Sha, H. L. and Roslani, A. C. and Poh, K. S. (2020) Evaluating the ability of the Sodergren score to guide the management of internal haemorrhoidal disease. Colorectal Disease, 22 (10). pp. 1379-1387. ISSN 1462-8910, DOI https://doi.org/10.1111/codi.15091.
Full text not available from this repository.Abstract
Aim The Sodergren score was developed to objectively measure the severity of haemorrhoidal symptoms. This study aimed to determine if there was a difference in the Sodergren score between patients who were offered surgery and patients who underwent successful rubber band ligation of internal haemorrhoidal disease and to assess its performance in guiding management. Method This is a prospective, observational study. The preintervention Sodergren scores of subjects with internal haemorrhoidal disease were recorded and blinded to the surgeon in charge. Sodergren scores of subjects in the two arms were unblinded and compared at the end of the study. Results The results for 290 patients were available for final analysis. The median scores of those offered surgery and those who underwent successful rubber band ligation differed significantly 4 (interquartile range 3-10) vs 0 (interquartile range 0-4), P = 0.001]. In predicting treatment, the Sodergren score had an area under the receiver operating characteristic curve of 0.735 (95% CI 0.675-0.795). Conclusion There is a significant difference in scores between patients who were offered surgery and patients with successful rubber band ligation. Our study suggests that the Sodergren score has an acceptable discrimination in predicting the need for surgery in internal haemorrhoidal disease. We propose that patients with a Sodergren score of 6 or more be considered for upfront surgery. This score could potentially be used to standardize outcomes of future haemorrhoid trials.
| Item Type: | Article |
|---|---|
| Funders: | Department of Surgery of Raja Permaisuri Bainun Hospital, University of Malaya Medical Centre |
| Uncontrolled Keywords: | Sodergren score; Haemorrhoids; Symptom severity |
| Subjects: | R Medicine > RD Surgery |
| Divisions: | Faculty of Medicine > Surgery Department |
| Depositing User: | Ms Zaharah Ramly |
| Date Deposited: | 04 Nov 2024 03:20 |
| Last Modified: | 04 Nov 2024 03:20 |
| URI: | http://eprints.um.edu.my/id/eprint/36688 |
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