Assessing comorbidity in patients with Parkinson's disease
Identifieur interne : 003E14 ( Main/Exploration ); précédent : 003E13; suivant : 003E15Assessing comorbidity in patients with Parkinson's disease
Auteurs : Martine Visser [Pays-Bas] ; Johan Marinus [Pays-Bas] ; Jacobus J. Van Hilten [Pays-Bas] ; Ruth G. B. Schipper [Pays-Bas] ; Anne M. Stiggelbout [Pays-Bas]Source :
- Movement Disorders [ 0885-3185 ] ; 2004-07.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Activities of Daily Living, Aged, Antiparkinson Agents (therapeutic use), Cognition Disorders (diagnosis), Cognition Disorders (epidemiology), Comorbidity, Disability Evaluation, Gastrointestinal Diseases (epidemiology), Human, Humans, Levodopa (therapeutic use), Male, Male Urogenital Diseases (epidemiology), Nervous system diseases, Neuropsychological Tests, Parkinson Disease (drug therapy), Parkinson Disease (epidemiology), Parkinson disease, Parkinson's disease, Primary Health Care (statistics & numerical data), Questionnaires, accuracy, comorbidity, disability, interview.
- MESH :
- chemical , therapeutic use : Antiparkinson Agents, Levodopa.
- diagnosis : Cognition Disorders.
- drug therapy : Parkinson Disease.
- epidemiology : Cognition Disorders, Gastrointestinal Diseases, Male Urogenital Diseases, Parkinson Disease.
- statistics & numerical data : Primary Health Care.
- Activities of Daily Living, Aged, Comorbidity, Disability Evaluation, Humans, Male, Neuropsychological Tests, Questionnaires.
Abstract
The aim of this study was to assess the accuracy of an interview‐based assessment of comorbidity, in patients with Parkinson's disease (PD). The Cumulative Illness Rating Scale‐Geriatric (CIRS‐G) was completed (1) in an interview with 31 PD patients and their caregivers, and (2) by reviewing the patient's medical charts from their general practitioners. Based on the interview, all patients had some comorbidity, 84% had one or more moderate comorbid diseases. The most frequently affected organ systems were “lower gastrointestinal” and “genitourinary”. The mean ± SD total score of the interview‐based (chart‐based) CIRS‐G was 6.9 ± 3.8 (7.6 ± 3.5) with a mean of 4.3 ± 1.9 (5.0 ± 1.9) affected organ systems and a mean of 2.1 ± 1.7 (2.3 ± 1.6) organ systems with at least moderate comorbidity per patient. The agreement (intraclass correlation coefficients) between the interview‐based and chart‐based assessments for the six summary scores ranged from 0.69 to 0.81. The agreement for the 14 organ systems ranged from 0.13 to 1.00 (weighted kappa); 12 had a Kw above 0.40 (moderate agreement). The comorbidity summary scores had a moderate correlation with age and disability. The interview‐based assessment of the CIRS‐G is easy to apply and is an accurate method to assess comorbidity in patients with PD. © 2004 Movement Disorder Society
Url:
DOI: 10.1002/mds.20060
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">The aim of this study was to assess the accuracy of an interview‐based assessment of comorbidity, in patients with Parkinson's disease (PD). The Cumulative Illness Rating Scale‐Geriatric (CIRS‐G) was completed (1) in an interview with 31 PD patients and their caregivers, and (2) by reviewing the patient's medical charts from their general practitioners. Based on the interview, all patients had some comorbidity, 84% had one or more moderate comorbid diseases. The most frequently affected organ systems were “lower gastrointestinal” and “genitourinary”. The mean ± SD total score of the interview‐based (chart‐based) CIRS‐G was 6.9 ± 3.8 (7.6 ± 3.5) with a mean of 4.3 ± 1.9 (5.0 ± 1.9) affected organ systems and a mean of 2.1 ± 1.7 (2.3 ± 1.6) organ systems with at least moderate comorbidity per patient. The agreement (intraclass correlation coefficients) between the interview‐based and chart‐based assessments for the six summary scores ranged from 0.69 to 0.81. The agreement for the 14 organ systems ranged from 0.13 to 1.00 (weighted kappa); 12 had a Kw above 0.40 (moderate agreement). The comorbidity summary scores had a moderate correlation with age and disability. The interview‐based assessment of the CIRS‐G is easy to apply and is an accurate method to assess comorbidity in patients with PD. © 2004 Movement Disorder Society</div>
</front>
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<name sortKey="Marinus, Johan" sort="Marinus, Johan" uniqKey="Marinus J" first="Johan" last="Marinus">Johan Marinus</name>
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<name sortKey="Van Hilten, Jacobus J" sort="Van Hilten, Jacobus J" uniqKey="Van Hilten J" first="Jacobus J." last="Van Hilten">Jacobus J. Van Hilten</name>
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