Development and validation of the Unified Multiple System Atrophy Rating Scale (UMSARS).
Identifieur interne : 003227 ( PubMed/Curation ); précédent : 003226; suivant : 003228Development and validation of the Unified Multiple System Atrophy Rating Scale (UMSARS).
Auteurs : Gregor K. Wenning [Autriche] ; François Tison ; Klaus Seppi ; Cristina Sampaio ; Anja Diem ; Farid Yekhlef ; Imad Ghorayeb ; Fabienne Ory ; Monique Galitzky ; Tommaso Scaravilli ; Maria Bozi ; Carlo Colosimo ; Sid Gilman ; Clifford W. Shults ; Niall P. Quinn ; Olivier Rascol ; Werner PoeweSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2004.
English descriptors
- KwdEn :
- Activities of Daily Living, Age of Onset, Autonomic Nervous System (physiopathology), Cerebellar Ataxia (epidemiology), Disability Evaluation, Erectile Dysfunction (epidemiology), Female, Humans, Hypotension, Orthostatic (epidemiology), Male, Multiple System Atrophy (diagnosis), Multiple System Atrophy (epidemiology), Multiple System Atrophy (physiopathology), Observer Variation, Parkinsonian Disorders (epidemiology), Questionnaires, Reproducibility of Results, Severity of Illness Index, Speech Disorders (epidemiology), Urinary Incontinence (epidemiology), Urinary Retention (epidemiology).
- MESH :
- diagnosis : Multiple System Atrophy.
- epidemiology : Cerebellar Ataxia, Erectile Dysfunction, Hypotension, Orthostatic, Multiple System Atrophy, Parkinsonian Disorders, Speech Disorders, Urinary Incontinence, Urinary Retention.
- physiopathology : Autonomic Nervous System, Multiple System Atrophy.
- Activities of Daily Living, Age of Onset, Disability Evaluation, Female, Humans, Male, Observer Variation, Questionnaires, Reproducibility of Results, Severity of Illness Index.
Abstract
We aimed to develop and validate a novel rating scale for multiple system atrophy (Unified Multiple System Atrophy Rating Scale-UMSARS). The scale comprises the following components: Part I, historical, 12 items; Part II, motor examination, 14 items; Part III, autonomic examination; and Part IV, global disability scale. For validation purposes, 40 MSA patients were assessed in four centers by 4 raters per center (2 senior and 2 junior raters). The raters applied the UMSARS, as well as a range of other scales, including the Unified Parkinson's Disease Rating Scale (UPDRS) and the International Cooperative Ataxia Rating Scale (ICARS). Internal consistency was high for both UMSARS-I (Crohnbach's alpha = 0.84) and UMSARS-II (Crohnbach's alpha = 0.90) sections. The interrater reliability of most of the UMSARS-I and -II items as well as of total UMSARS-I and -II subscores was substantial (k(w) = 0.6-0.8) to excellent (k(w) > 0.8). UMSARS-II correlated well with UPDRS-III and ICARS (rs > 0.8). Depending on the degree of the patient's disability, completion of the entire UMSARS took 30 to 45 minutes. Based on our findings, the UMSARS appears to be a multidimensional, reliable, and valid scale for semiquantitative clinical assessments of MSA patients.
DOI: 10.1002/mds.20255
PubMed: 15452868
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pubmed:15452868Le document en format XML
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<front><div type="abstract" xml:lang="en">We aimed to develop and validate a novel rating scale for multiple system atrophy (Unified Multiple System Atrophy Rating Scale-UMSARS). The scale comprises the following components: Part I, historical, 12 items; Part II, motor examination, 14 items; Part III, autonomic examination; and Part IV, global disability scale. For validation purposes, 40 MSA patients were assessed in four centers by 4 raters per center (2 senior and 2 junior raters). The raters applied the UMSARS, as well as a range of other scales, including the Unified Parkinson's Disease Rating Scale (UPDRS) and the International Cooperative Ataxia Rating Scale (ICARS). Internal consistency was high for both UMSARS-I (Crohnbach's alpha = 0.84) and UMSARS-II (Crohnbach's alpha = 0.90) sections. The interrater reliability of most of the UMSARS-I and -II items as well as of total UMSARS-I and -II subscores was substantial (k(w) = 0.6-0.8) to excellent (k(w) > 0.8). UMSARS-II correlated well with UPDRS-III and ICARS (rs > 0.8). Depending on the degree of the patient's disability, completion of the entire UMSARS took 30 to 45 minutes. Based on our findings, the UMSARS appears to be a multidimensional, reliable, and valid scale for semiquantitative clinical assessments of MSA patients.</div>
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<Abstract><AbstractText>We aimed to develop and validate a novel rating scale for multiple system atrophy (Unified Multiple System Atrophy Rating Scale-UMSARS). The scale comprises the following components: Part I, historical, 12 items; Part II, motor examination, 14 items; Part III, autonomic examination; and Part IV, global disability scale. For validation purposes, 40 MSA patients were assessed in four centers by 4 raters per center (2 senior and 2 junior raters). The raters applied the UMSARS, as well as a range of other scales, including the Unified Parkinson's Disease Rating Scale (UPDRS) and the International Cooperative Ataxia Rating Scale (ICARS). Internal consistency was high for both UMSARS-I (Crohnbach's alpha = 0.84) and UMSARS-II (Crohnbach's alpha = 0.90) sections. The interrater reliability of most of the UMSARS-I and -II items as well as of total UMSARS-I and -II subscores was substantial (k(w) = 0.6-0.8) to excellent (k(w) > 0.8). UMSARS-II correlated well with UPDRS-III and ICARS (rs > 0.8). Depending on the degree of the patient's disability, completion of the entire UMSARS took 30 to 45 minutes. Based on our findings, the UMSARS appears to be a multidimensional, reliable, and valid scale for semiquantitative clinical assessments of MSA patients.</AbstractText>
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