Year: 2025
Type: article
Study design: Observational Study
Abstract: Aim: This study aimed to validate the Sodergren score (SS) in the Portuguese population and develop a new model incorporating symptoms and quality-of-life variables. Methods: A single-center, cross-sectional study conducted in patients diagnosed with grade I–III hemorrhoidal disease (HD) by gastroenterologists specialized in proctology between January and December 2023. The SS was translated and validated into Portuguese. Patients completed the Portuguese version of the SS and the EUROHIS-QOL-8. Demographic and clinical data were collected. The SS was validated using receiver operating characteristic curve analysis for identification of failure of office-based treatments (OBTs), defined as the need for ≥4 OBT. Additionally, based on SS variables, a new model (Amadora-Sintra) was developed, combining symptom and quality-of-life variables. Results: We included 87 patients (51.7% females) with a mean age of 59 years old (27–87). At the time of questionnaire collection, patients reported a median of 3 symptoms and prolapse was the most common (85.1%). On proctological examination, most of the patients presented HD Goligher grade II (75.9%). The median SS and EUROHIS-QOL-8 score were 3.0 and 3.5, respectively. The SS identified patients needing ≥4 OBT with an AUC = 0.719 (95% CI: [0.61–0.83]) at a cutoff of ≥3 (sensitivity 0.85, specificity 0.47). The Amadora-Sintra model showed superior performance with an AUC = 0.778 (95% CI: [0.66–0.90]), cutoff ≥0.105 (sensitivity 0.85, specificity 0.55). Conclusions: Both the SS and Amadora-Sintra models performed well in identifying patients who did not respond to OBT and consequently needed surgery, with the new model standing out for higher performance.
DOI: 10.1159/000548639
Authors: Sofia Bragança, Mónica Francisco, Henrique Costa Coelho, Maria Ana Rafael, Luísa Martins Figueiredo, Laura P. Frazão, Mariana Nuno Costa, David Horta, Ana Maria Oliveira
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4414652774