MovDisordV3, Main, Exploration, bibRecord, 004209

Patients', doctors', and caregivers' assessment of disability using the UPDRS-ADL section: Are these ratings interchangeable?

Identifieur interne : 004209 ( Main/Exploration ); précédent : 004208; suivant : 004210

Patients', doctors', and caregivers' assessment of disability using the UPDRS-ADL section: Are these ratings interchangeable?

Auteurs : Pablo Martinez-Martin [Espagne] ; Julian Benito-Leon [Espagne] ; Fernando Alonso [Espagne] ; M. José Catalan [Espagne] ; Margarita Pondal [Espagne] ; Aurelio Tobias [Espagne] ; Ivana Zamarbide [Espagne]

Source :

Movement disorders [ 0885-3185 ] ; 2003.

RBID : Pascal:04-0052796

Descripteurs français

Pascal (Inist)
- Parkinson maladie, Echelle évaluation, Activité, Vie quotidienne, Aidant, Malade, Médecin, Incapacité, Handicap, Psychométrie, Fidélité test, Validation test, Adulte.
Wicri :
- topic : Médecin, Adulte.

English descriptors

KwdEn :
- Activity, Adult, Caregiver, Daily living, Disability, Evaluation scale, Handicap, Parkinson disease, Patient, Physician, Psychometrics, Test reliability, Test validation.

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 K, 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.

Affiliations:

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Le document en format XML

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<author><name sortKey="Pondal, Margarita" sort="Pondal, Margarita" uniqKey="Pondal M" first="Margarita" last="Pondal">Margarita Pondal</name>
<affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Neurology Department at Severo Ochoa Hospital</s1>
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<s3>ESP</s3>
<sZ>5 aut.</sZ>
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<wicri:noRegion>Neurology Department at Severo Ochoa Hospital</wicri:noRegion>
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<author><name sortKey="Tobias, Aurelio" sort="Tobias, Aurelio" uniqKey="Tobias A" first="Aurelio" last="Tobias">Aurelio Tobias</name>
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<s3>ESP</s3>
<sZ>1 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
<placeName><settlement type="city">Madrid</settlement>
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</affiliation>
</author>
<author><name sortKey="Zamarbide, Ivana" sort="Zamarbide, Ivana" uniqKey="Zamarbide I" first="Ivana" last="Zamarbide">Ivana Zamarbide</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Neurology Department at Pamplona University Teaching Clinic</s1>
<s2>Navarre</s2>
<s3>ESP</s3>
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<sZ>7 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
<wicri:noRegion>Neurology Department at Pamplona University Teaching Clinic</wicri:noRegion>
</affiliation>
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<series><title level="j" type="main">Movement disorders</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activity</term>
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<term>Disability</term>
<term>Evaluation scale</term>
<term>Handicap</term>
<term>Parkinson disease</term>
<term>Patient</term>
<term>Physician</term>
<term>Psychometrics</term>
<term>Test reliability</term>
<term>Test validation</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Parkinson maladie</term>
<term>Echelle évaluation</term>
<term>Activité</term>
<term>Vie quotidienne</term>
<term>Aidant</term>
<term>Malade</term>
<term>Médecin</term>
<term>Incapacité</term>
<term>Handicap</term>
<term>Psychométrie</term>
<term>Fidélité test</term>
<term>Validation test</term>
<term>Adulte</term>
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<term>Adulte</term>
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<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 K, 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.</div>
</front>
</TEI>
<affiliations><list><country><li>Espagne</li>
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<tree><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Martinez Martin, Pablo" sort="Martinez Martin, Pablo" uniqKey="Martinez Martin P" first="Pablo" last="Martinez-Martin">Pablo Martinez-Martin</name>
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<name sortKey="Benito Leon, Julian" sort="Benito Leon, Julian" uniqKey="Benito Leon J" first="Julian" last="Benito-Leon">Julian Benito-Leon</name>
<name sortKey="Catalan, M Jose" sort="Catalan, M Jose" uniqKey="Catalan M" first="M. José" last="Catalan">M. José Catalan</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="Tobias">Aurelio Tobias</name>
<name sortKey="Zamarbide, Ivana" sort="Zamarbide, Ivana" uniqKey="Zamarbide I" first="Ivana" last="Zamarbide">Ivana Zamarbide</name>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Patients', doctors', and caregivers' assessment of disability using the UPDRS-ADL section: Are these ratings interchangeable?

Patients', doctors', and caregivers' assessment of disability using the UPDRS-ADL section: Are these ratings interchangeable?

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri