Evidence map›Paper›PMID 30363416›Full record

ArticleMovement disorders clinical practice

Self-Assessment of Disability in Parkinson's Disease: The MDS-UPDRS Part II Versus Clinician-Based Ratings.

Carmen Rodríguez-Blázquez, Mario Alvarez, Tomoko Arakaki, Víctor Campos Arillo, Pedro Chaná, William Fernández, Nélida Garretto, Juan Carlos Martínez-Castrillo, Mayela Rodríguez-Violante, Marcos Serrano-Dueñas and 5 more

Abstract read
In one paragraph

Article in Movement disorders clinical practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Carmen Rodríguez-BlázquezNational Center of Epidemiology and CIBERNED Carlos III Institute of Health Madrid Spain.
Mario AlvarezDepartment of Movement Disorders and Neurodegeneration CIREN La Habana Cuba.
Tomoko ArakakiDepartment of Neurology Hospital Ramos Mejía Centro Universitario de Neurología de la Universidad de Buenos Aires (UBA) Buenos Aires Argentina.
Víctor Campos ArilloMovement Disorders Unit Department of Neuroscience Hospital Vithas-Xanit International Benalmadena Malaga Spain.
Pedro ChanáCETRAM Facultad de Ciencias Médicas Universidad de Santiago de Chile Santiago Chile.
William FernándezMovement Disorders Unit Department of Neurology Universidad Nacional de Colombia Bogotá Colombia.
Nélida GarrettoDepartment of Neurology Hospital Ramos Mejía Centro Universitario de Neurología de la Universidad de Buenos Aires (UBA) Buenos Aires Argentina.
Juan Carlos Martínez-CastrilloMovement Disorders Unit Department of Neurology Hospital Ramón y Cajal IRYCIS Madrid Spain.
Mayela Rodríguez-ViolanteMovement Disorders Unit Instituto Nacional de Neurología y Neurocirugía México DF México.ORCID 0000-0002-6041-9941
Marcos Serrano-DueñasMovement Disorder and Biostatistics Units Neurological Service Carlos Andrade Marín Hospital and Medicine Faculty (Ecuadorian Institute of Social Security) Pontifical Catholic University of Ecuador Quito Ecuador.
Diego BallesterosMovement Disorders Section Raul Carrea Institute for Neurological Research (FLENI) Buenos Aires Argentina.
Jose Manuel Rojo-AbuinDepartment of Statistics Centre of Human and Social Sciences Spanish Council for Scientific Research Madrid Spain.
Kallol Ray ChaudhuriNational Parkinson Foundation International Centre of Excellence King's College Hospital King's College London.
Marcelo MerelloMovement Disorders Section Raul Carrea Institute for Neurological Research (FLENI) Buenos Aires Argentina.ORCID 0000-0001-6898-7823
Pablo Martínez-MartínNational Center of Epidemiology and CIBERNED Carlos III Institute of Health Madrid Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParkinson's disease (PD) is characterized by motor and nonmotor symptoms that progress with time, causing disability. The performance of a disease-specific, self-applied tool for assessing disability, the MDS-UPDRS Part II, is tested against generic and rater-based rating scales.

methodsAn international, cross-sectional, observational study was performed. Patients were assessed with the Hoehn and Yahr (HY) and five disability measures: MDS-UPDRS Part II, Schwab and England Scale (S&E), Clinical Impression of Severity Index-PD (CISI-PD) Disability item, Barthel Index (BI), and Rapid Assessment of Disability Scale (RADS). Data analysis included correlation coefficients, Mann-Whitney and Kruskal-Wallis tests, and intraclass-correlation coefficient for concordance.

resultsThe sample was composed of 451 patients, 55.2% men, with a mean age of 65.06 years (SD = 10.71). Disability rating scales correlated from |0.75| (CISI-PD Disability with BI) to 0.87 (MDS-UPDRS Part II with RADS). In general, MDS-UPDRS Part II showed high correlation coefficients with clinical variables and satisfactory concordance with the rest of disability measures, with ICC ranging from 0.83 (with BI) to 0.93 (with RADS). All disability rating scales showed statistical significant differences in the sample grouped by sex, age, disease duration, and severity level.

conclusionsThe MDS-UPDRS Part II showed an appropriate performance to assess disability in PD, even better than some rater-based, generic or specific, scales applied in this study.

Indexed as

assessmentdisabilityMDS‐UPDRSParkinson's diseaserating scales

Identifiers

PMID30363416
PMCPMC6174491

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.