ArticleParkinson's disease2016
Reliability of Three Disability Scales for Detection of Independence Loss in Parkinson's Disease.
Article in Parkinson's disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- The Development of a Quantitative Disability Assessment Tool in Patients with Idiopathic Parkinson's Disease.Diagnostics (Basel, Switzerland) · 2024Article
- Feasibility for evaluating motor aspects of Parkinson's disease through video consultations in a resource-limited setting in Southern Brazil.Arquivos de neuro-psiquiatria · 2023Article
- Feasibility of telemedicine for patients with parkinsonism in the Brazilian public health system.Arquivos de neuro-psiquiatria · 2022Article
- Phonemes based detection of parkinson's disease for telehealth applications.Scientific reports · 2022Article
- Predictors of Loss of Functional Independence in Parkinson's Disease: Results from the COPPADIS Cohort at 2-Year Follow-Up and Comparison with a Control Group.Diagnostics (Basel, Switzerland) · 2021Article
- Linking Stage-Specific Plasma Biomarkers to Gray Matter Atrophy in Parkinson Disease.AJNR. American journal of neuroradiology · 2021Article
- Brain Atrophy Mediates the Relationship between Misfolded Proteins Deposition and Cognitive Impairment in Parkinson's Disease.Journal of personalized medicine · 2021Article
- Detecting Effect of Levodopa in Parkinson's Disease Patients Using Sustained Phonemes.IEEE journal of translational engineering in health and medicine · 2021Article
- Adult-Onset Leukoencephalopathy With Axonal Spheroids and Pigmented Glia: Review of Clinical Manifestations as Foundations for Therapeutic Development.Frontiers in neurology · 2021Review
- Kinematic and Clinical Outcomes to Evaluate the Efficacy of a Multidisciplinary Intervention on Functional Mobility in Parkinson's Disease.Frontiers in neurology · 2021Article
- The impact of freezing of gait on functional dependency in Parkinson's disease with regard to motor phenotype.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020Article
- Self-Assessment of Disability in Parkinson's Disease: The MDS-UPDRS Part II Versus Clinician-Based Ratings.Movement disorders clinical practiceArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background. Loss of independence is considered an important outcome measure in Parkinson's disease (PD), but tools to assess dependency have not been tested in PD. Methods. In this study of 158 PD patients, we examined the two most widely used scales and cut-offs for dependency evaluation in PD, the Hoehn and Yahr (HY) stage > 3 and the Schwab and England (SE) scale score < 80%, against a standardized clinical interview assessing dependency in activities of daily living (ADL). We also examined the performance of the generic Barthel ADL index. In addition, we determined whether alternative cut-offs improved the utility of these tools. Results. Compared to clinical interview as gold standard, HY stage > 3 had 21% sensitivity and 98% specificity in detecting dependency in ADL. Corresponding figures for SE score < 80% were 55% and 92%, respectively. Using alternative cut-off values improved the overall diagnostic accuracy only slightly. Barthel ADL index had 67% sensitivity and 78% specificity in detecting dependency at its optimal cut-off value. Conclusion. Both the disease-specific HY staging and SE scale and the generic Barthel ADL index are suboptimal tools for assessing independence loss in PD. Clinical interview should be the assessment of choice in studies of dependency.
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