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All Journal CRJIM (Clinical and Research Journal in Internal Medicine)
Wibowo, Bogi
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Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Other

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Role of Surveillance Colonoscopy With Mortality Event due to Colorectal Cancer and Cancer Stage Findings in Inflammatory Bowel Disease Patients Akbar, Muhamad; Bhaskara, Rezdy; Wibowo, Bogi; Mubarak, Husni; Tama, Yhang; Faridah, Amirah
Clinical and Research Journal in Internal Medicine Vol. 5 No. 2 (2024): Volume 5 No 2, November 2024
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.crjim.2024.005.02.03

Abstract

Background: Patients with Inflammatory bowel disease (IBD), both due to ulcerative colitis (UC) and Crohn’s disease (CD), are at higher risks of having colorectal cancer (CRC). Various guidelines have recommended surveillance using a colonoscopy. However, evidence of its usefulness for prognosis remains a subject of discussion. Aim: To determined the difference in mortality rate due to CRC and cancer stage between patients IBD who undergo routine surveillance and whoes do not. Methods: Studies performed searches on database of Science Direct, PUBMED, EBSCO, and Cochrane for research types of randomized controlled trials (RCTs), cohort, or case-controls that evaluate the role of surveillance on patients with IBD regarding to mortalities due to CRC and cancer stage findings. Data were then analyzed using the fixed/random effect model based on heterogeneity to evaluate the odds ratio (ORs) with a 95% confidence interval, calculated using the Mantel-Haenszel method. Results: Based on five observational studies that evaluated 3,215 patients with Inflammatory Bowel Disease by surveillance, compared with 4,465 control patients, it was found that patients undergoing surveillance have significantly lower mortality due to CRC (15.1%) than the control patients (23.8%) (OR 0.36 (95% CI: 0.24–0.52), p < 0.00001). There are more patients with end-stage colorectal cancer without surveillance (37%) than those with surveillance (20%) (OR 0.28 (95% CI: 0.20–0.41), p < 0.00001). Conclusion: Patients with inflammatory bowel disease who undergo routine colonoscopy surveillance will have a lower mortality rate and be found with earlier-stage cancer than patients who do not undergo routine colonoscopy examination.
Analysis of the Relationship between ALBI Score and APRI Score on Severity, Length of Treatment and Mortality in COVID-19 Patients at Dr. Saiful Anwar Hospital, Malang Wibowo, Bogi; Mahendra, Aditya; Ibad, Ahmad; Santoso, Dimas; Eldatarina, Helsa
Clinical and Research Journal in Internal Medicine Vol. 5 No. 2 (2024): Volume 5 No 2, November 2024
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.crjim.2024.005.02.02

Abstract

Background: Covid-19 is an infectious disease caused by the SARS-CoV-2 virus and has resulted in more than 3.8 million deaths worldwide. Covid-19 can cause multiorgan complications, including hepatobiliary organs. Many assessments have been used to determine the severity and prognosis of hepatobiliary disorders, such as the Albumin Bilirubin (ALBI) score and the AST-platelet ratio index (APRI) score. Aim: This study aims to determine the relationship between the ALBI score and APRI score with severity, length of treatment, and mortality in COVID-19 infection. Methods: We conducted a case-control study in a population of adult patients with confirmed COVID-19 who were hospitalized at RSSA in the period January-December 2022. Patients with hepatobiliary and autoimmune disorders were excluded from the sample population for further analysis. Albumin, bilirubin, SGOT, and platelet levels were measured at the beginning of the patient's hospitalization. The correlation between variables was analyzed using the Rank-Spearman test with SPSS 27. Results: The study subjects' characteristics showed that most patients were more than 60 years old (66.67%). Based on the severity of the disease, five patients (16.67%) were mild, ten patients (33.33%) were moderate, and 15 patients (50%) were severe. Of the 30 patients, 16 recovered (53.33%) and 14 died (46.67%). The majority of subjects did not require treatment in the ICU (66.67%). The results of the Rank-Spearman Test showed that the ALBI score [R=0.372; p=0.043 (p<0.05)] and APRI score [R=0.409; p=0.025 (p<0.05)] were significantly correlated with the mortality of Covid-19 patients but not with the severity and length of treatment. Conclusion: The conclusion of this study shows that ALBI score and APRI score have a significant relationship with mortality in COVID-19 patients and have the potential to be further studied as predictive factors in assessing the prognosis of COVID-19 patients.
Co-Authors Aditya Mahendra Bhaskara, Rezdy Eldatarina, Helsa Faridah, Amirah Husni Mubarak Ibad, Ahmad Santoso, Dimas Tama, Yhang Tamaulina Br Sembiring