Reliability of the Burke‐Fahn‐Marsden scale in a multicenter trial for dystonia
Identifieur interne : 000320 ( France/Analysis ); précédent : 000319; suivant : 000321Reliability of the Burke‐Fahn‐Marsden scale in a multicenter trial for dystonia
Auteurs : Pierre Krystkowiak [France] ; Sophie Tezenas Du Montcel [France] ; Laurent Vercueil [France] ; Jean-Luc Houeto [France] ; Christelle Lagrange [France] ; Philippe Cornu [France] ; Serge Blond [France] ; Alim-Louis Benabid [France] ; Pierre Pollak [France] ; Marie Vidailhet [France]Source :
- Movement Disorders [ 0885-3185 ] ; 2007-04-15.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Adolescent, Adult, Burke‐Fahn‐Marsden scale, Deep Brain Stimulation (methods), Dystonia, Dystonia (diagnosis), Dystonia (physiopathology), Dystonia (therapy), Female, Follow-Up Studies, Globus Pallidus (physiopathology), Humans, Male, Middle Aged, Multicenter study, Nervous system diseases, Neurologic Examination (statistics & numerical data), Observer Variation, Prospective Studies, Reliability, Reproducibility of Results, Statistics as Topic, deep bain stimulation, dystonia, globus pallidus.
- MESH :
- diagnosis : Dystonia.
- methods : Deep Brain Stimulation.
- physiopathology : Dystonia, Globus Pallidus.
- statistics & numerical data : Neurologic Examination.
- therapy : Dystonia.
- Adolescent, Adult, Female, Follow-Up Studies, Humans, Male, Middle Aged, Observer Variation, Prospective Studies, Reproducibility of Results, Statistics as Topic.
Abstract
Background: The multicenter SPIDY trial (pallidal stimulation for generalized, idiopathic dystonia) recently reported a marked improvement in dystonia which was assessed by the Burke‐Fahn‐Marsden (BFM) scale. However, the reliability of this tool has rarely been evaluated and its use in a multicenter study has never been assessed prospectively. Purpose: To evaluate the concordance between three unblinded clinical raters and one single‐blinded rater for 10 prospective series of ratings on the BFM scale in 22 dystonic patients of the SPIDY study. Methods: Ten assessments on the BFM scale were performed under various stimulation conditions at different time points (before surgery and 1, 3, 6, and 12 months afterwards). Patients were first evaluated by three unblinded clinical raters (one per center). All assessments were videotaped and sent to a blinded rater. Intra‐ and inter‐rater reliability was assessed using intraclass correlation coefficients. Results: The intra‐rater reliability at inclusion was better for the blinded rater than for the clinical raters. The inter‐rater reliability (comparing the blinded rater with each clinical rater) was “very good” at inclusion, “fair” at month 1 and was “good” at month 3, month 6, and month 12. Conclusion: Blinding (rather than video) is probably the key factor in better intra‐rater reliability and can produce more accurate rating than clinical rating. Consequently, a blind procedure should be performed systematically in multicenter studies. As inter‐rater reliability is good in trained unblinded raters, the BFM scale may also be used in the follow up of dystonic patients in movement disorders centers, in clinical practice. © 2007 Movement Disorder Society
Url:
- https://api.istex.fr/document/8E10EEFE43DB5A966127E058F40921329C1F2774/fulltext/pdf
- http://www.hal.inserm.fr/inserm-00382741
DOI: 10.1002/mds.21392
Affiliations:
- France
- Auvergne-Rhône-Alpes, Rhône-Alpes
- Grenoble, Lille, Paris, Poitiers
- Centre hospitalier universitaire Grenoble Alpes
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ISTEX:8E10EEFE43DB5A966127E058F40921329C1F2774Le document en format XML
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Lille</wicri:regionArea><placeName><settlement type="city">Lille</settlement></placeName></affiliation></author><author><name sortKey="Du Montcel, Sophie Tezenas" sort="Du Montcel, Sophie Tezenas" uniqKey="Du Montcel S" first="Sophie Tezenas" last="Du Montcel">Sophie Tezenas Du Montcel</name><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>AP‐HP, Pitié‐Salpêtrière Hospital Group, Biostatistics and Medical Information Unit, Pierre et Marie Curie‐Paris 6 University, Paris</wicri:regionArea><placeName><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Vercueil, Laurent" sort="Vercueil, Laurent" uniqKey="Vercueil L" first="Laurent" last="Vercueil">Laurent Vercueil</name><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>Department of Neurology, Grenoble University Medical Center, Grenoble</wicri:regionArea><placeName><settlement 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universitaire Grenoble Alpes</orgName></affiliation><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>INSERM U338, Grenoble University Medical Center, Grenoble</wicri:regionArea><placeName><settlement type="city">Grenoble</settlement></placeName><placeName><settlement type="city">Grenoble</settlement><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region></placeName><orgName type="hospital" n="4">Centre hospitalier universitaire Grenoble Alpes</orgName></affiliation></author><author><name sortKey="Vidailhet, Marie" sort="Vidailhet, Marie" uniqKey="Vidailhet M" first="Marie" last="Vidailhet">Marie Vidailhet</name><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>AP‐HP, Department of Neurology, Saint Antoine University Medical Center, Paris</wicri:regionArea><placeName><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>INSERM U679, Salpêtrière Hospital, Paris</wicri:regionArea><placeName><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2007-04-15">2007-04-15</date><biblScope unit="vol">22</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="685">685</biblScope><biblScope unit="page" to="689">689</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">8E10EEFE43DB5A966127E058F40921329C1F2774</idno><idno type="DOI">10.1002/mds.21392</idno><idno type="ArticleID">MDS21392</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Burke‐Fahn‐Marsden scale</term><term>Deep Brain Stimulation (methods)</term><term>Dystonia</term><term>Dystonia (diagnosis)</term><term>Dystonia (physiopathology)</term><term>Dystonia (therapy)</term><term>Female</term><term>Follow-Up Studies</term><term>Globus Pallidus (physiopathology)</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Multicenter study</term><term>Nervous system diseases</term><term>Neurologic Examination (statistics & numerical data)</term><term>Observer Variation</term><term>Prospective Studies</term><term>Reliability</term><term>Reproducibility of Results</term><term>Statistics as Topic</term><term>deep bain stimulation</term><term>dystonia</term><term>globus pallidus</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dystonia</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Deep Brain Stimulation</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dystonia</term><term>Globus Pallidus</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Neurologic Examination</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Dystonia</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Observer Variation</term><term>Prospective Studies</term><term>Reproducibility of Results</term><term>Statistics as Topic</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Dystonie</term><term>Etude multicentrique</term><term>Fiabilité</term><term>Système nerveux pathologie</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: The multicenter SPIDY trial (pallidal stimulation for generalized, idiopathic dystonia) recently reported a marked improvement in dystonia which was assessed by the Burke‐Fahn‐Marsden (BFM) scale. However, the reliability of this tool has rarely been evaluated and its use in a multicenter study has never been assessed prospectively. Purpose: To evaluate the concordance between three unblinded clinical raters and one single‐blinded rater for 10 prospective series of ratings on the BFM scale in 22 dystonic patients of the SPIDY study. Methods: Ten assessments on the BFM scale were performed under various stimulation conditions at different time points (before surgery and 1, 3, 6, and 12 months afterwards). Patients were first evaluated by three unblinded clinical raters (one per center). All assessments were videotaped and sent to a blinded rater. Intra‐ and inter‐rater reliability was assessed using intraclass correlation coefficients. Results: The intra‐rater reliability at inclusion was better for the blinded rater than for the clinical raters. The inter‐rater reliability (comparing the blinded rater with each clinical rater) was “very good” at inclusion, “fair” at month 1 and was “good” at month 3, month 6, and month 12. Conclusion: Blinding (rather than video) is probably the key factor in better intra‐rater reliability and can produce more accurate rating than clinical rating. Consequently, a blind procedure should be performed systematically in multicenter studies. As inter‐rater reliability is good in trained unblinded raters, the BFM scale may also be used in the follow up of dystonic patients in movement disorders centers, in clinical practice. © 2007 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Auvergne-Rhône-Alpes</li><li>Rhône-Alpes</li></region><settlement><li>Grenoble</li><li>Lille</li><li>Paris</li><li>Poitiers</li></settlement><orgName><li>Centre hospitalier universitaire Grenoble Alpes</li></orgName></list><tree><country name="France"><noRegion><name sortKey="Krystkowiak, Pierre" sort="Krystkowiak, Pierre" uniqKey="Krystkowiak P" first="Pierre" last="Krystkowiak">Pierre Krystkowiak</name></noRegion><name sortKey="Benabid, Alim Ouis" sort="Benabid, Alim Ouis" uniqKey="Benabid A" first="Alim-Louis" last="Benabid">Alim-Louis Benabid</name><name sortKey="Benabid, Alim Ouis" sort="Benabid, Alim Ouis" uniqKey="Benabid A" first="Alim-Louis" last="Benabid">Alim-Louis Benabid</name><name sortKey="Blond, Serge" sort="Blond, Serge" uniqKey="Blond S" first="Serge" last="Blond">Serge Blond</name><name sortKey="Cornu, Philippe" sort="Cornu, Philippe" uniqKey="Cornu P" first="Philippe" last="Cornu">Philippe Cornu</name><name sortKey="Du Montcel, Sophie Tezenas" sort="Du Montcel, Sophie Tezenas" uniqKey="Du Montcel S" first="Sophie Tezenas" last="Du Montcel">Sophie Tezenas Du Montcel</name><name sortKey="Houeto, Jean Uc" sort="Houeto, Jean Uc" uniqKey="Houeto J" first="Jean-Luc" last="Houeto">Jean-Luc Houeto</name><name sortKey="Lagrange, Christelle" sort="Lagrange, Christelle" uniqKey="Lagrange C" first="Christelle" last="Lagrange">Christelle Lagrange</name><name sortKey="Lagrange, Christelle" sort="Lagrange, Christelle" uniqKey="Lagrange C" first="Christelle" last="Lagrange">Christelle Lagrange</name><name sortKey="Pollak, Pierre" sort="Pollak, Pierre" uniqKey="Pollak P" first="Pierre" last="Pollak">Pierre Pollak</name><name sortKey="Pollak, Pierre" sort="Pollak, Pierre" uniqKey="Pollak P" first="Pierre" last="Pollak">Pierre Pollak</name><name sortKey="Vercueil, Laurent" sort="Vercueil, Laurent" uniqKey="Vercueil L" first="Laurent" last="Vercueil">Laurent Vercueil</name><name sortKey="Vercueil, Laurent" sort="Vercueil, Laurent" uniqKey="Vercueil L" first="Laurent" last="Vercueil">Laurent Vercueil</name><name sortKey="Vidailhet, Marie" sort="Vidailhet, Marie" uniqKey="Vidailhet M" first="Marie" last="Vidailhet">Marie Vidailhet</name><name sortKey="Vidailhet, Marie" sort="Vidailhet, Marie" uniqKey="Vidailhet M" first="Marie" last="Vidailhet">Marie Vidailhet</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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