Development and validation of the Unified Multiple System Atrophy Rating Scale (UMSARS)
Identifieur interne : 003D50 ( Main/Exploration ); précédent : 003D49; suivant : 003D51Development and validation of the Unified Multiple System Atrophy Rating Scale (UMSARS)
Auteurs : Gregor K. Wenning [Autriche] ; Franc Ois Tison [France] ; Klaus Seppi [Autriche] ; Cristina Sampaio [Portugal] ; Anja Diem [Autriche] ; Farid Yekhlef [France] ; Imad Ghorayeb [France] ; Fabienne Ory [France] ; Monique Galitzky [France] ; Tommaso Scaravilli [Royaume-Uni] ; Maria Bozi [Royaume-Uni] ; Carlo Colosimo [Italie] ; Sid Gilman [États-Unis] ; Clifford W. Shults [États-Unis] ; Niall P. Quinn [Royaume-Uni] ; Olivier Rascol [France] ; Werner Poewe [Autriche]Source :
- Movement Disorders [ 0885-3185 ] ; 2004-12.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Activities of Daily Living, Age of Onset, Autonomic Nervous System (physiopathology), Cerebellar Ataxia (epidemiology), Disability Evaluation, Erectile Dysfunction (epidemiology), Evaluation scale, Female, Humans, Hypotension, Orthostatic (epidemiology), Male, Multiple System Atrophy (diagnosis), Multiple System Atrophy (epidemiology), Multiple System Atrophy (physiopathology), Multiple system atrophy, Nervous system diseases, Observer Variation, Parkinsonian Disorders (epidemiology), Questionnaires, Reproducibility of Results, Severity of Illness Index, Speech Disorders (epidemiology), Unified Multiple System Atrophy Rating Scale, Urinary Incontinence (epidemiology), Urinary Retention (epidemiology), Validation, internal consistency, interrater reliability, validation.
- MESH :
- diagnosis : Multiple System Atrophy.
- epidemiology : Cerebellar Ataxia, Erectile Dysfunction, Hypotension, Orthostatic, Multiple System Atrophy, Parkinsonian Disorders, Speech Disorders, Urinary Incontinence, Urinary Retention.
- physiopathology : Autonomic Nervous System, Multiple System Atrophy.
- Activities of Daily Living, Age of Onset, Disability Evaluation, Female, Humans, Male, Observer Variation, Questionnaires, Reproducibility of Results, Severity of Illness Index.
Abstract
We aimed to develop and validate a novel rating scale for multiple system atrophy (Unified Multiple System Atrophy Rating Scale ‐ UMSARS). The scale comprises the following components: Part I, historical, 12 items; Part II, motor examination, 14 items; Part III, autonomic examination; and Part IV, global disability scale. For validation purposes, 40 MSA patients were assessed in four centers by 4 raters per center (2 senior and 2 junior raters). The raters applied the UMSARS, as well as a range of other scales, including the Unified Parkinson's Disease Rating Scale (UPDRS) and the International Cooperative Ataxia Rating Scale (ICARS). Internal consistency was high for both UMSARS‐I (Crohnbach's alpha = 0.84) and UMSARS‐II (Crohnbach's alpha = 0.90) sections. The interrater reliability of most of the UMSARS‐I and ‐II items as well as of total UMSARS‐I and ‐II subscores was substantial (k (w) = 0.6–0.8) to excellent (k (w) > 0.8). UMSARS‐II correlated well with UPDRS‐III and ICARS (rs > 0.8). Depending on the degree of the patient's disability, completion of the entire UMSARS took 30 to 45 minutes. Based on our findings, the UMSARS appears to be a multidimensional, reliable, and valid scale for semiquantitative clinical assessments of MSA patients. © 2004 Movement Disorder Society
Url:
DOI: 10.1002/mds.20255
Affiliations:
- Autriche, France, Italie, Portugal, Royaume-Uni, États-Unis
- Angleterre, Californie, Grand Londres, Latium, Michigan, Midi-Pyrénées, Tyrol (Land)
- Innsbruck, Londres, Rome, Toulouse
- Université Toulouse III - Paul Sabatier, Université de Rome « La Sapienza », Université de Toulouse, Université de médecine d'Innsbruck
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 000613
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- to stream Istex, to step Checkpoint: 002731
- to stream PubMed, to step Corpus: 003227
- to stream PubMed, to step Curation: 003227
- to stream PubMed, to step Checkpoint: 003497
- to stream Ncbi, to step Merge: 001061
- to stream Ncbi, to step Curation: 001061
- to stream Ncbi, to step Checkpoint: 001061
- to stream Main, to step Merge: 005708
- to stream PascalFrancis, to step Corpus: 002005
- to stream PascalFrancis, to step Curation: 000D16
- to stream PascalFrancis, to step Checkpoint: 002184
- to stream Main, to step Merge: 005A22
- to stream Main, to step Curation: 003D50
Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living</term>
<term>Age of Onset</term>
<term>Autonomic Nervous System (physiopathology)</term>
<term>Cerebellar Ataxia (epidemiology)</term>
<term>Disability Evaluation</term>
<term>Erectile Dysfunction (epidemiology)</term>
<term>Evaluation scale</term>
<term>Female</term>
<term>Humans</term>
<term>Hypotension, Orthostatic (epidemiology)</term>
<term>Male</term>
<term>Multiple System Atrophy (diagnosis)</term>
<term>Multiple System Atrophy (epidemiology)</term>
<term>Multiple System Atrophy (physiopathology)</term>
<term>Multiple system atrophy</term>
<term>Nervous system diseases</term>
<term>Observer Variation</term>
<term>Parkinsonian Disorders (epidemiology)</term>
<term>Questionnaires</term>
<term>Reproducibility of Results</term>
<term>Severity of Illness Index</term>
<term>Speech Disorders (epidemiology)</term>
<term>Unified Multiple System Atrophy Rating Scale</term>
<term>Urinary Incontinence (epidemiology)</term>
<term>Urinary Retention (epidemiology)</term>
<term>Validation</term>
<term>internal consistency</term>
<term>interrater reliability</term>
<term>validation</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Multiple System Atrophy</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Cerebellar Ataxia</term>
<term>Erectile Dysfunction</term>
<term>Hypotension, Orthostatic</term>
<term>Multiple System Atrophy</term>
<term>Parkinsonian Disorders</term>
<term>Speech Disorders</term>
<term>Urinary Incontinence</term>
<term>Urinary Retention</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Autonomic Nervous System</term>
<term>Multiple System Atrophy</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term>
<term>Age of Onset</term>
<term>Disability Evaluation</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Observer Variation</term>
<term>Questionnaires</term>
<term>Reproducibility of Results</term>
<term>Severity of Illness Index</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Atrophie multisystématisée</term>
<term>Echelle d'évaluation</term>
<term>Système nerveux pathologie</term>
<term>Validation</term>
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<front><div type="abstract" xml:lang="en">We aimed to develop and validate a novel rating scale for multiple system atrophy (Unified Multiple System Atrophy Rating Scale ‐ UMSARS). The scale comprises the following components: Part I, historical, 12 items; Part II, motor examination, 14 items; Part III, autonomic examination; and Part IV, global disability scale. For validation purposes, 40 MSA patients were assessed in four centers by 4 raters per center (2 senior and 2 junior raters). The raters applied the UMSARS, as well as a range of other scales, including the Unified Parkinson's Disease Rating Scale (UPDRS) and the International Cooperative Ataxia Rating Scale (ICARS). Internal consistency was high for both UMSARS‐I (Crohnbach's alpha = 0.84) and UMSARS‐II (Crohnbach's alpha = 0.90) sections. The interrater reliability of most of the UMSARS‐I and ‐II items as well as of total UMSARS‐I and ‐II subscores was substantial (k (w) = 0.6–0.8) to excellent (k (w) > 0.8). UMSARS‐II correlated well with UPDRS‐III and ICARS (rs > 0.8). Depending on the degree of the patient's disability, completion of the entire UMSARS took 30 to 45 minutes. Based on our findings, the UMSARS appears to be a multidimensional, reliable, and valid scale for semiquantitative clinical assessments of MSA patients. © 2004 Movement Disorder Society</div>
</front>
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<li>Université de Rome « La Sapienza »</li>
<li>Université de Toulouse</li>
<li>Université de médecine d'Innsbruck</li>
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<name sortKey="Seppi, Klaus" sort="Seppi, Klaus" uniqKey="Seppi K" first="Klaus" last="Seppi">Klaus Seppi</name>
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<name sortKey="Rascol, Olivier" sort="Rascol, Olivier" uniqKey="Rascol O" first="Olivier" last="Rascol">Olivier Rascol</name>
<name sortKey="Yekhlef, Farid" sort="Yekhlef, Farid" uniqKey="Yekhlef F" first="Farid" last="Yekhlef">Farid Yekhlef</name>
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<country name="Portugal"><noRegion><name sortKey="Sampaio, Cristina" sort="Sampaio, Cristina" uniqKey="Sampaio C" first="Cristina" last="Sampaio">Cristina Sampaio</name>
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<name sortKey="Quinn, Niall P" sort="Quinn, Niall P" uniqKey="Quinn N" first="Niall P." last="Quinn">Niall P. Quinn</name>
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<country name="Italie"><region name="Latium"><name sortKey="Colosimo, Carlo" sort="Colosimo, Carlo" uniqKey="Colosimo C" first="Carlo" last="Colosimo">Carlo Colosimo</name>
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<country name="États-Unis"><region name="Michigan"><name sortKey="Gilman, Sid" sort="Gilman, Sid" uniqKey="Gilman S" first="Sid" last="Gilman">Sid Gilman</name>
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<name sortKey="Shults, Clifford W" sort="Shults, Clifford W" uniqKey="Shults C" first="Clifford W." last="Shults">Clifford W. Shults</name>
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