A validation exercise on the new consensus criteria for multiple system atrophy
Identifieur interne : 002469 ( Main/Exploration ); précédent : 002468; suivant : 002470A validation exercise on the new consensus criteria for multiple system atrophy
Auteurs : Yasushi Osaki [Royaume-Uni, Japon] ; Yoav Ben-Shlomo [Royaume-Uni] ; Andrew Lees (neurologue) [Royaume-Uni] ; Gregor K. Wenning [Autriche] ; Niall P. Quinn [Royaume-Uni]Source :
- Movement Disorders [ 0885-3185 ] ; 2009-11-15.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Cerebellar ataxia, Cohort Studies, Consensus, Diagnosis, Diseases of the autonomic nervous system, Exercise (physiology), Humans, Multiple System Atrophy (diagnosis), Multiple System Atrophy (physiopathology), Multiple system atrophy, Nervous system diseases, Parkinsonism, Physical exercise, Psychiatric Status Rating Scales, Reproducibility of Results, Sensitivity and Specificity, Severity of Illness Index, Validation, autonomic failure, cerebellar ataxia, diagnostic criteria, multiple system atrophy, parkinsonism.
- MESH :
- diagnosis : Multiple System Atrophy.
- physiology : Exercise.
- physiopathology : Multiple System Atrophy.
- Cohort Studies, Consensus, Humans, Psychiatric Status Rating Scales, Reproducibility of Results, Sensitivity and Specificity, Severity of Illness Index.
Abstract
The revised (new) consensus clinical diagnostic criteria for multiple system atrophy (MSA) were published in 2008. To validate these criteria, we utilized the same cohort that we reported previously, which included 59 patients with a clinical diagnosis of MSA that was confirmed neuropathologically in 51 of them at the Queen Square Brain Bank for Neurological Disorders. At the first clinic visit, sensitivity with new consensus possible category was higher, and PPV marginally higher, than for clinical diagnosis and old consensus possible category. New consensus probable category showed marginally higher sensitivity than, and the same PPV as, old consensus probable category. At the last clinic visit, new consensus possible category had exactly the same sensitivity and only marginally higher PPV compared with old consensus possible category. New consensus probable category showed the same sensitivity and PPV as old consensus probable category. Our data indicate that in this case material the new consensus criteria for possible MSA could improve diagnostic accuracy at first neurological evaluation compared with the old consensus criteria. Prospective clinicopathological validation studies of the new consensus criteria, particularly incorporating in vivo structural and functional imaging results, are required to extend the current findings. © 2009 Movement Disorder Society
Url:
DOI: 10.1002/mds.22826
Affiliations:
- Autriche, Japon, Royaume-Uni
- Angleterre, Grand Londres
- Londres
- National Hospital for Neurology and Neurosurgery
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Le document en format XML
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Wenning</name><affiliation wicri:level="1"><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Neurology, Innsbruck Medical University, Innsbruck</wicri:regionArea><wicri:noRegion>Innsbruck</wicri:noRegion></affiliation></author><author><name sortKey="Quinn, Niall P" sort="Quinn, Niall P" uniqKey="Quinn N" first="Niall P." last="Quinn">Niall P. Quinn</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></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="2009-11-15">2009-11-15</date><biblScope unit="vol">24</biblScope><biblScope unit="issue">15</biblScope><biblScope unit="page" from="2272">2272</biblScope><biblScope unit="page" to="2276">2276</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">EA23B054034EF09A5E31E7B8443A7FFD42917B75</idno><idno type="DOI">10.1002/mds.22826</idno><idno type="ArticleID">MDS22826</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cerebellar ataxia</term><term>Cohort Studies</term><term>Consensus</term><term>Diagnosis</term><term>Diseases of the autonomic nervous system</term><term>Exercise (physiology)</term><term>Humans</term><term>Multiple System Atrophy (diagnosis)</term><term>Multiple System Atrophy (physiopathology)</term><term>Multiple system atrophy</term><term>Nervous system diseases</term><term>Parkinsonism</term><term>Physical exercise</term><term>Psychiatric Status Rating Scales</term><term>Reproducibility of Results</term><term>Sensitivity and Specificity</term><term>Severity of Illness Index</term><term>Validation</term><term>autonomic failure</term><term>cerebellar ataxia</term><term>diagnostic criteria</term><term>multiple system atrophy</term><term>parkinsonism</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Multiple System Atrophy</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Exercise</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Multiple System Atrophy</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cohort Studies</term><term>Consensus</term><term>Humans</term><term>Psychiatric Status Rating Scales</term><term>Reproducibility of Results</term><term>Sensitivity and Specificity</term><term>Severity of Illness Index</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Ataxie cérébelleuse</term><term>Atrophie multisystématisée</term><term>Diagnostic</term><term>Exercice physique</term><term>Parkinsonisme</term><term>Pathologie du système nerveux</term><term>Pathologie du système nerveux autonome</term><term>Validation</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The revised (new) consensus clinical diagnostic criteria for multiple system atrophy (MSA) were published in 2008. To validate these criteria, we utilized the same cohort that we reported previously, which included 59 patients with a clinical diagnosis of MSA that was confirmed neuropathologically in 51 of them at the Queen Square Brain Bank for Neurological Disorders. At the first clinic visit, sensitivity with new consensus possible category was higher, and PPV marginally higher, than for clinical diagnosis and old consensus possible category. New consensus probable category showed marginally higher sensitivity than, and the same PPV as, old consensus probable category. At the last clinic visit, new consensus possible category had exactly the same sensitivity and only marginally higher PPV compared with old consensus possible category. New consensus probable category showed the same sensitivity and PPV as old consensus probable category. Our data indicate that in this case material the new consensus criteria for possible MSA could improve diagnostic accuracy at first neurological evaluation compared with the old consensus criteria. Prospective clinicopathological validation studies of the new consensus criteria, particularly incorporating in vivo structural and functional imaging results, are required to extend the current findings. © 2009 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Autriche</li><li>Japon</li><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement><orgName><li>National Hospital for Neurology and Neurosurgery</li></orgName></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Osaki, Yasushi" sort="Osaki, Yasushi" uniqKey="Osaki Y" first="Yasushi" last="Osaki">Yasushi Osaki</name></region><name sortKey="Ben Hlomo, Yoav" sort="Ben Hlomo, Yoav" uniqKey="Ben Hlomo Y" first="Yoav" last="Ben-Shlomo">Yoav Ben-Shlomo</name><name sortKey="Lees, Andrew J" sort="Lees, Andrew J" uniqKey="Lees A" first="Andrew J." last="Lees">Andrew Lees (neurologue)</name><name sortKey="Lees, Andrew J" sort="Lees, Andrew J" uniqKey="Lees A" first="Andrew J." last="Lees">Andrew Lees (neurologue)</name><name sortKey="Quinn, Niall P" sort="Quinn, Niall P" uniqKey="Quinn N" first="Niall P." last="Quinn">Niall P. Quinn</name></country><country name="Japon"><noRegion><name sortKey="Osaki, Yasushi" sort="Osaki, Yasushi" uniqKey="Osaki Y" first="Yasushi" last="Osaki">Yasushi Osaki</name></noRegion></country><country name="Autriche"><noRegion><name sortKey="Wenning, Gregor K" sort="Wenning, Gregor K" uniqKey="Wenning G" first="Gregor K." last="Wenning">Gregor K. Wenning</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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