Reliability among neurologists in the severity assessment of blepharospasm and oromandibular dystonia: A multicenter study
Identifieur interne : 002A72 ( Istex/Corpus ); précédent : 002A71; suivant : 002A73Reliability among neurologists in the severity assessment of blepharospasm and oromandibular dystonia: A multicenter study
Auteurs : Defazio ; V. Lepore ; G. Abbruzzese ; E. Barontini ; A. Berardelli ; T. Caraceni ; F. Carella ; P. Girlanda ; M. Manfredi ; C. Messina ; S. Maurri ; E. Ferrari ; P. LivreaSource :
- Movement Disorders [ 0885-3185 ] ; 1994.
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Abstract
The reliability of a scale of 0 to 4 (where 0 is normal) in rating the severity of blepharospasm (BS) and oromandibular dystonia (OMD) was evaluated by the concordance among six neurologists from different neurological institutions. As expressed by k index, interobserver agreement was moderate either for BS or for OMD according to the Landis classification. Neurologists showed different rating attitude towards BS and OMD. In fact, the category analysis showed that raters were inclined to overestimate BS and to underestimate OMD. The familiarity with dystonia influenced reliability more than the length of professional experience in neurology. In fact, when examiners were subdivided into subgroups (each of three raters) according to the former criteria, the level of interobserver agreement increased significantly. Almost perfect agreement was obtained in intrarater comparisons. These results may be of value with regard to the conduct of multicenter epidemiologic and clinical studies on focal dystonias.
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DOI: 10.1002/mds.870090606
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ISTEX:D38200540AA9915E2BF551CE8EC8BC260FB58763Le document en format XML
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As expressed by k index, interobserver agreement was moderate either for BS or for OMD according to the Landis classification. Neurologists showed different rating attitude towards BS and OMD. In fact, the category analysis showed that raters were inclined to overestimate BS and to underestimate OMD. The familiarity with dystonia influenced reliability more than the length of professional experience in neurology. In fact, when examiners were subdivided into subgroups (each of three raters) according to the former criteria, the level of interobserver agreement increased significantly. Almost perfect agreement was obtained in intrarater comparisons. These results may be of value with regard to the conduct of multicenter epidemiologic and clinical studies on focal dystonias.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Dr. Defazio</name><affiliations><json:string>Institute of Neurology, University of Bari, Bari, Genova</json:string></affiliations></json:item><json:item><name>V. Lepore</name><affiliations><json:string>Institute of Neurology, University of Bari, Bari, Genova</json:string></affiliations></json:item><json:item><name>G. Abbruzzese</name><affiliations><json:string>Institute of Neurology, University of Genova, Genova</json:string></affiliations></json:item><json:item><name>E. Barontini</name><affiliations><json:string>Department of Neurology, University of Florence, Florence</json:string></affiliations></json:item><json:item><name>A. Berardelli</name><affiliations><json:string>Department of Neurology, University of Rome, Rome</json:string></affiliations></json:item><json:item><name>T. 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Ferrari</name><affiliations><json:string>Institute of Neurology, University of Bari, Bari, Genova</json:string></affiliations></json:item><json:item><name>P. Livrea</name><affiliations><json:string>Institute of Neurology, University of Bari, Bari, Genova</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Focal dystonia</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Rating scale</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Reliability</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>k statistics</value></json:item></subject><language><json:string>eng</json:string></language><abstract>The reliability of a scale of 0 to 4 (where 0 is normal) in rating the severity of blepharospasm (BS) and oromandibular dystonia (OMD) was evaluated by the concordance among six neurologists from different neurological institutions. As expressed by k index, interobserver agreement was moderate either for BS or for OMD according to the Landis classification. Neurologists showed different rating attitude towards BS and OMD. In fact, the category analysis showed that raters were inclined to overestimate BS and to underestimate OMD. The familiarity with dystonia influenced reliability more than the length of professional experience in neurology. In fact, when examiners were subdivided into subgroups (each of three raters) according to the former criteria, the level of interobserver agreement increased significantly. Almost perfect agreement was obtained in intrarater comparisons. 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As expressed by k index, interobserver agreement was moderate either for BS or for OMD according to the Landis classification. Neurologists showed different rating attitude towards BS and OMD. In fact, the category analysis showed that raters were inclined to overestimate BS and to underestimate OMD. The familiarity with dystonia influenced reliability more than the length of professional experience in neurology. In fact, when examiners were subdivided into subgroups (each of three raters) according to the former criteria, the level of interobserver agreement increased significantly. Almost perfect agreement was obtained in intrarater comparisons. 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and oromandibular dystonia: A multicenter study</title><title type="short" xml:lang="en">ASSESSMENT OF BLEPHAROSPASM AND OROMANDIBULAR DYSTONIA</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1" corresponding="yes"><personName><honorifics>Dr.</honorifics><givenNames>G.</givenNames><familyName>Defazio</familyName></personName></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af1"><personName><givenNames>V.</givenNames><familyName>Lepore</familyName></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af2"><personName><givenNames>G.</givenNames><familyName>Abbruzzese</familyName></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af3"><personName><givenNames>E.</givenNames><familyName>Barontini</familyName></personName></creator><creator xml:id="au5" creatorRole="author" affiliationRef="#af4"><personName><givenNames>A.</givenNames><familyName>Berardelli</familyName></personName></creator><creator xml:id="au6" creatorRole="author" affiliationRef="#af5"><personName><givenNames>T.</givenNames><familyName>Caraceni</familyName></personName></creator><creator xml:id="au7" creatorRole="author" affiliationRef="#af5"><personName><givenNames>F.</givenNames><familyName>Carella</familyName></personName></creator><creator xml:id="au8" creatorRole="author" affiliationRef="#af6"><personName><givenNames>P.</givenNames><familyName>Girlanda</familyName></personName></creator><creator xml:id="au9" creatorRole="author" affiliationRef="#af4"><personName><givenNames>M.</givenNames><familyName>Manfredi</familyName></personName></creator><creator xml:id="au10" creatorRole="author" affiliationRef="#af6"><personName><givenNames>C.</givenNames><familyName>Messina</familyName></personName></creator><creator xml:id="au11" creatorRole="author" affiliationRef="#af3"><personName><givenNames>S.</givenNames><familyName>Maurri</familyName></personName></creator><creator xml:id="au12" creatorRole="author" affiliationRef="#af1"><personName><givenNames>E.</givenNames><familyName>Ferrari</familyName></personName></creator><creator xml:id="au13" creatorRole="author" affiliationRef="#af1"><personName><givenNames>P.</givenNames><familyName>Livrea</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="IT" type="organization"><unparsedAffiliation>Institute of Neurology, University of Bari, Bari, Genova</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="IT" type="organization"><unparsedAffiliation>Institute of Neurology, University of Genova, Genova</unparsedAffiliation></affiliation><affiliation xml:id="af3" countryCode="IT" type="organization"><unparsedAffiliation>Department of Neurology, University of Florence, Florence</unparsedAffiliation></affiliation><affiliation xml:id="af4" countryCode="IT" type="organization"><unparsedAffiliation>Department of Neurology, University of Rome, Rome</unparsedAffiliation></affiliation><affiliation xml:id="af5" countryCode="IT" type="organization"><unparsedAffiliation>Istituto Nazionale Neurologico “C. Besta”, Milan</unparsedAffiliation></affiliation><affiliation xml:id="af6" countryCode="IT" type="organization"><unparsedAffiliation>Second Neurologic Clinic, University of Messina, Messina, Italy</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">Focal dystonia</keyword><keyword xml:id="kwd2">Rating scale</keyword><keyword xml:id="kwd3">Reliability</keyword><keyword xml:id="kwd4">k statistics</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p>The reliability of a scale of 0 to 4 (where 0 is normal) in rating the severity of blepharospasm (BS) and oromandibular dystonia (OMD) was evaluated by the concordance among six neurologists from different neurological institutions. As expressed by k index, interobserver agreement was moderate either for BS or for OMD according to the Landis classification. Neurologists showed different rating attitude towards BS and OMD. In fact, the category analysis showed that raters were inclined to overestimate BS and to underestimate OMD. The familiarity with dystonia influenced reliability more than the length of professional experience in neurology. In fact, when examiners were subdivided into subgroups (each of three raters) according to the former criteria, the level of interobserver agreement increased significantly. Almost perfect agreement was obtained in intrarater comparisons. These results may be of value with regard to the conduct of multicenter epidemiologic and clinical studies on focal dystonias.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><!--Version 0.6 générée le 4-12-2015--><mods version="3.6"><titleInfo lang="en"><title>Reliability among neurologists in the severity assessment of blepharospasm and oromandibular dystonia: A multicenter study</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>ASSESSMENT OF BLEPHAROSPASM AND OROMANDIBULAR DYSTONIA</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Reliability among neurologists in the severity assessment of blepharospasm and oromandibular dystonia: A multicenter study</title></titleInfo><name type="personal"><namePart type="termsOfAddress">Dr.</namePart><namePart type="family">Defazio</namePart><affiliation>Institute of Neurology, University of Bari, Bari, Genova</affiliation><description>Correspondence: Institute of Neurology, University of Bari, I‐70124 Bari, Italy</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">V.</namePart><namePart type="family">Lepore</namePart><affiliation>Institute of Neurology, University of Bari, Bari, Genova</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">G.</namePart><namePart type="family">Abbruzzese</namePart><affiliation>Institute of Neurology, University of Genova, Genova</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">E.</namePart><namePart type="family">Barontini</namePart><affiliation>Department of Neurology, University of Florence, Florence</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">A.</namePart><namePart type="family">Berardelli</namePart><affiliation>Department of Neurology, University of Rome, Rome</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">T.</namePart><namePart type="family">Caraceni</namePart><affiliation>Istituto Nazionale Neurologico “C. Besta”, Milan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">F.</namePart><namePart type="family">Carella</namePart><affiliation>Istituto Nazionale Neurologico “C. Besta”, Milan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">P.</namePart><namePart type="family">Girlanda</namePart><affiliation>Second Neurologic Clinic, University of Messina, Messina, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M.</namePart><namePart type="family">Manfredi</namePart><affiliation>Department of Neurology, University of Rome, Rome</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">C.</namePart><namePart type="family">Messina</namePart><affiliation>Second Neurologic Clinic, University of Messina, Messina, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">S.</namePart><namePart type="family">Maurri</namePart><affiliation>Department of Neurology, University of Florence, Florence</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">E.</namePart><namePart type="family">Ferrari</namePart><affiliation>Institute of Neurology, University of Bari, Bari, Genova</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">P.</namePart><namePart type="family">Livrea</namePart><affiliation>Institute of Neurology, University of Bari, Bari, Genova</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre authority="originalCategForm">article</genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">1994</dateIssued><copyrightDate encoding="w3cdtf">1994</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">2</extent><extent unit="tables">3</extent><extent unit="references">14</extent></physicalDescription><abstract lang="en">The reliability of a scale of 0 to 4 (where 0 is normal) in rating the severity of blepharospasm (BS) and oromandibular dystonia (OMD) was evaluated by the concordance among six neurologists from different neurological institutions. As expressed by k index, interobserver agreement was moderate either for BS or for OMD according to the Landis classification. Neurologists showed different rating attitude towards BS and OMD. In fact, the category analysis showed that raters were inclined to overestimate BS and to underestimate OMD. The familiarity with dystonia influenced reliability more than the length of professional experience in neurology. In fact, when examiners were subdivided into subgroups (each of three raters) according to the former criteria, the level of interobserver agreement increased significantly. Almost perfect agreement was obtained in intrarater comparisons. These results may be of value with regard to the conduct of multicenter epidemiologic and clinical studies on focal dystonias.</abstract><subject lang="en"><genre>Keywords</genre><topic>Focal dystonia</topic><topic>Rating scale</topic><topic>Reliability</topic><topic>k statistics</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title><subTitle>Official Journal of the Movement Disorder Society</subTitle></titleInfo><titleInfo type="abbreviated"><title>Mov. Disord.</title></titleInfo><subject><genre>article category</genre><topic>Article</topic></subject><identifier type="ISSN">0885-3185</identifier><identifier type="eISSN">1531-8257</identifier><identifier type="DOI">10.1002/(ISSN)1531-8257</identifier><identifier type="PublisherID">MDS</identifier><part><date>1994</date><detail type="volume"><caption>vol.</caption><number>9</number></detail><detail type="issue"><caption>no.</caption><number>6</number></detail><extent unit="pages"><start>616</start><end>621</end><total>6</total></extent></part></relatedItem><identifier type="istex">D38200540AA9915E2BF551CE8EC8BC260FB58763</identifier><identifier type="DOI">10.1002/mds.870090606</identifier><identifier type="ArticleID">MDS870090606</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 1994 Movement Disorder Society</accessCondition><recordInfo><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin><recordContentSource>WILEY</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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