Endoscopic Scoring After Crohn’s Surgery: Which Indices Reliably Detect Recurrence? Lessons from the PREVENT Trial Analysis

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• Central-reader analysis of 70 ileocolonoscopy videos from the PREVENT trial found substantial interrater reliability (ICC 0.74–0.80) and large responsiveness (WinP 0.75–0.83) for the Rutgeerts and modified Rutgeerts scores, ileal REMIND, SES-CD and CDEIS in the neoterminal ileum.

• The POCER index and anastomotic REMIND score demonstrated lower reliability and minimal responsiveness (ICC 0.49 and 0.30; WinP ≈0.54 and 0.53 respectively).

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