Rating disease progression of Friedreich’s ataxia by the International Cooperative Ataxia Rating Scale: analysis of a 603-patient database
| Autor: | Paola Giunti, Jörg B. Schulz, Martin B. Delatycki, Nicholas A. Di Prospero, Christian Rummey, Alexandra Durr, Thomas Meier, David A. Lynch, N Coppard, Jonathon M. Cooper, Günther Metz |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Pediatrics Ataxia Adolescent Databases Factual Population Severity of Illness Index Rating scale medicine Humans Age of Onset Child education Aged education.field_of_study Disease progression Original Articles Middle Aged Gait Pedigree Cross-Sectional Studies Friedreich Ataxia Disease Progression Physical therapy Female International Cooperative Ataxia Rating Scale Neurology (clinical) Age of onset medicine.symptom Patient database Psychology |
| Zdroj: | Brain. 136:259-268 |
| ISSN: | 1460-2156 0006-8950 |
| Popis: | The aim of this cross-sectional study was to analyse disease progression in Friedreich's ataxia as measured by the International Cooperative Ataxia Rating Scale. Single ratings from 603 patients with Friedreich's ataxia were analysed as a function of disease duration, age of onset and GAA repeat lengths. The relative contribution of items and subscales to the total score was studied as a function of disease progression. In addition, the scaling properties were assessed using standard statistical measures. Average total scale progression per year depends on the age of disease onset, the time since diagnosis and the GAA repeat length. The age of onset inversely correlates with increased GAA repeat length. For patients with an age of onset 14 years associated with a longer repeat length, the average yearly rate of decline was 2.5 ± 0.18 points in the total International Cooperative Ataxia Rating Scale for the first 20 years of disease duration, whereas patients with a later onset progress more slowly (1.8 ± 0.27 points/year). Ceiling effects in posture, gait and lower limb scale items lead to a reduced sensitivity of the scale in the severely affected population with a total score of >60 points. Psychometric scaling analysis shows generally favourable properties for the total scale, but the subscale grouping could be improved. This cross-sectional study provides a detailed characterization of the International Cooperative Ataxia Rating Scale. The analysis further provides rates of change separated for patients with early and late disease onset, which is driven by the GAA repeat length. Differences in the subscale dynamics merit consideration in the design of future clinical trials applying this scale as a neurological assessment instrument in Friedreich's ataxia. © (2012) The Author. |
| Databáze: | OpenAIRE |
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