Analysis of four scales for global severity evaluation in Parkinson's disease

Autor: Pablo Martinez-Martin, William Fernandez, Marcos Serrano-Dueñas, Tomoko Arakaki, Kallol Ray Chaudhuri, Pedro Chana-Cuevas, Ivonne Pedroso Ibañez, Víctor Campos Arillo, Jose Manuel Rojo-Abuin, Nelida Garretto, Mario Álvarez, Carmen Rodriguez-Blazquez, Juan Carlos Martínez-Castrillo, Mayela Rodríguez-Violante, Marcelo Merello
Rok vydání: 2016
Předmět:
Zdroj: Repisalud
Instituto de Salud Carlos III (ISCIII)
Repositorio Institucional de la Consejería de Sanidad de la Comunidad de Madrid
Consejería de Sanidad de la Comunidad de Madrid
NPJ Parkinson's Disease
CONICET Digital (CONICET)
Consejo Nacional de Investigaciones Científicas y Técnicas
instacron:CONICET
Popis: Global evaluations of Parkinson?s disease (PD) severity are available, but their concordance and accuracy have not been previously tested. The present international, cross-sectional study was aimed at determining the agreement level among four global scales for PD (Hoehn and Yahr, HY; Clinical Global Impression of Severity, CGIS; Clinical Impression of Severity Index, CISI-PD; and Patient Global Impression of Severity, PGIS) and identifying which of them better correlates with itemized PD assessments. Assessments included additional scales for evaluation of the movement impairment, disability, affective disorders, and quality of life. Spearman correlation coefficients, weighted and generalized kappa, and Kendall?s concordance coefficient were used. Four hundred thirty three PD patients, 66% in HY stages 2 or 3, mean disease duration 8.8 years, were analyzed. Correlation between the global scales ranged from 0.60 (HY with PGIS) to 0.91 (CGIS with CISI-PD). Kendall?s coefficient of concordance resulted 0.76 (P
Databáze: OpenAIRE