Scoring endoscopy in pediatric inflammatory bowel disease: a way to improve quality

This multicenter study shows low agreement among pediatric endoscopists in evaluating endoscopic scores in children with IBD. By using disease activity categorization, agreement slightly increased, mostly for CD. All readers showed a low-grade concordance with the expert adult gastroenterologist's evaluations. Future specific training programs should be considered to increase interobserver agreement in using IBD endoscopic activity scores.