Department of Gastroenterology, Istituto Clinico Humanitas, Rozzano, Milan, Italy.</Affiliation>
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