EASE-CD: A Validated Endoscopic Ulcer Activity Score for Crohn’s Disease—Clinical Utility and Evidence from Randomized Trials

Highlights

  • EASE-CD is a newly developed and externally validated index for quantifying endoscopic ulcer activity in Crohn’s disease.
  • Demonstrates substantial inter-rater reliability (ICC=0.798) and strong responsiveness to treatment (WinP=0.769).
  • Improves upon older indices by offering clearer definitions, better reliability, and validated thresholds for clinically meaningful change.
  • Provides a continuous score (0–100) with ulcer-free remission defined as zero.

Clinical Background and Disease Burden

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