Unified Parkinson's disease rating scale motor examination: Are ratings of nurses, residents in neurology, and movement disorders specialists interchangeable?
Identifieur interne : 000A83 ( Istex/Curation ); précédent : 000A82; suivant : 000A84Unified Parkinson's disease rating scale motor examination: Are ratings of nurses, residents in neurology, and movement disorders specialists interchangeable?
Auteurs : Bart Post [Pays-Bas] ; Maruschka P. Merkus [Pays-Bas] ; Rob M. A. De Bie [Pays-Bas] ; Rob J. De Haan [Pays-Bas] ; Johannes D. Speelman [Pays-Bas]Source :
- Movement Disorders [ 0885-3185 ] ; 2005-12.
English descriptors
- KwdEn :
Abstract
The Unified Parkinson's Disease Rating Scale (UPDRS) is widely used for the clinical evaluation of Parkinson's disease (PD). We assessed the rater variability of the UPDRS Motor examination (UPDRS‐ME) of nurse practitioners, residents in neurology, and a movement disorders specialist (MDS) compared to a senior MDS. We assessed the videotaped UPDRS‐ME of 50 PD patients. Inter‐rater and intra‐rater variability were estimated using weighted kappa (κw) and intraclass correlation coefficients (ICC). Additionally, inter‐rater agreement was quantified by calculation of the mean difference between 2 raters and its 95% limits of agreement. Intra‐rater agreement was also estimated by calculation of a 95% repeatability limits. The κw and ICC statistics indicated good to very good inter‐rater and intra‐rater reliability for the majority of individual UPDRS items and the sum score of the UPDRS‐ME in all raters. However, for inter‐rater agreement, it appeared that both nurses, residents, and the MDS consistently assigned higher scores than the senior MDS. Mean differences ranged between 1.7 and 5.4 (all differences P < 0.05), with rather wide 95% limits of agreement. The intra‐rater 95% repeatability limits were rather wide. We found considerable rater difference for the whole range of UPDRS‐ME scores between a senior MDS and nurse practitioners, residents in neurology, and the MDS. This finding suggests that the amount by which raters may disagree should be quantified before starting longitudinal studies of disease progression or clinical trials. Finally, evaluation of rater agreement should always include the assessment of the extent of bias between different raters. © 2005 Movement Disorder Society
Url:
DOI: 10.1002/mds.20640
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000A83
Links to Exploration step
ISTEX:9EE0F0E8D5E72AF32CBFCB5F963395A11CBEC0D8Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Unified Parkinson's disease rating scale motor examination: Are ratings of nurses, residents in neurology, and movement disorders specialists interchangeable?</title>
<author><name sortKey="Post, Bart" sort="Post, Bart" uniqKey="Post B" first="Bart" last="Post">Bart Post</name>
<affiliation wicri:level="1"><mods:affiliation>Department of Neurology and Clinical Neurophysiology, Academic Medical Center, Amsterdam, The Netherlands</mods:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Neurology and Clinical Neurophysiology, Academic Medical Center, Amsterdam</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Merkus, Maruschka P" sort="Merkus, Maruschka P" uniqKey="Merkus M" first="Maruschka P." last="Merkus">Maruschka P. Merkus</name>
<affiliation wicri:level="1"><mods:affiliation>Departments of Clinical Epidemiology and Biostatistics, Academic Medical Center, Amsterdam, The Netherlands</mods:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Departments of Clinical Epidemiology and Biostatistics, Academic Medical Center, Amsterdam</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="De Bie, Rob M A" sort="De Bie, Rob M A" uniqKey="De Bie R" first="Rob M. A." last="De Bie">Rob M. A. De Bie</name>
<affiliation wicri:level="1"><mods:affiliation>Department of Neurology and Clinical Neurophysiology, Academic Medical Center, Amsterdam, The Netherlands</mods:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Neurology and Clinical Neurophysiology, Academic Medical Center, Amsterdam</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="De Haan, Rob J" sort="De Haan, Rob J" uniqKey="De Haan R" first="Rob J." last="De Haan">Rob J. De Haan</name>
<affiliation wicri:level="1"><mods:affiliation>Department of Neurology and Clinical Neurophysiology, Academic Medical Center, Amsterdam, The Netherlands</mods:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Neurology and Clinical Neurophysiology, Academic Medical Center, Amsterdam</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Speelman, Johannes D" sort="Speelman, Johannes D" uniqKey="Speelman J" first="Johannes D." last="Speelman">Johannes D. Speelman</name>
<affiliation wicri:level="1"><mods:affiliation>Department of Neurology and Clinical Neurophysiology, Academic Medical Center, Amsterdam, The Netherlands</mods:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Neurology and Clinical Neurophysiology, Academic Medical Center, Amsterdam</wicri:regionArea>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">ISTEX</idno>
<idno type="RBID">ISTEX:9EE0F0E8D5E72AF32CBFCB5F963395A11CBEC0D8</idno>
<date when="2005" year="2005">2005</date>
<idno type="doi">10.1002/mds.20640</idno>
<idno type="url">https://api.istex.fr/document/9EE0F0E8D5E72AF32CBFCB5F963395A11CBEC0D8/fulltext/pdf</idno>
<idno type="wicri:Area/Istex/Corpus">000A83</idno>
<idno type="wicri:Area/Istex/Curation">000A83</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Unified Parkinson's disease rating scale motor examination: Are ratings of nurses, residents in neurology, and movement disorders specialists interchangeable?</title>
<author><name sortKey="Post, Bart" sort="Post, Bart" uniqKey="Post B" first="Bart" last="Post">Bart Post</name>
<affiliation wicri:level="1"><mods:affiliation>Department of Neurology and Clinical Neurophysiology, Academic Medical Center, Amsterdam, The Netherlands</mods:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Neurology and Clinical Neurophysiology, Academic Medical Center, Amsterdam</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Merkus, Maruschka P" sort="Merkus, Maruschka P" uniqKey="Merkus M" first="Maruschka P." last="Merkus">Maruschka P. Merkus</name>
<affiliation wicri:level="1"><mods:affiliation>Departments of Clinical Epidemiology and Biostatistics, Academic Medical Center, Amsterdam, The Netherlands</mods:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Departments of Clinical Epidemiology and Biostatistics, Academic Medical Center, Amsterdam</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="De Bie, Rob M A" sort="De Bie, Rob M A" uniqKey="De Bie R" first="Rob M. A." last="De Bie">Rob M. A. De Bie</name>
<affiliation wicri:level="1"><mods:affiliation>Department of Neurology and Clinical Neurophysiology, Academic Medical Center, Amsterdam, The Netherlands</mods:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Neurology and Clinical Neurophysiology, Academic Medical Center, Amsterdam</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="De Haan, Rob J" sort="De Haan, Rob J" uniqKey="De Haan R" first="Rob J." last="De Haan">Rob J. De Haan</name>
<affiliation wicri:level="1"><mods:affiliation>Department of Neurology and Clinical Neurophysiology, Academic Medical Center, Amsterdam, The Netherlands</mods:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Neurology and Clinical Neurophysiology, Academic Medical Center, Amsterdam</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Speelman, Johannes D" sort="Speelman, Johannes D" uniqKey="Speelman J" first="Johannes D." last="Speelman">Johannes D. Speelman</name>
<affiliation wicri:level="1"><mods:affiliation>Department of Neurology and Clinical Neurophysiology, Academic Medical Center, Amsterdam, The Netherlands</mods:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Neurology and Clinical Neurophysiology, Academic Medical Center, Amsterdam</wicri:regionArea>
</affiliation>
</author>
</analytic>
<monogr></monogr>
<series><title level="j">Movement Disorders</title>
<title level="j" type="sub">Official Journal of the Movement Disorder Society</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="2005-12">2005-12</date>
<biblScope unit="vol">20</biblScope>
<biblScope unit="issue">12</biblScope>
<biblScope unit="page" from="1577">1577</biblScope>
<biblScope unit="page" to="1584">1584</biblScope>
</imprint>
<idno type="ISSN">0885-3185</idno>
</series>
<idno type="istex">9EE0F0E8D5E72AF32CBFCB5F963395A11CBEC0D8</idno>
<idno type="DOI">10.1002/mds.20640</idno>
<idno type="ArticleID">MDS20640</idno>
</biblStruct>
</sourceDesc>
<seriesStmt><idno type="ISSN">0885-3185</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Parkinson's disease</term>
<term>Unified Parkinson's disease Rating Scale (UPDRS)</term>
<term>clinimetrics</term>
<term>rater agreement</term>
</keywords>
</textClass>
<langUsage><language ident="en">en</language>
</langUsage>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">The Unified Parkinson's Disease Rating Scale (UPDRS) is widely used for the clinical evaluation of Parkinson's disease (PD). We assessed the rater variability of the UPDRS Motor examination (UPDRS‐ME) of nurse practitioners, residents in neurology, and a movement disorders specialist (MDS) compared to a senior MDS. We assessed the videotaped UPDRS‐ME of 50 PD patients. Inter‐rater and intra‐rater variability were estimated using weighted kappa (κw) and intraclass correlation coefficients (ICC). Additionally, inter‐rater agreement was quantified by calculation of the mean difference between 2 raters and its 95% limits of agreement. Intra‐rater agreement was also estimated by calculation of a 95% repeatability limits. The κw and ICC statistics indicated good to very good inter‐rater and intra‐rater reliability for the majority of individual UPDRS items and the sum score of the UPDRS‐ME in all raters. However, for inter‐rater agreement, it appeared that both nurses, residents, and the MDS consistently assigned higher scores than the senior MDS. Mean differences ranged between 1.7 and 5.4 (all differences P < 0.05), with rather wide 95% limits of agreement. The intra‐rater 95% repeatability limits were rather wide. We found considerable rater difference for the whole range of UPDRS‐ME scores between a senior MDS and nurse practitioners, residents in neurology, and the MDS. This finding suggests that the amount by which raters may disagree should be quantified before starting longitudinal studies of disease progression or clinical trials. Finally, evaluation of rater agreement should always include the assessment of the extent of bias between different raters. © 2005 Movement Disorder Society</div>
</front>
</TEI>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/MovDisordV3/Data/Istex/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000A83 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Istex/Curation/biblio.hfd -nk 000A83 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Santé |area= MovDisordV3 |flux= Istex |étape= Curation |type= RBID |clé= ISTEX:9EE0F0E8D5E72AF32CBFCB5F963395A11CBEC0D8 |texte= Unified Parkinson's disease rating scale motor examination: Are ratings of nurses, residents in neurology, and movement disorders specialists interchangeable? }}
![]() | This area was generated with Dilib version V0.6.23. | ![]() |