Movement Disorders (revue)

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Extended Testing Across, Not Within, Tasks Raises Diagnostic Accuracy of Smell Testing in Parkinson's Disease

Identifieur interne : 001D10 ( PascalFrancis/Curation ); précédent : 001D09; suivant : 001D11

Extended Testing Across, Not Within, Tasks Raises Diagnostic Accuracy of Smell Testing in Parkinson's Disease

Auteurs : Sanne Boesveldt [Pays-Bas] ; Robert-Jan O. De Muinck Keizer [Pays-Bas] ; Dirk L. Knol [Pays-Bas] ; Erik Ch. Wolters [Pays-Bas] ; Henk W. Berendse [Pays-Bas]

Source :

RBID : Pascal:09-0094104

Descripteurs français

English descriptors

Abstract

The aim of this study was to determine whether extended olfactory testing within a single olfactory task and/ or across olfactory tasks increases diagnostic accuracy of olfactory testing in Parkinson's disease (PD). Olfactory function was assessed using an extended version of the "Sniffin' Sticks", comprising 32-item odor identification and discrimination tasks, and a detection threshold task in 52 PD patients and 50 controls, all aged between 49 and 78 years. ROC curves based on sensitivity and specificity estimates were used to compare the diagnostic accuracy of extended and combined olfactory testing. There was no significant difference in diagnostic accuracy between the 16-item and the 32-item versions of the odor identification or discrimination test. The single olfactory test that was best in discriminating between PD patients and controls was a 16-item odor identification test. A combination of the 16-item identification test and the detection threshold task had a significantly higher area under the curve than the 16-item odor identification test alone. In conclusion, extended testing across, and not within, olfactory tasks increases diagnostic accuracy of olfactory testing in PD. A combination of an odor detection threshold task and a 16-item odor identification test had the highest sensitivity and specificity in distinguishing between PD patients and controls.
pA  
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A03   1    @0 Mov. disord.
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A08 01  1  ENG  @1 Extended Testing Across, Not Within, Tasks Raises Diagnostic Accuracy of Smell Testing in Parkinson's Disease
A11 01  1    @1 BOESVELDT (Sanne)
A11 02  1    @1 DE MUINCK KEIZER (Robert-Jan O.)
A11 03  1    @1 KNOL (Dirk L.)
A11 04  1    @1 WOLTERS (Erik Ch.)
A11 05  1    @1 BERENDSE (Henk W.)
A14 01      @1 Department of Neurology, VU University Medical Center @2 Amsterdam @3 NLD @Z 1 aut. @Z 2 aut. @Z 4 aut. @Z 5 aut.
A14 02      @1 Department of Clinical Epidemiology and Biostatistics, VU University Medical Center @2 Amsterdam @3 NLD @Z 3 aut.
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A21       @1 2009
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A43 01      @1 INIST @2 20953 @5 354000186473060110
A44       @0 0000 @1 © 2009 INIST-CNRS. All rights reserved.
A45       @0 31 ref.
A47 01  1    @0 09-0094104
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
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C01 01    ENG  @0 The aim of this study was to determine whether extended olfactory testing within a single olfactory task and/ or across olfactory tasks increases diagnostic accuracy of olfactory testing in Parkinson's disease (PD). Olfactory function was assessed using an extended version of the "Sniffin' Sticks", comprising 32-item odor identification and discrimination tasks, and a detection threshold task in 52 PD patients and 50 controls, all aged between 49 and 78 years. ROC curves based on sensitivity and specificity estimates were used to compare the diagnostic accuracy of extended and combined olfactory testing. There was no significant difference in diagnostic accuracy between the 16-item and the 32-item versions of the odor identification or discrimination test. The single olfactory test that was best in discriminating between PD patients and controls was a 16-item odor identification test. A combination of the 16-item identification test and the detection threshold task had a significantly higher area under the curve than the 16-item odor identification test alone. In conclusion, extended testing across, and not within, olfactory tasks increases diagnostic accuracy of olfactory testing in PD. A combination of an odor detection threshold task and a 16-item odor identification test had the highest sensitivity and specificity in distinguishing between PD patients and controls.
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
C03 02  X  FRE  @0 Pathologie du système nerveux @5 02
C03 02  X  ENG  @0 Nervous system diseases @5 02
C03 02  X  SPA  @0 Sistema nervioso patología @5 02
C03 03  X  FRE  @0 Diagnostic @5 09
C03 03  X  ENG  @0 Diagnosis @5 09
C03 03  X  SPA  @0 Diagnóstico @5 09
C03 04  X  FRE  @0 Précision @5 10
C03 04  X  ENG  @0 Accuracy @5 10
C03 04  X  SPA  @0 Precisión @5 10
C03 05  X  FRE  @0 Olfaction @5 11
C03 05  X  ENG  @0 Olfaction @5 11
C03 05  X  SPA  @0 Olfación @5 11
C03 06  X  FRE  @0 Discrimination @5 12
C03 06  X  ENG  @0 Discrimination @5 12
C03 06  X  SPA  @0 Discriminación @5 12
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
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
C07 03  X  ENG  @0 Degenerative disease @5 39
C07 03  X  SPA  @0 Enfermedad degenerativa @5 39
C07 04  X  FRE  @0 Pathologie du système nerveux central @5 40
C07 04  X  ENG  @0 Central nervous system disease @5 40
C07 04  X  SPA  @0 Sistema nervosio central patología @5 40
N21       @1 068
N44 01      @1 OTO
N82       @1 OTO

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Pascal:09-0094104

Le document en format XML

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<div type="abstract" xml:lang="en">The aim of this study was to determine whether extended olfactory testing within a single olfactory task and/ or across olfactory tasks increases diagnostic accuracy of olfactory testing in Parkinson's disease (PD). Olfactory function was assessed using an extended version of the "Sniffin' Sticks", comprising 32-item odor identification and discrimination tasks, and a detection threshold task in 52 PD patients and 50 controls, all aged between 49 and 78 years. ROC curves based on sensitivity and specificity estimates were used to compare the diagnostic accuracy of extended and combined olfactory testing. There was no significant difference in diagnostic accuracy between the 16-item and the 32-item versions of the odor identification or discrimination test. The single olfactory test that was best in discriminating between PD patients and controls was a 16-item odor identification test. A combination of the 16-item identification test and the detection threshold task had a significantly higher area under the curve than the 16-item odor identification test alone. In conclusion, extended testing across, and not within, olfactory tasks increases diagnostic accuracy of olfactory testing in PD. A combination of an odor detection threshold task and a 16-item odor identification test had the highest sensitivity and specificity in distinguishing between PD patients and controls.</div>
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<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Sistema nervosio central patología</s0>
<s5>40</s5>
</fC07>
<fN21>
<s1>068</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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