Patients', doctors', and caregivers' assessment of disability using the UPDRS‐ADL section: Are these ratings interchangeable?
Identifieur interne : 004006 ( Main/Exploration ); précédent : 004005; suivant : 004007Patients', doctors', and caregivers' assessment of disability using the UPDRS‐ADL section: Are these ratings interchangeable?
Auteurs : Pablo Martínez-Martín [Espagne] ; Julian Benito-Le N [Espagne] ; Fernando Alonso [Espagne] ; M. José Catalán [Espagne] ; Margarita Pondal [Espagne] ; Aurelio Tobías [Espagne] ; Ivana Zamarbide [Espagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2003-09.
English descriptors
- KwdEn :
- Aged, Caregivers, Disability Evaluation, Female, Humans, Male, Motor Skills, Neurologic Examination, Observer Variation, Parkinson Disease (diagnosis), Parkinson Disease (psychology), Parkinson Disease (rehabilitation), Parkinson's disease, Physicians, Psychometrics, Reproducibility of Results, Self-Assessment, Severity of Illness Index, UPDRS, caregiver, rating scales, disability, self‐assessment.
- MESH :
- diagnosis : Parkinson Disease.
- psychology : Parkinson Disease.
- rehabilitation : Parkinson Disease.
- Aged, Caregivers, Disability Evaluation, Female, Humans, Male, Motor Skills, Neurologic Examination, Observer Variation, Physicians, Psychometrics, Reproducibility of Results, Self-Assessment, Severity of Illness Index.
Abstract
This multicenter study sought to analyze the validity and reliability of the Unified Parkinson's Disease Rating Scale (UPDRS)‐section 2 (Activities of Daily Living, ADL) as applied by patients and caregivers. Sixty pairs of PD patients–caregivers were enrolled for study purposes. Neurologists used a set of scales to determine disease severity and patients' functional state. Patients and caregivers used adapted versions of the UPDRS‐section 2 in tandem with other measures. Wilcoxon and Mann‐Whitney tests, weighted κ, intraclass and Spearman's correlation coefficients, as well as multivariate linear regression models were applied. On the whole, PD patient self‐assessment and caregiver evaluation of patients' disability showed close concordance with neurologists' ratings. Correlation between caregiver ratings and clinical evaluation tended to be slightly lower than that for patient‐based self‐assessment. Depression showed a positive correlation with disability and had a nonsystematic influence on UPDRS‐section 2 (ADL) scores. As expected, there was a significant correlation between perceived disability and health‐related quality of life measures. Caregiver burden did not reduce the level of agreement with neurologists as to the overall rating of any given patient's disability. In PD, UPDRS‐section 2–based assessment of disability by patients themselves and caregivers is a valid and reliable outcome. © 2003 Movement Disorder Society
Url:
DOI: 10.1002/mds.10479
Affiliations:
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José Catalán</name></author><author><name sortKey="Pondal, Margarita" sort="Pondal, Margarita" uniqKey="Pondal M" first="Margarita" last="Pondal">Margarita Pondal</name></author><author><name sortKey="Tobias, Aurelio" sort="Tobias, Aurelio" uniqKey="Tobias A" first="Aurelio" last="Tobías">Aurelio Tobías</name></author><author><name sortKey="Zamarbide, Ivana" sort="Zamarbide, Ivana" uniqKey="Zamarbide I" first="Ivana" last="Zamarbide">Ivana Zamarbide</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:47C219A6ED629B3849896EAFB10D9A6ADDE11D3A</idno><date when="2003" year="2003">2003</date><idno type="doi">10.1002/mds.10479</idno><idno type="url">https://api.istex.fr/document/47C219A6ED629B3849896EAFB10D9A6ADDE11D3A/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000948</idno><idno type="wicri:Area/Istex/Curation">000948</idno><idno type="wicri:Area/Istex/Checkpoint">002936</idno><idno type="wicri:doubleKey">0885-3185:2003:Martinez Artin P:patients:doctors:and</idno><idno type="wicri:source">PubMed</idno><idno type="RBID">pubmed:14502665</idno><idno type="wicri:Area/PubMed/Corpus">003703</idno><idno type="wicri:Area/PubMed/Curation">003703</idno><idno type="wicri:Area/PubMed/Checkpoint">003698</idno><idno type="wicri:Area/Ncbi/Merge">000B61</idno><idno type="wicri:Area/Ncbi/Curation">000B61</idno><idno type="wicri:Area/Ncbi/Checkpoint">000B61</idno><idno type="wicri:doubleKey">0885-3185:2003:Martinez Martin P:patients:doctors:and</idno><idno type="wicri:Area/Main/Merge">005C29</idno><idno type="wicri:Area/Main/Curation">004006</idno><idno type="wicri:Area/Main/Exploration">004006</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Patients', doctors', and caregivers' assessment of disability using the UPDRS‐ADL section: Are these ratings interchangeable?</title><author><name sortKey="Martinez Artin, Pablo" sort="Martinez Artin, Pablo" uniqKey="Martinez Artin P" first="Pablo" last="Martínez-Martín">Pablo Martínez-Martín</name><affiliation wicri:level="3"><country xml:lang="fr">Espagne</country><wicri:regionArea>Neuroepidemiology Unit, National Center for Epidemiology, Carlos III Institute of Public Health, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Benito E N, Julian" sort="Benito E N, Julian" uniqKey="Benito E N J" first="Julian" last="Benito-Le N">Julian Benito-Le N</name><affiliation wicri:level="3"><country xml:lang="fr">Espagne</country><wicri:regionArea>Neurology Department at Móstoles Hospital, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Alonso, Fernando" sort="Alonso, Fernando" uniqKey="Alonso F" first="Fernando" last="Alonso">Fernando Alonso</name><affiliation wicri:level="1"><country xml:lang="fr">Espagne</country><wicri:regionArea>Neurology Department at Pamplona University Teaching Clinic, Navarre</wicri:regionArea><wicri:noRegion>Navarre</wicri:noRegion></affiliation></author><author><name sortKey="Catalan, M Jose" sort="Catalan, M Jose" uniqKey="Catalan M" first="M. José" last="Catalán">M. José Catalán</name><affiliation wicri:level="3"><country xml:lang="fr">Espagne</country><wicri:regionArea>Neurology Department at San Carlos University Teaching Hospital, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Pondal, Margarita" sort="Pondal, Margarita" uniqKey="Pondal M" first="Margarita" last="Pondal">Margarita Pondal</name><affiliation wicri:level="3"><country xml:lang="fr">Espagne</country><wicri:regionArea>Neurology Department at Severo Ochoa Hospital, Leganés, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Tobias, Aurelio" sort="Tobias, Aurelio" uniqKey="Tobias A" first="Aurelio" last="Tobías">Aurelio Tobías</name><affiliation wicri:level="3"><country xml:lang="fr">Espagne</country><wicri:regionArea>Neuroepidemiology Unit, National Center for Epidemiology, Carlos III Institute of Public Health, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Zamarbide, Ivana" sort="Zamarbide, Ivana" uniqKey="Zamarbide I" first="Ivana" last="Zamarbide">Ivana Zamarbide</name><affiliation wicri:level="1"><country xml:lang="fr">Espagne</country><wicri:regionArea>Neurology Department at Pamplona University Teaching Clinic, Navarre</wicri:regionArea><wicri:noRegion>Navarre</wicri:noRegion></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="2003-09">2003-09</date><biblScope unit="vol">18</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="985">985</biblScope><biblScope unit="page" to="992">992</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">47C219A6ED629B3849896EAFB10D9A6ADDE11D3A</idno><idno type="DOI">10.1002/mds.10479</idno><idno type="ArticleID">MDS10479</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Caregivers</term><term>Disability Evaluation</term><term>Female</term><term>Humans</term><term>Male</term><term>Motor Skills</term><term>Neurologic Examination</term><term>Observer Variation</term><term>Parkinson Disease (diagnosis)</term><term>Parkinson Disease (psychology)</term><term>Parkinson Disease (rehabilitation)</term><term>Parkinson's disease</term><term>Physicians</term><term>Psychometrics</term><term>Reproducibility of Results</term><term>Self-Assessment</term><term>Severity of Illness Index</term><term>UPDRS</term><term>caregiver, rating scales</term><term>disability</term><term>self‐assessment</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Caregivers</term><term>Disability Evaluation</term><term>Female</term><term>Humans</term><term>Male</term><term>Motor Skills</term><term>Neurologic Examination</term><term>Observer Variation</term><term>Physicians</term><term>Psychometrics</term><term>Reproducibility of Results</term><term>Self-Assessment</term><term>Severity of Illness Index</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This multicenter study sought to analyze the validity and reliability of the Unified Parkinson's Disease Rating Scale (UPDRS)‐section 2 (Activities of Daily Living, ADL) as applied by patients and caregivers. Sixty pairs of PD patients–caregivers were enrolled for study purposes. Neurologists used a set of scales to determine disease severity and patients' functional state. Patients and caregivers used adapted versions of the UPDRS‐section 2 in tandem with other measures. Wilcoxon and Mann‐Whitney tests, weighted κ, intraclass and Spearman's correlation coefficients, as well as multivariate linear regression models were applied. On the whole, PD patient self‐assessment and caregiver evaluation of patients' disability showed close concordance with neurologists' ratings. Correlation between caregiver ratings and clinical evaluation tended to be slightly lower than that for patient‐based self‐assessment. Depression showed a positive correlation with disability and had a nonsystematic influence on UPDRS‐section 2 (ADL) scores. As expected, there was a significant correlation between perceived disability and health‐related quality of life measures. Caregiver burden did not reduce the level of agreement with neurologists as to the overall rating of any given patient's disability. In PD, UPDRS‐section 2–based assessment of disability by patients themselves and caregivers is a valid and reliable outcome. © 2003 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Espagne</li></country><region><li>Communauté de Madrid</li></region><settlement><li>Madrid</li></settlement></list><tree><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Martinez Artin, Pablo" sort="Martinez Artin, Pablo" uniqKey="Martinez Artin P" first="Pablo" last="Martínez-Martín">Pablo Martínez-Martín</name></region><name sortKey="Alonso, Fernando" sort="Alonso, Fernando" uniqKey="Alonso F" first="Fernando" last="Alonso">Fernando Alonso</name><name sortKey="Benito E N, Julian" sort="Benito E N, Julian" uniqKey="Benito E N J" first="Julian" last="Benito-Le N">Julian Benito-Le N</name><name sortKey="Catalan, M Jose" sort="Catalan, M Jose" uniqKey="Catalan M" first="M. José" last="Catalán">M. José Catalán</name><name sortKey="Pondal, Margarita" sort="Pondal, Margarita" uniqKey="Pondal M" first="Margarita" last="Pondal">Margarita Pondal</name><name sortKey="Tobias, Aurelio" sort="Tobias, Aurelio" uniqKey="Tobias A" first="Aurelio" last="Tobías">Aurelio Tobías</name><name sortKey="Zamarbide, Ivana" sort="Zamarbide, Ivana" uniqKey="Zamarbide I" first="Ivana" last="Zamarbide">Ivana Zamarbide</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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