Movement Disorders (revue)

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Validation of the "QUICK" Questionnaire : A Tool for Diagnosis of "Wearing-Off" in Patients with Parkinson's Disease

Identifieur interne : 001261 ( PascalFrancis/Corpus ); précédent : 001260; suivant : 001262

Validation of the "QUICK" Questionnaire : A Tool for Diagnosis of "Wearing-Off" in Patients with Parkinson's Disease

Auteurs : Pablo Martinez-Martin ; Eduardo Tolosa ; Basilio Hernandez ; Xavier Badia

Source :

RBID : Pascal:08-0251872

Descripteurs français

English descriptors

Abstract

: The main objective of the present study was to test the validity of a 19-items instrument (QUICK Questionnaire, QQ) as a tool for screening of WO. Two hundred twenty-two patients (36.0% without WO; 64.0% with mild or moderate/ severe WO) were included. Diagnosis of WO by the participant neurologist was considered the "gold standard." The complete Unified Parkinson's Disease Rating Scale battery, the Cumulative Illness Rating Scale-Geriatrics, and a form about WO presence and severity were completed by the neurologist. Patients independently completed the QQ just before the clinical assessment. As a whole, patients with WO were more disabled than patients without and patients with moderate/severe WO were in worse condition than patients with mild WO. The number of QQ symptoms declared to improve usually after the following dose of medication was 1.0 ± 1.8 in the group without WO, but 6.0 ± 3.8 in patients with WO (P < 0.001). A two QQ positive symptoms cut-off showed the following attributes: sensitivity, 88%; specificity, 80%; positive predictive value, 88.7%; negative predictive value, 79%; diagnostic accuracy, 85%; positive and negative likelihood ratios 4.4 and 0.15, respectively. The area under the ROC curve resulted 0.90 (CI95%: 0.86-0.94%). In summary, the QQ proved to be a valid screening tool to identify WO in PD patients. To our knowledge, the QQ is the only validated tool for diagnosis of WO.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A03   1    @0 Mov. disord.
A05       @2 23
A06       @2 6
A08 01  1  ENG  @1 Validation of the "QUICK" Questionnaire : A Tool for Diagnosis of "Wearing-Off" in Patients with Parkinson's Disease
A11 01  1    @1 MARTINEZ-MARTIN (Pablo)
A11 02  1    @1 TOLOSA (Eduardo)
A11 03  1    @1 HERNANDEZ (Basilio)
A11 04  1    @1 BADIA (Xavier)
A14 01      @1 Neuroepidemiology Unit, National Centre for Epidemiology, Carlos III, Institute of Health @2 Madrid @3 ESP @Z 1 aut.
A14 02      @1 Centro de Investigación Biomédica en Red sobre Enfermedades, Neurodegenerativas (CIBERNED) @2 Madrid @3 ESP @Z 1 aut.
A14 03      @1 Parkinson's Disease and Movement Disorders Unit, Neurology Service, Institut, Clinic de Neurociències, Hospital Clinic de Barcelona, Universitat de Barcelona, IDIBAPS @2 Barcelona @3 ESP @Z 2 aut.
A14 04      @1 Centro de Investigación Biomédica en Red sobre Enfermedades, Neurodegenerativas (CIBERNED) @2 Barcelona @3 ESP @Z 2 aut.
A14 05      @1 Medical Department, Novartis Farmaceutica, SA @2 Barcelona @3 ESP @Z 3 aut.
A14 06      @1 IMS Health @2 Barcelona @3 ESP @Z 4 aut.
A17 01  1    @1 ValidQUICK Study Group @3 ESP
A20       @1 830-836
A21       @1 2008
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000195888140090
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
A45       @0 20 ref.
A47 01  1    @0 08-0251872
A60       @1 P
A61       @0 A
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C01 01    ENG  @0 : The main objective of the present study was to test the validity of a 19-items instrument (QUICK Questionnaire, QQ) as a tool for screening of WO. Two hundred twenty-two patients (36.0% without WO; 64.0% with mild or moderate/ severe WO) were included. Diagnosis of WO by the participant neurologist was considered the "gold standard." The complete Unified Parkinson's Disease Rating Scale battery, the Cumulative Illness Rating Scale-Geriatrics, and a form about WO presence and severity were completed by the neurologist. Patients independently completed the QQ just before the clinical assessment. As a whole, patients with WO were more disabled than patients without and patients with moderate/severe WO were in worse condition than patients with mild WO. The number of QQ symptoms declared to improve usually after the following dose of medication was 1.0 ± 1.8 in the group without WO, but 6.0 ± 3.8 in patients with WO (P < 0.001). A two QQ positive symptoms cut-off showed the following attributes: sensitivity, 88%; specificity, 80%; positive predictive value, 88.7%; negative predictive value, 79%; diagnostic accuracy, 85%; positive and negative likelihood ratios 4.4 and 0.15, respectively. The area under the ROC curve resulted 0.90 (CI95%: 0.86-0.94%). In summary, the QQ proved to be a valid screening tool to identify WO in PD patients. To our knowledge, the QQ is the only validated tool for diagnosis of WO.
C02 01  X    @0 002B17
C02 02  X    @0 002B17G
C03 01  X  FRE  @0 Maladie de Parkinson @2 NM @5 01
C03 01  X  ENG  @0 Parkinson disease @2 NM @5 01
C03 01  X  SPA  @0 Parkinson enfermedad @2 NM @5 01
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C03 06  X  ENG  @0 Human @5 12
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C03 07  X  FRE  @0 Dépistage @5 13
C03 07  X  ENG  @0 Medical screening @5 13
C03 07  X  SPA  @0 Descubrimiento @5 13
C03 08  X  FRE  @0 Validité @5 14
C03 08  X  ENG  @0 Validity @5 14
C03 08  X  SPA  @0 Validez @5 14
C07 01  X  FRE  @0 Pathologie de l'encéphale @5 37
C07 01  X  ENG  @0 Cerebral disorder @5 37
C07 01  X  SPA  @0 Encéfalo patología @5 37
C07 02  X  FRE  @0 Syndrome extrapyramidal @5 38
C07 02  X  ENG  @0 Extrapyramidal syndrome @5 38
C07 02  X  SPA  @0 Extrapiramidal síndrome @5 38
C07 03  X  FRE  @0 Maladie dégénérative @5 39
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C07 03  X  SPA  @0 Enfermedad degenerativa @5 39
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C07 04  X  ENG  @0 Central nervous system disease @5 40
C07 04  X  SPA  @0 Sistema nervosio central patología @5 40
N21       @1 162
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Format Inist (serveur)

NO : PASCAL 08-0251872 INIST
ET : Validation of the "QUICK" Questionnaire : A Tool for Diagnosis of "Wearing-Off" in Patients with Parkinson's Disease
AU : MARTINEZ-MARTIN (Pablo); TOLOSA (Eduardo); HERNANDEZ (Basilio); BADIA (Xavier)
AF : Neuroepidemiology Unit, National Centre for Epidemiology, Carlos III, Institute of Health/Madrid/Espagne (1 aut.); Centro de Investigación Biomédica en Red sobre Enfermedades, Neurodegenerativas (CIBERNED)/Madrid/Espagne (1 aut.); Parkinson's Disease and Movement Disorders Unit, Neurology Service, Institut, Clinic de Neurociències, Hospital Clinic de Barcelona, Universitat de Barcelona, IDIBAPS/Barcelona/Espagne (2 aut.); Centro de Investigación Biomédica en Red sobre Enfermedades, Neurodegenerativas (CIBERNED)/Barcelona/Espagne (2 aut.); Medical Department, Novartis Farmaceutica, SA/Barcelona/Espagne (3 aut.); IMS Health/Barcelona/Espagne (4 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2008; Vol. 23; No. 6; Pp. 830-836; Bibl. 20 ref.
LA : Anglais
EA : : The main objective of the present study was to test the validity of a 19-items instrument (QUICK Questionnaire, QQ) as a tool for screening of WO. Two hundred twenty-two patients (36.0% without WO; 64.0% with mild or moderate/ severe WO) were included. Diagnosis of WO by the participant neurologist was considered the "gold standard." The complete Unified Parkinson's Disease Rating Scale battery, the Cumulative Illness Rating Scale-Geriatrics, and a form about WO presence and severity were completed by the neurologist. Patients independently completed the QQ just before the clinical assessment. As a whole, patients with WO were more disabled than patients without and patients with moderate/severe WO were in worse condition than patients with mild WO. The number of QQ symptoms declared to improve usually after the following dose of medication was 1.0 ± 1.8 in the group without WO, but 6.0 ± 3.8 in patients with WO (P < 0.001). A two QQ positive symptoms cut-off showed the following attributes: sensitivity, 88%; specificity, 80%; positive predictive value, 88.7%; negative predictive value, 79%; diagnostic accuracy, 85%; positive and negative likelihood ratios 4.4 and 0.15, respectively. The area under the ROC curve resulted 0.90 (CI95%: 0.86-0.94%). In summary, the QQ proved to be a valid screening tool to identify WO in PD patients. To our knowledge, the QQ is the only validated tool for diagnosis of WO.
CC : 002B17; 002B17G
FD : Maladie de Parkinson; Pathologie du système nerveux; Validation; Questionnaire; Diagnostic; Homme; Dépistage; Validité
FG : Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central
ED : Parkinson disease; Nervous system diseases; Validation; Questionnaire; Diagnosis; Human; Medical screening; Validity
EG : Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease
SD : Parkinson enfermedad; Sistema nervioso patología; Validación; Cuestionario; Diagnóstico; Hombre; Descubrimiento; Validez
LO : INIST-20953.354000195888140090
ID : 08-0251872

Links to Exploration step

Pascal:08-0251872

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<NO>PASCAL 08-0251872 INIST</NO>
<ET>Validation of the "QUICK" Questionnaire : A Tool for Diagnosis of "Wearing-Off" in Patients with Parkinson's Disease</ET>
<AU>MARTINEZ-MARTIN (Pablo); TOLOSA (Eduardo); HERNANDEZ (Basilio); BADIA (Xavier)</AU>
<AF>Neuroepidemiology Unit, National Centre for Epidemiology, Carlos III, Institute of Health/Madrid/Espagne (1 aut.); Centro de Investigación Biomédica en Red sobre Enfermedades, Neurodegenerativas (CIBERNED)/Madrid/Espagne (1 aut.); Parkinson's Disease and Movement Disorders Unit, Neurology Service, Institut, Clinic de Neurociències, Hospital Clinic de Barcelona, Universitat de Barcelona, IDIBAPS/Barcelona/Espagne (2 aut.); Centro de Investigación Biomédica en Red sobre Enfermedades, Neurodegenerativas (CIBERNED)/Barcelona/Espagne (2 aut.); Medical Department, Novartis Farmaceutica, SA/Barcelona/Espagne (3 aut.); IMS Health/Barcelona/Espagne (4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2008; Vol. 23; No. 6; Pp. 830-836; Bibl. 20 ref.</SO>
<LA>Anglais</LA>
<EA>: The main objective of the present study was to test the validity of a 19-items instrument (QUICK Questionnaire, QQ) as a tool for screening of WO. Two hundred twenty-two patients (36.0% without WO; 64.0% with mild or moderate/ severe WO) were included. Diagnosis of WO by the participant neurologist was considered the "gold standard." The complete Unified Parkinson's Disease Rating Scale battery, the Cumulative Illness Rating Scale-Geriatrics, and a form about WO presence and severity were completed by the neurologist. Patients independently completed the QQ just before the clinical assessment. As a whole, patients with WO were more disabled than patients without and patients with moderate/severe WO were in worse condition than patients with mild WO. The number of QQ symptoms declared to improve usually after the following dose of medication was 1.0 ± 1.8 in the group without WO, but 6.0 ± 3.8 in patients with WO (P < 0.001). A two QQ positive symptoms cut-off showed the following attributes: sensitivity, 88%; specificity, 80%; positive predictive value, 88.7%; negative predictive value, 79%; diagnostic accuracy, 85%; positive and negative likelihood ratios 4.4 and 0.15, respectively. The area under the ROC curve resulted 0.90 (CI95%: 0.86-0.94%). In summary, the QQ proved to be a valid screening tool to identify WO in PD patients. To our knowledge, the QQ is the only validated tool for diagnosis of WO.</EA>
<CC>002B17; 002B17G</CC>
<FD>Maladie de Parkinson; Pathologie du système nerveux; Validation; Questionnaire; Diagnostic; Homme; Dépistage; Validité</FD>
<FG>Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central</FG>
<ED>Parkinson disease; Nervous system diseases; Validation; Questionnaire; Diagnosis; Human; Medical screening; Validity</ED>
<EG>Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease</EG>
<SD>Parkinson enfermedad; Sistema nervioso patología; Validación; Cuestionario; Diagnóstico; Hombre; Descubrimiento; Validez</SD>
<LO>INIST-20953.354000195888140090</LO>
<ID>08-0251872</ID>
</server>
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