Treatment of cervical dystonia: a comparison of measures for outcome assessment.
Identifieur interne : 004371 ( PubMed/Curation ); précédent : 004370; suivant : 004372Treatment of cervical dystonia: a comparison of measures for outcome assessment.
Auteurs : R. Lindeboom [Pays-Bas] ; J W Brans ; M. Aramideh ; H D Speelman ; R J De HaanSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1998.
English descriptors
- KwdEn :
- Adult, Aged, Botulinum Toxins, Type A (administration & dosage), Disability Evaluation, Dystonia Musculorum Deformans (diagnosis), Dystonia Musculorum Deformans (drug therapy), Dystonia Musculorum Deformans (etiology), Female, Humans, Injections, Intramuscular, Male, Middle Aged, Neurologic Examination (statistics & numerical data), Neuromuscular Agents (administration & dosage), Pain Measurement (statistics & numerical data), Quality of Life, ROC Curve, Torticollis (diagnosis), Torticollis (drug therapy), Torticollis (etiology), Treatment Outcome.
- MESH :
- chemical , administration & dosage : Botulinum Toxins, Type A, Neuromuscular Agents.
- diagnosis : Dystonia Musculorum Deformans, Torticollis.
- drug therapy : Dystonia Musculorum Deformans, Torticollis.
- etiology : Dystonia Musculorum Deformans, Torticollis.
- statistics & numerical data : Neurologic Examination, Pain Measurement.
- Adult, Aged, Disability Evaluation, Female, Humans, Injections, Intramuscular, Male, Middle Aged, Quality of Life, ROC Curve, Treatment Outcome.
Abstract
There is little agreement on which outcome measures to use to express the efficacy of treatments for cervical dystonia. We analyzed change scores on various scales of 64 new patients with cervical dystonia before and after repeated injections with botulinum toxin.
DOI: 10.1002/mds.870130417
PubMed: 9686779
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Treatment of cervical dystonia: a comparison of measures for outcome assessment.</title><author><name sortKey="Lindeboom, R" sort="Lindeboom, R" uniqKey="Lindeboom R" first="R" last="Lindeboom">R. Lindeboom</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Academic Medical Center, University of Amsterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Neurology, Academic Medical Center, University of Amsterdam</wicri:regionArea></affiliation></author><author><name sortKey="Brans, J W" sort="Brans, J W" uniqKey="Brans J" first="J W" last="Brans">J W Brans</name></author><author><name sortKey="Aramideh, M" sort="Aramideh, M" uniqKey="Aramideh M" first="M" last="Aramideh">M. Aramideh</name></author><author><name sortKey="Speelman, H D" sort="Speelman, H D" uniqKey="Speelman H" first="H D" last="Speelman">H D Speelman</name></author><author><name sortKey="De Haan, R J" sort="De Haan, R J" uniqKey="De Haan R" first="R J" last="De Haan">R J De Haan</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1998">1998</date><idno type="RBID">pubmed:9686779</idno><idno type="pmid">9686779</idno><idno type="doi">10.1002/mds.870130417</idno><idno type="wicri:Area/PubMed/Corpus">004371</idno><idno type="wicri:Area/PubMed/Curation">004371</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Treatment of cervical dystonia: a comparison of measures for outcome assessment.</title><author><name sortKey="Lindeboom, R" sort="Lindeboom, R" uniqKey="Lindeboom R" first="R" last="Lindeboom">R. Lindeboom</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Academic Medical Center, University of Amsterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Neurology, Academic Medical Center, University of Amsterdam</wicri:regionArea></affiliation></author><author><name sortKey="Brans, J W" sort="Brans, J W" uniqKey="Brans J" first="J W" last="Brans">J W Brans</name></author><author><name sortKey="Aramideh, M" sort="Aramideh, M" uniqKey="Aramideh M" first="M" last="Aramideh">M. Aramideh</name></author><author><name sortKey="Speelman, H D" sort="Speelman, H D" uniqKey="Speelman H" first="H D" last="Speelman">H D Speelman</name></author><author><name sortKey="De Haan, R J" sort="De Haan, R J" uniqKey="De Haan R" first="R J" last="De Haan">R J De Haan</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><imprint><date when="1998" type="published">1998</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Botulinum Toxins, Type A (administration & dosage)</term><term>Disability Evaluation</term><term>Dystonia Musculorum Deformans (diagnosis)</term><term>Dystonia Musculorum Deformans (drug therapy)</term><term>Dystonia Musculorum Deformans (etiology)</term><term>Female</term><term>Humans</term><term>Injections, Intramuscular</term><term>Male</term><term>Middle Aged</term><term>Neurologic Examination (statistics & numerical data)</term><term>Neuromuscular Agents (administration & dosage)</term><term>Pain Measurement (statistics & numerical data)</term><term>Quality of Life</term><term>ROC Curve</term><term>Torticollis (diagnosis)</term><term>Torticollis (drug therapy)</term><term>Torticollis (etiology)</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Botulinum Toxins, Type A</term><term>Neuromuscular Agents</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dystonia Musculorum Deformans</term><term>Torticollis</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Dystonia Musculorum Deformans</term><term>Torticollis</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dystonia Musculorum Deformans</term><term>Torticollis</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Neurologic Examination</term><term>Pain Measurement</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Disability Evaluation</term><term>Female</term><term>Humans</term><term>Injections, Intramuscular</term><term>Male</term><term>Middle Aged</term><term>Quality of Life</term><term>ROC Curve</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">There is little agreement on which outcome measures to use to express the efficacy of treatments for cervical dystonia. We analyzed change scores on various scales of 64 new patients with cervical dystonia before and after repeated injections with botulinum toxin.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">9686779</PMID><DateCreated><Year>1998</Year><Month>10</Month><Day>28</Day></DateCreated><DateCompleted><Year>1998</Year><Month>10</Month><Day>28</Day></DateCompleted><DateRevised><Year>2014</Year><Month>07</Month><Day>29</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0885-3185</ISSN><JournalIssue CitedMedium="Print"><Volume>13</Volume><Issue>4</Issue><PubDate><Year>1998</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Movement disorders : official journal of the Movement Disorder Society</Title><ISOAbbreviation>Mov. Disord.</ISOAbbreviation></Journal><ArticleTitle>Treatment of cervical dystonia: a comparison of measures for outcome assessment.</ArticleTitle><Pagination><MedlinePgn>706-12</MedlinePgn></Pagination><Abstract><AbstractText Label="UNLABELLED">There is little agreement on which outcome measures to use to express the efficacy of treatments for cervical dystonia. We analyzed change scores on various scales of 64 new patients with cervical dystonia before and after repeated injections with botulinum toxin.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">The association between change in impairment (Tsui), and change in pain (TWSTRS-Pain) and functional health (TWSTRS-D, MOS-20) was expressed in percentages of variance explained. Effect sizes of the outcome measures from patients who continued botulinum treatment and dropouts were compared. Performance of outcome measures to distinguish patients who continued treatment and dropouts was analyzed with ROC curves and areas under the curve (AUC).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Impairments explained < or =7% of the score variance in functional health. There were no differences between the effect sizes of impairment and pain of patients who continued treatment and dropouts (p > 0.60). This suggests a poor reflection of the treatment efficacy by these outcome measures. Conversely, there were significant differences between the effect sizes of the functional status scales of the patients who continued treatment and the dropouts (p < or = 0.01). ROC curve analysis showed that the disability, handicap, and global disease burden scale accurately distinguished between the two groups (AUCs > 0.80). Impairments showed no discriminative accuracy (AUC = 0.46).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Neurologic impairments have a small impact on the functional health of cervical dystonia patients. Disability, handicap, and a global measure of disease burden were the most suitable outcome parameters to express the clinical efficacy of botulinum therapy.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lindeboom</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Neurology, Academic Medical Center, University of Amsterdam, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brans</LastName><ForeName>J W</ForeName><Initials>JW</Initials></Author><Author ValidYN="Y"><LastName>Aramideh</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Speelman</LastName><ForeName>H D</ForeName><Initials>HD</Initials></Author><Author ValidYN="Y"><LastName>De Haan</LastName><ForeName>R J</ForeName><Initials>RJ</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>UNITED STATES</Country><MedlineTA>Mov Disord</MedlineTA><NlmUniqueID>8610688</NlmUniqueID><ISSNLinking>0885-3185</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D009465">Neuromuscular Agents</NameOfSubstance></Chemical><Chemical><RegistryNumber>EC 3.4.24.69</RegistryNumber><NameOfSubstance UI="D019274">Botulinum Toxins, Type A</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000328">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D019274">Botulinum Toxins, Type A</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000008">administration & dosage</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004185">Disability Evaluation</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004422">Dystonia Musculorum Deformans</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000175">diagnosis</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000188">drug therapy</QualifierName><QualifierName MajorTopicYN="N" UI="Q000209">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D007273">Injections, Intramuscular</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D009460">Neurologic Examination</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000706">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D009465">Neuromuscular Agents</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000008">administration & dosage</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010147">Pain Measurement</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000706">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011788">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012372">ROC Curve</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014103">Torticollis</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000175">diagnosis</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000188">drug therapy</QualifierName><QualifierName MajorTopicYN="N" UI="Q000209">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D016896">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1998</Year><Month>8</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1998</Year><Month>8</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1998</Year><Month>8</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">9686779</ArticleId><ArticleId IdType="doi">10.1002/mds.870130417</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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