Ulcerative Colitis (UC) is a chronic inflammatory disease of the colon of increasing prevalence characterised by periods of remission and activity. Compared to Crohn"s Disease (CD) symptom-based disease activity indices correlate fairly well with endoscopic and biometric grading of activity 1, 2, 3, 4 We review the mounting number of studies that show that the "Simple Clinical Colitis Activity Index" (SCCAI), originally developed as a physician-completed tool, is the most robust disease

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... index when completed by the patient themselves 5 . With the expansion of telemedicine there is increasing evidence to support the novel use of web-based applications to improve outcomes in UC 6 . An example of this is the mobile-phone application "IBDSmart TM ", which is currently being piloted in Auckland, New Zealand 7 .