Field validation of a method for population screening of parkinsonism.
Identifieur interne : 003A87 ( PubMed/Checkpoint ); précédent : 003A86; suivant : 003A88Field validation of a method for population screening of parkinsonism.
Auteurs : Maria Dolores Sevillano [Espagne] ; Jesús De Pedro-Cuesta ; Jacinto Duarte ; Luis Erik ClaveríaSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2002.
Descripteurs français
- Wicri :
- geographic : Espagne.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Cross-Cultural Comparison, Cross-Sectional Studies, Female, Health Surveys, Humans, Incidence, Male, Mass Screening (statistics & numerical data), Middle Aged, Neurologic Examination (statistics & numerical data), Parkinson Disease (diagnosis), Parkinson Disease (epidemiology), Reproducibility of Results, Spain (epidemiology).
- MESH :
- geographic , epidemiology : Spain.
- diagnosis : Parkinson Disease.
- epidemiology : Parkinson Disease.
- statistics & numerical data : Mass Screening, Neurologic Examination.
- Aged, Aged, 80 and over, Cross-Cultural Comparison, Cross-Sectional Studies, Female, Health Surveys, Humans, Incidence, Male, Middle Aged, Reproducibility of Results.
Abstract
We sought to validate an instrument and two application procedures for screening for prevalence of parkinsonism in conjunction with a door-to-door survey in Cantalejo, Spain. Residents in Cantalejo aged 40 years or older were assigned to three groups specifically designed to optimise case-finding and cost/efficiency. A nine-item questionnaire aimed at identifying parkinsonism-related symptoms was administered and collected door-to-door by laymen and repeated by specialists at a medical facility before neurological examination. Diagnoses were then established and confirmed after a 3-year follow-up. Different indices for and concordance of answers were studied for both applications in groups of 25 individuals with parkinsonism. The scoring procedure was updated using the prevalence community sample of parkinsonism. Whereas the application administered by laymen showed, using the same cut-off scores, a higher sensitivity for parkinsonism than that administered by trained personnel, it yielded a lower positive predictive value for parkinsonism diagnosed during the study, i.e., at a 30-point cut-off (96% vs. 80% and 15% vs. 76%, respectively). Concordance was > or =64% with kappa >or=0.316 and P
PubMed: 11921110
PubMed: 11921110
Affiliations:
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<author><name sortKey="De Pedro Cuesta, Jesus" sort="De Pedro Cuesta, Jesus" uniqKey="De Pedro Cuesta J" first="Jesús" last="De Pedro-Cuesta">Jesús De Pedro-Cuesta</name>
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<author><name sortKey="Duarte, Jacinto" sort="Duarte, Jacinto" uniqKey="Duarte J" first="Jacinto" last="Duarte">Jacinto Duarte</name>
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<author><name sortKey="Claveria, Luis Erik" sort="Claveria, Luis Erik" uniqKey="Claveria L" first="Luis Erik" last="Clavería">Luis Erik Clavería</name>
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<author><name sortKey="Sevillano, Maria Dolores" sort="Sevillano, Maria Dolores" uniqKey="Sevillano M" first="Maria Dolores" last="Sevillano">Maria Dolores Sevillano</name>
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<term>Neurologic Examination (statistics & numerical data)</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Parkinson Disease (epidemiology)</term>
<term>Reproducibility of Results</term>
<term>Spain (epidemiology)</term>
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<front><div type="abstract" xml:lang="en">We sought to validate an instrument and two application procedures for screening for prevalence of parkinsonism in conjunction with a door-to-door survey in Cantalejo, Spain. Residents in Cantalejo aged 40 years or older were assigned to three groups specifically designed to optimise case-finding and cost/efficiency. A nine-item questionnaire aimed at identifying parkinsonism-related symptoms was administered and collected door-to-door by laymen and repeated by specialists at a medical facility before neurological examination. Diagnoses were then established and confirmed after a 3-year follow-up. Different indices for and concordance of answers were studied for both applications in groups of 25 individuals with parkinsonism. The scoring procedure was updated using the prevalence community sample of parkinsonism. Whereas the application administered by laymen showed, using the same cut-off scores, a higher sensitivity for parkinsonism than that administered by trained personnel, it yielded a lower positive predictive value for parkinsonism diagnosed during the study, i.e., at a 30-point cut-off (96% vs. 80% and 15% vs. 76%, respectively). Concordance was > or =64% with kappa >or=0.316 and P </div>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
<ISOAbbreviation>Mov. Disord.</ISOAbbreviation>
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<ArticleTitle>Field validation of a method for population screening of parkinsonism.</ArticleTitle>
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<Abstract><AbstractText>We sought to validate an instrument and two application procedures for screening for prevalence of parkinsonism in conjunction with a door-to-door survey in Cantalejo, Spain. Residents in Cantalejo aged 40 years or older were assigned to three groups specifically designed to optimise case-finding and cost/efficiency. A nine-item questionnaire aimed at identifying parkinsonism-related symptoms was administered and collected door-to-door by laymen and repeated by specialists at a medical facility before neurological examination. Diagnoses were then established and confirmed after a 3-year follow-up. Different indices for and concordance of answers were studied for both applications in groups of 25 individuals with parkinsonism. The scoring procedure was updated using the prevalence community sample of parkinsonism. Whereas the application administered by laymen showed, using the same cut-off scores, a higher sensitivity for parkinsonism than that administered by trained personnel, it yielded a lower positive predictive value for parkinsonism diagnosed during the study, i.e., at a 30-point cut-off (96% vs. 80% and 15% vs. 76%, respectively). Concordance was > or =64% with kappa >or=0.316 and P </AbstractText>
<CopyrightInformation>Copyright 2002 Movement Disorder Society</CopyrightInformation>
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