BACKGROUND Diagnosis of inflammatory bowel disease and assessment of disease activity are fundamentally reliant on endoscopy.Nonetheless,it is costly and invasive,highlighting the necessity for more accessible and non...BACKGROUND Diagnosis of inflammatory bowel disease and assessment of disease activity are fundamentally reliant on endoscopy.Nonetheless,it is costly and invasive,highlighting the necessity for more accessible and non-invasive biomarkers to assist in the diagnosis and evaluation of inflammatory bowel disease.AIM To examine the correlation of biomarkers with endoscopic activity,evaluate their diagnostic significance,and develop models to forecast endo-scopic activity.METHODS We performed a retrospective single-center analysis of 365 patients with ulcerative colitis(UC),319 with Crohn’s disease(CD)and 100 controls at the First Affiliated Hospital of Zhengzhou University from January 2022 to September 2024.The following biomarkers were analyzed:White blood cell,hemoglobin(Hb),platelet(PLT),neutrophil(N),lymphocyte(L),hematocrit(HCT),eosinophil,albumin(ALB),globulin(GLB),C-reactive protein(CRP),erythrocyte sedimentation rate(ESR),ALB/GLB(AGR),CRP/ALB(CAR),CRP/L(CLR),PLT/ALB(PAR),PLT/L(PLR),and N/L(NLR).RESULTS Serum N,PLT,GLB,CRP,ESR,CAR,CLR,PLR,PAR,and NLR levels were significantly elevated(P<0.001 or P<0.05)in the UC and CD groups compared to controls,whereas Hb,HCT,L,ALB,and AGR were reduced(P<0.001 or P<0.05).Aside from L and eosinophil,substantial differences were observed between mild and severe activity in UC and CD(P<0.001 or P<0.05).UC and CD patients who exhibited an endoscopic response after 14 weeks of treatment had elevated CRP,CAR,and CLR levels at baseline compared to endoscopic nonresponders(P<0.01 or P<0.05).The UC nomogram model utilizing ESR,CAR,and PAR,along with the CD nomogram model employing AGR and PAR,demonstrate predictive significance and clinical applicability for assessing endoscopic activity.CONCLUSION White blood cell,Hb,HCT,PLT,N,CRP,ESR,ALB,GLB,AGR,CAR,CLR,PLR,PAR and NLR are significantly correlated with the endoscopic activity of UC and CD.Patients with UC and CD exhibiting elevated CRP,CAR,and CLR levels are more inclined to respond to treatment.Our nomogram models can precisely forecast endoscopic activity.展开更多
基金Supported by Henan Natural Science Foundation,No.232300421181.
文摘BACKGROUND Diagnosis of inflammatory bowel disease and assessment of disease activity are fundamentally reliant on endoscopy.Nonetheless,it is costly and invasive,highlighting the necessity for more accessible and non-invasive biomarkers to assist in the diagnosis and evaluation of inflammatory bowel disease.AIM To examine the correlation of biomarkers with endoscopic activity,evaluate their diagnostic significance,and develop models to forecast endo-scopic activity.METHODS We performed a retrospective single-center analysis of 365 patients with ulcerative colitis(UC),319 with Crohn’s disease(CD)and 100 controls at the First Affiliated Hospital of Zhengzhou University from January 2022 to September 2024.The following biomarkers were analyzed:White blood cell,hemoglobin(Hb),platelet(PLT),neutrophil(N),lymphocyte(L),hematocrit(HCT),eosinophil,albumin(ALB),globulin(GLB),C-reactive protein(CRP),erythrocyte sedimentation rate(ESR),ALB/GLB(AGR),CRP/ALB(CAR),CRP/L(CLR),PLT/ALB(PAR),PLT/L(PLR),and N/L(NLR).RESULTS Serum N,PLT,GLB,CRP,ESR,CAR,CLR,PLR,PAR,and NLR levels were significantly elevated(P<0.001 or P<0.05)in the UC and CD groups compared to controls,whereas Hb,HCT,L,ALB,and AGR were reduced(P<0.001 or P<0.05).Aside from L and eosinophil,substantial differences were observed between mild and severe activity in UC and CD(P<0.001 or P<0.05).UC and CD patients who exhibited an endoscopic response after 14 weeks of treatment had elevated CRP,CAR,and CLR levels at baseline compared to endoscopic nonresponders(P<0.01 or P<0.05).The UC nomogram model utilizing ESR,CAR,and PAR,along with the CD nomogram model employing AGR and PAR,demonstrate predictive significance and clinical applicability for assessing endoscopic activity.CONCLUSION White blood cell,Hb,HCT,PLT,N,CRP,ESR,ALB,GLB,AGR,CAR,CLR,PLR,PAR and NLR are significantly correlated with the endoscopic activity of UC and CD.Patients with UC and CD exhibiting elevated CRP,CAR,and CLR levels are more inclined to respond to treatment.Our nomogram models can precisely forecast endoscopic activity.
