OBSERVER DISAGREEMENT IN RATING NEUROLOGIC IMPAIRMENT IN MULTIPLE-SCLEROSIS - FACTS AND CONSEQUENCES

被引：29
|
作者：
VERDIERTAILLEFER, MH
ZUBER, M
LYONCAEN, O
CLANET, M
GOUT, O
LOUIS, C
ALPEROVITCH, A
机构：
[1] HOP LA PITIE SALPETRIERE,PARIS,FRANCE
[2] HOP PURPAN,TOULOUSE,FRANCE
来源：
EUROPEAN NEUROLOGY | 1991年 / 31卷 / 02期
关键词：
MULTIPLE SCLEROSIS; DISABILITY SCALE; INTEROBSERVER VARIABILITY; CLINICAL TRIALS;
D O I：
10.1159/000116658
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
The interobserver variability of the expanded disability status scale (EDSS) was studied in 59 patients with multiple sclerosis (MS). Interrater agreement was measured by the kappa coefficient. Agreement was low in patients with mild disability (EDSS < 5); it was higher in patients with EDSS equal to or greater than 5. The difference between ratings of 2 independent examiners was equal to at least 1 point in 34% of the MS cases. This variability must be taken into consideration in designing clinical trials in MS.
引用
收藏
页码：117 / 119
页数：3
相关论文
共 50 条
  • [31] AN INVESTIGATION OF NEUROLOGICAL, PSYCHOLOGICAL AND PSYCHIATRIC IMPAIRMENT IN MULTIPLE-SCLEROSIS
    BROWN, R
    KOGEORGOS, J
    KENNARD, C
    JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1986, 49 (08): : 969 - 970
  • [32] THE PREVALENCE OF COGNITIVE IMPAIRMENT IN A COMMUNITY SURVEY OF MULTIPLE-SCLEROSIS
    MCINTOSHMICHAELIS, SA
    ROBERTS, MH
    WILKINSON, SM
    DIAMOND, ID
    MCLELLAN, DL
    MARTIN, JP
    SPACKMAN, AJ
    BRITISH JOURNAL OF CLINICAL PSYCHOLOGY, 1991, 30 : 333 - 348
  • [33] DEPRESSION, COGNITIVE IMPAIRMENT AND SOCIAL STRESS IN MULTIPLE-SCLEROSIS
    GILCHRIST, AC
    CREED, FH
    JOURNAL OF PSYCHOSOMATIC RESEARCH, 1994, 38 (03) : 193 - 201
  • [34] COGNITIVE IMPAIRMENT, EMOTIONAL DISTURBANCES AND DURATION OF MULTIPLE-SCLEROSIS
    JOUVENT, R
    MONTREUIL, M
    BENOIT, N
    LUBETZKI, C
    TOURNIERLASSERVE, E
    LAURIERS, AD
    WIDLOCHER, D
    LHERMITTE, F
    LYONCAEN, O
    MENTAL DISORDERS AND COGNITIVE DEFICITS IN MULTIPLE SCLEROSIS, 1989, 10 : 139 - 145
  • [35] SLOWLY PROGRESSIVE AND ACUTE VISUAL IMPAIRMENT IN MULTIPLE-SCLEROSIS
    KAHANA, E
    LEIBOWIT.U
    FISHBACK, N
    ALTER, M
    NEUROLOGY, 1973, 23 (07) : 729 - 733
  • [36] THE ECONOMIC CONSEQUENCES OF DEBILITATING ILLNESS - THE CASE OF MULTIPLE-SCLEROSIS
    INMAN, RP
    REVIEW OF ECONOMICS AND STATISTICS, 1987, 69 (04) : 651 - 660
  • [37] PSYCHOSOCIAL IMPACT OF COGNITIVE IMPAIRMENT IN THE MULTIPLE-SCLEROSIS PATIENT
    WILD, KV
    LEZAK, MD
    WHITHAM, RH
    BOURDETTE, DN
    JOURNAL OF CLINICAL AND EXPERIMENTAL NEUROPSYCHOLOGY, 1991, 13 (01) : 74 - 74
  • [38] BLOOD-CSF BARRIER IMPAIRMENT IN MULTIPLE-SCLEROSIS
    GLASNER, H
    MEDIZINISCHE KLINIK, 1976, 71 (17) : 703 - 705
  • [39] NEUROLOGIC DISORDERS - AMYOTROPHIC LATERAL SCLEROSIS, MYASTHENIA-GRAVIS, MULTIPLE-SCLEROSIS, AND POLIOMYELITIS
    GARFINKLE, TJ
    KIMMELMAN, CP
    AMERICAN JOURNAL OF OTOLARYNGOLOGY, 1982, 3 (03) : 204 - 212
  • [40] CONSENSUS AND CONTROVERSY IN NEUROLOGIC PRACTICE - THE CASE OF STEROID TREATMENT IN MULTIPLE-SCLEROSIS
    MENKEN, M
    ARCHIVES OF NEUROLOGY, 1989, 46 (03) : 322 - 322
12345