Knowledge and attitudes towards the use of histological assessments in ulcerative colitis by gastroenterologists vs pathologists

Table 2 Attitudes towards histology and histological scoring systems, n (%)

	Gastroenterologists (n = 77)	Pathologists (n = 12)
The role of histological activity in IBD is
Not established	3 (3.9)	1 (8.3)
Preliminary	1 (1.3)	0 (0.0)
Emerging	31 (40.3)	4 (33.3)
Established	42 (54.5)	7 (58.3)
Histological remission is more important to achieve than endoscopic remission
Disagree	4 (5.2)	N/A
Somewhat disagree	13 (16.9)	N/A
Neither agree nor disagree	10 (13.0)	N/A
Somewhat agree	36 (46.8)	N/A
Agree	14 (18.2)	N/A
What histological scoring system does your pathologist routinely or frequently use in their reports
Geboes	2 (2.6)	0 (0.0)
Nancy index	3 (3.9)	1 (8.3)
RHI	1 (1.3)	0 (0.0)
They do not routinely use a scoring system	71 (92.2)	10 (83.3)
Other		IBD-DCA score (n = 1)
I would like to use a histological scoring system for my IBD patients
Never	8 (10.4)	4 (33.3)
Rarely	10 (13.0)	1 (8.3)
Occasionally	14 (18.2)	1 (8.3)
Sometimes	23 (29.9)	3 (25.0)
Always	22 (28.6)	3 (25.0)
Which scoring systems have undergone the most validation
Modified Riley score	1 (1.3)	1 (8.3)
Geboes score	13 (16.9)	3 (25.0)
Nancy index	20 (26.0)	5 (41.7)
RHI	9 (11.7)	3 (25.0)
Truelove and Richards score	5 (6.5)	0 (0.0)
Not sure	49 (63.6)	7 (58.3)
What Geboes score is considered histological remission
< 1.1	2 (2.6)	1 (8.3)
< 2.1	7 (9.1)	2 (16.7)
< 3.1	4 (5.2)	0 (0.0)
< 4.1	1 (1.3)	0 (0.0)
Not sure	63 (81.8)	9 (75.0)
What Nancy index is considered histological remission
0	10 (13.0)	2 (16.7)
≤ 1	4 (5.2)	3 (25.0)
≤ 2	0 (0.0)	0 (0.0)
≤ 3	0 (0.0)	0 (0.0)
Not sure	63 (81.8)	7 (58.3)
What Robarts histopathology index is considered histological remission
≤ 2	4 (5.2)	1 (8.3)
≤ 3	6 (7.8)	1 (8.3)
≤ 4	0 (0.0)	0 (0.0)
≤ 5	0 (0.0)	1 (8.3)
Not sure	67 (87.0)	9 (75.0)

RHI: Robarts histopathology index; IBD: Inflammatory bowel disease; N/A: Not applicable.