Patients', doctors', and caregivers' assessment of disability using the UPDRS-ADL section: Are these ratings interchangeable?
Identifieur interne : 002396 ( PascalFrancis/Corpus ); précédent : 002395; suivant : 002397Patients', doctors', and caregivers' assessment of disability using the UPDRS-ADL section: Are these ratings interchangeable?
Auteurs : Pablo Martinez-Martin ; Julian Benito-Leon ; Fernando Alonso ; M. José Catalan ; Margarita Pondal ; Aurelio Tobias ; Ivana ZamarbideSource :
- Movement disorders [ 0885-3185 ] ; 2003.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
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.
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Format Inist (serveur)
NO : | PASCAL 04-0052796 INIST |
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ET : | Patients', doctors', and caregivers' assessment of disability using the UPDRS-ADL section: Are these ratings interchangeable? |
AU : | MARTINEZ-MARTIN (Pablo); BENITO-LEON (Julian); ALONSO (Fernando); CATALAN (M. José); PONDAL (Margarita); TOBIAS (Aurelio); ZAMARBIDE (Ivana) |
AF : | Neuroepidemiology Unit, National Center for Epidemiology, Carlos III Institute of Public Health/Madrid/Espagne (1 aut., 6 aut.); Neurology Department at Móstoles Hospital/Madrid/Espagne (2 aut.); Neurology Department at Pamplona University Teaching Clinic/Navarre/Espagne (3 aut., 7 aut.); Neurology Department at San Carlos University Teaching Hospital/Madrid/Espagne (4 aut.); Neurology Department at Severo Ochoa Hospital/Leganés. Madrid/Espagne (5 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2003; Vol. 18; No. 9; Pp. 985-992; Bibl. 47 ref. |
LA : | Anglais |
EA : | 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. |
CC : | 002B17G |
FD : | Parkinson maladie; Echelle évaluation; Activité; Vie quotidienne; Aidant; Malade; Médecin; Incapacité; Handicap; Psychométrie; Fidélité test; Validation test; Adulte |
FG : | Homme; Système nerveux pathologie; Système nerveux central pathologie; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative |
ED : | Parkinson disease; Evaluation scale; Activity; Daily living; Caregiver; Patient; Physician; Disability; Handicap; Psychometrics; Test reliability; Test validation; Adult |
EG : | Human; Nervous system diseases; Central nervous system disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease |
SD : | Parkinson enfermedad; Escala evaluación; Actividad; Vida cotidiana; Ayudante a domicilio; Enfermo; Médico; Incapacidad; Discapacidad; Psicometría; Fidelidad pruebra; Validación prueba; Adulto |
LO : | INIST-20953.354000113072050030 |
ID : | 04-0052796 |
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Pascal:04-0052796Le document en format XML
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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>
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<fC07 i1="01" i2="X" l="SPA"><s0>Hombre</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Système nerveux pathologie</s0>
<s5>37</s5>
</fC07>
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<s5>37</s5>
</fC07>
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<s5>37</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Système nerveux central pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Central nervous system disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Encéphale pathologie</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Cerebral disorder</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Encéfalo patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Extrapyramidal syndrome</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Extrapyramidal syndrome</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0>
<s5>40</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE"><s0>Maladie dégénérative</s0>
<s5>41</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Degenerative disease</s0>
<s5>41</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Enfermedad degenerativa</s0>
<s5>41</s5>
</fC07>
<fN21><s1>033</s1>
</fN21>
<fN82><s1>PSI</s1>
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<server><NO>PASCAL 04-0052796 INIST</NO>
<ET>Patients', doctors', and caregivers' assessment of disability using the UPDRS-ADL section: Are these ratings interchangeable?</ET>
<AU>MARTINEZ-MARTIN (Pablo); BENITO-LEON (Julian); ALONSO (Fernando); CATALAN (M. José); PONDAL (Margarita); TOBIAS (Aurelio); ZAMARBIDE (Ivana)</AU>
<AF>Neuroepidemiology Unit, National Center for Epidemiology, Carlos III Institute of Public Health/Madrid/Espagne (1 aut., 6 aut.); Neurology Department at Móstoles Hospital/Madrid/Espagne (2 aut.); Neurology Department at Pamplona University Teaching Clinic/Navarre/Espagne (3 aut., 7 aut.); Neurology Department at San Carlos University Teaching Hospital/Madrid/Espagne (4 aut.); Neurology Department at Severo Ochoa Hospital/Leganés. Madrid/Espagne (5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2003; Vol. 18; No. 9; Pp. 985-992; Bibl. 47 ref.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B17G</CC>
<FD>Parkinson maladie; Echelle évaluation; Activité; Vie quotidienne; Aidant; Malade; Médecin; Incapacité; Handicap; Psychométrie; Fidélité test; Validation test; Adulte</FD>
<FG>Homme; Système nerveux pathologie; Système nerveux central pathologie; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative</FG>
<ED>Parkinson disease; Evaluation scale; Activity; Daily living; Caregiver; Patient; Physician; Disability; Handicap; Psychometrics; Test reliability; Test validation; Adult</ED>
<EG>Human; Nervous system diseases; Central nervous system disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease</EG>
<SD>Parkinson enfermedad; Escala evaluación; Actividad; Vida cotidiana; Ayudante a domicilio; Enfermo; Médico; Incapacidad; Discapacidad; Psicometría; Fidelidad pruebra; Validación prueba; Adulto</SD>
<LO>INIST-20953.354000113072050030</LO>
<ID>04-0052796</ID>
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