Comparing the NIS vs. MRC and INCAT sensory scale through Rasch analyses
Por:
Draak, THP, Vanhoutte, EK, van Nes, SI, Gorson, KC, Van der Pol, WL, Notermans, NC, Nobile-Orazio, E, Lewis, RA, Leger, JM, Van den Bergh, PYK, Lauria, G, Bril, V, Katzberg, H, Lunn, MPT, Pouget, J, van der Kooi, AJ, Hahn, AF, van den Berg, LH, van Doorn, PA, Cornblath, DR, Faber, CG, Merkies, ISJ, Illa I., Querol, L., PeriNomS Study Grp
Publicada:
1 sep 2015
Resumen:
We performed a comparison between Neuropathy Impairment Scale-sensory (NISs) vs. the modified Inflammatory Neuropathy Cause and Treatment sensory scale (mISS), and NIS-motor vs. the Medical Research Council sum score in patients with Guillain-Barre syndrome (GBS), chronic inflammatory demyelinating polyradiculoneuropathy (CIDP), and IgM monoclonal gammopathy of undetermined significance-related polyneuropathy (MGUSP). The ordinal data were subjected to Rasch analyses, creating Rasch-transformed (RT)-intervals for all measures. Comparison between measures was based on validity/reliability with an emphasis on responsiveness (using the patient's level of change related to the individually obtained varying SE for minimum clinically important difference). Eighty stable patients (GBS: 30, CIDP: 30, and MGUSP: 20) were assessed twice (entry: two observers; 2-4weeks later: one observer), and 137 newly diagnosed or relapsing patients (GBS: 55, CIDP: 59, and IgM-MGUSP: 23) were serially examined with 12months follow-up. Data modifications were needed to improve model fit for all measures. The sensory and motor scales demonstrated approximately equal and acceptable validity and reliability scores. Responsiveness scores were poor but slightly higher in RT-mISS compared to RT-NISs. Responsiveness was equal for the RT-motor scales, but higher in GBS compared to CIDP; responsiveness was poor in patients with MGUSP, suggesting a longer duration of follow-up in the latter group of patients.
Filiaciones:
Draak, THP:
Maastricht Univ, Med Ctr, Dept Neurol, Maastricht, Netherlands
Vanhoutte, EK:
Maastricht Univ, Med Ctr, Dept Clin Genet, Maastricht, Netherlands
van Nes, SI:
Erasmus MC, Dept Neurol, Rotterdam, Netherlands
Gorson, KC:
Tufts Univ, Sch Med, Dept Neurol, St Elizabeths Med Ctr, Boston, MA 02111 USA
Van der Pol, WL:
Univ Med Ctr Utrecht, Rudolf Magnus Inst Neurosci, Dept Neurol, Utrecht, Netherlands
Notermans, NC:
Univ Med Ctr Utrecht, Rudolf Magnus Inst Neurosci, Dept Neurol, Utrecht, Netherlands
Nobile-Orazio, E:
Univ Milan, Humanitas Clin Inst, Dept Neurol Sci, Milan, Italy
Lewis, RA:
Cedars Sinai Med Ctr, Dept Neurol, Los Angeles, CA 90048 USA
Leger, JM:
Hop La Pitie Salpetriere, Dept Neurol, Paris, France
Van den Bergh, PYK:
Catholic Univ Louvain, Dept Neurol, Louvain, Belgium
Lauria, G:
Natl Neurol Inst Carlo Besta, Dept Clin Neurosci, Neuromuscular Dis Unit, Neurol Unit 3, Milan, Italy
Bril, V:
Toronto Gen Hosp, Dept Neurol, Toronto, ON, Canada
Katzberg, H:
Toronto Gen Hosp, Dept Neurol, Toronto, ON, Canada
Lunn, MPT:
Natl Hosp Neurol & Neurosurg, Ctr Neuromuscular Dis, Dept Neurol, London WC1N 3BG, England
Pouget, J:
Hop Enfants La Timone, Dept Neurol, Ctr Reference Malad Neuromusculaires & SLA, Marseille, France
van der Kooi, AJ:
Univ Amsterdam, Acad Med Ctr, Dept Neurol, NL-1105 AZ Amsterdam, Netherlands
Hahn, AF:
London Hlth Sci Ctr, Dept Neurol, London, ON, Canada
van den Berg, LH:
Univ Med Ctr Utrecht, Rudolf Magnus Inst Neurosci, Dept Neurol, Utrecht, Netherlands
van Doorn, PA:
Erasmus MC, Dept Neurol, Rotterdam, Netherlands
Cornblath, DR:
Johns Hopkins Sch Med, Dept Neurol, Baltimore, MD USA
Faber, CG:
Maastricht Univ, Med Ctr, Dept Neurol, Maastricht, Netherlands
Merkies, ISJ:
Maastricht Univ, Med Ctr, Dept Neurol, Maastricht, Netherlands
Spaarne Hosp, Dept Neurol, NL-2134 TM Hoofddorp, Netherlands
Illa I.:
Institut d’Investigació Biomèdica Sant Pau (IIB SANT PAU), Sant Quintí 77-79, 08041 Barcelona, Spain
Querol, L.:
Institut d’Investigació Biomèdica Sant Pau (IIB SANT PAU), Sant Quintí 77-79, 08041 Barcelona, Spain
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