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Temporal stability of the Unified Dyskinesia Rating Scale

Identifieur interne : 001206 ( Main/Corpus ); précédent : 001205; suivant : 001207

Temporal stability of the Unified Dyskinesia Rating Scale

Auteurs : Christopher G. Goetz ; Glenn T. Stebbins ; Ad Theeuwes ; Fabrizio Stocchi ; Joaquim J. Ferreira ; Serge Van De Witte ; Juliana Bronzova

Source :

RBID : ISTEX:B5B36CF0A62FC02C17484BF4C57616831698200C

English descriptors

Abstract

Background:: The objective of this study was to establish temporal stability characteristics for objective components of the Unified Dyskinesia Rating Scale (UDysRS). The UDysRS has strong internal consistency and a reliable factor structure, but the important issue of temporal stability has not been established. Methods:: Using intraclass correlation coefficient (ICC) analyses, we examined UDysRS temporal stability for the objective scale components (Part III and IV) over an 8‐hour observation period. We assessed ICCs for the single centralized rater, the on‐site raters, and the agreement between the single centralized rater and the on‐site raters. Kappa statistic assessed agreement between the single centralized and on‐site raters for clinical state (ON vs OFF). Results:: For both the single centralized rater and the on‐site raters, there was high temporal stability of the UDysRS Part III, Part IV, and Total Objective UDysRS in both ON and OFF states, with ICCs ranging from 0.822 (P < .0005) to 0.513 (P < .013). The agreement between the 2 rating techniques (centralized vs on‐site) was significant for ON and OFF ratings of Part III, Part IV, and Total Objective UDysRS, ranging from 0.821 (P < .0005) to 0.703 (P < .0005). Conclusions:: The UDysRS is highly stable for ON and OFF. Our data suggest that a single UDysRS evaluation for ON and for OFF states is highly representative of that state regardless of time. Likewise, if appropriate protocols need to assess dyskinesia in a field or community setting, the UDysRS can be filmed without an on‐site rater and rated centrally with retained validity. © 2011 Movement Disorder Society

Url:
DOI: 10.1002/mds.23931

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ISTEX:B5B36CF0A62FC02C17484BF4C57616831698200C

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<note type="content">*Relevant conflicts of interest/financial disclosures: Christopher G. Goetz was engaged at an hourly‐payment rate by Solvay Pharmaceuticals, later by Abbott Pharameuticals, to act as a centralized rater for a clinical trial but did not participate in the clinical trial itself. Fabrizio Stocchi and Joaquim J. Ferreira were the principal investigators of the clinical trial and received funds from Solvay and later Abbott to conduct the trial. Serge van de Witte and Juliana Bronzova are employees of Abbott Healthcare Products, and Ad Theeuwes is a former employee of Abbott Healthcare Products.</note>
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<title type="main" xml:lang="en">Temporal stability of the Unified Dyskinesia Rating Scale
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<title type="main">Background:</title>
<p>The objective of this study was to establish temporal stability characteristics for objective components of the Unified Dyskinesia Rating Scale (UDysRS). The UDysRS has strong internal consistency and a reliable factor structure, but the important issue of temporal stability has not been established.</p>
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<p>Using intraclass correlation coefficient (ICC) analyses, we examined UDysRS temporal stability for the objective scale components (Part III and IV) over an 8‐hour observation period. We assessed ICCs for the single centralized rater, the on‐site raters, and the agreement between the single centralized rater and the on‐site raters. Kappa statistic assessed agreement between the single centralized and on‐site raters for clinical state (ON vs OFF).</p>
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<p>For both the single centralized rater and the on‐site raters, there was high temporal stability of the UDysRS Part III, Part IV, and Total Objective UDysRS in both ON and OFF states, with ICCs ranging from 0.822 (
<i>P</i>
< .0005) to 0.513 (
<i>P</i>
< .013). The agreement between the 2 rating techniques (centralized vs on‐site) was significant for ON and OFF ratings of Part III, Part IV, and Total Objective UDysRS, ranging from 0.821 (
<i>P</i>
< .0005) to 0.703 (
<i>P</i>
< .0005).</p>
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<p>The UDysRS is highly stable for ON and OFF. Our data suggest that a single UDysRS evaluation for ON and for OFF states is highly representative of that state regardless of time. Likewise, if appropriate protocols need to assess dyskinesia in a field or community setting, the UDysRS can be filmed without an on‐site rater and rated centrally with retained validity. © 2011 Movement Disorder Society</p>
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<b>Relevant conflicts of interest/financial disclosures:</b>
Christopher G. Goetz was engaged at an hourly‐payment rate by Solvay Pharmaceuticals, later by Abbott Pharameuticals, to act as a centralized rater for a clinical trial but did not participate in the clinical trial itself. Fabrizio Stocchi and Joaquim J. Ferreira were the principal investigators of the clinical trial and received funds from Solvay and later Abbott to conduct the trial. Serge van de Witte and Juliana Bronzova are employees of Abbott Healthcare Products, and Ad Theeuwes is a former employee of Abbott Healthcare Products.</p>
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<abstract lang="en">Background:: The objective of this study was to establish temporal stability characteristics for objective components of the Unified Dyskinesia Rating Scale (UDysRS). The UDysRS has strong internal consistency and a reliable factor structure, but the important issue of temporal stability has not been established. Methods:: Using intraclass correlation coefficient (ICC) analyses, we examined UDysRS temporal stability for the objective scale components (Part III and IV) over an 8‐hour observation period. We assessed ICCs for the single centralized rater, the on‐site raters, and the agreement between the single centralized rater and the on‐site raters. Kappa statistic assessed agreement between the single centralized and on‐site raters for clinical state (ON vs OFF). Results:: For both the single centralized rater and the on‐site raters, there was high temporal stability of the UDysRS Part III, Part IV, and Total Objective UDysRS in both ON and OFF states, with ICCs ranging from 0.822 (P < .0005) to 0.513 (P < .013). The agreement between the 2 rating techniques (centralized vs on‐site) was significant for ON and OFF ratings of Part III, Part IV, and Total Objective UDysRS, ranging from 0.821 (P < .0005) to 0.703 (P < .0005). Conclusions:: The UDysRS is highly stable for ON and OFF. Our data suggest that a single UDysRS evaluation for ON and for OFF states is highly representative of that state regardless of time. Likewise, if appropriate protocols need to assess dyskinesia in a field or community setting, the UDysRS can be filmed without an on‐site rater and rated centrally with retained validity. © 2011 Movement Disorder Society</abstract>
<note type="content">*Relevant conflicts of interest/financial disclosures: Christopher G. Goetz was engaged at an hourly‐payment rate by Solvay Pharmaceuticals, later by Abbott Pharameuticals, to act as a centralized rater for a clinical trial but did not participate in the clinical trial itself. Fabrizio Stocchi and Joaquim J. Ferreira were the principal investigators of the clinical trial and received funds from Solvay and later Abbott to conduct the trial. Serge van de Witte and Juliana Bronzova are employees of Abbott Healthcare Products, and Ad Theeuwes is a former employee of Abbott Healthcare Products.</note>
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