Should we still only rely on EDSS to evaluate disability in multiple sclerosis patients? A study of inter and intra rater reliability

نویسندگان

چکیده

AbstractBackground Few studies assessed reliability and inter-rater variability of EDSS functional parameters (FP) rating. Objective To evaluate errors in FP rating junior (JN) MS Neurologists (MSN). Method Patients with were examined by a JN MSN on the same day. Each assessor rated EDSS, then used smartphone app to get an automated calculation for each ("smartphone" FP, sFP) sEDSS) from description neurological exam. Inter-rater was comparing ratings method. Intra-rater traditional digital given assessor. Result 103 patients included. Perfect agreement between met 67% 70% regarding sEDSS. Disagreement that could lead significant difference terms level disability occurred 17% 12% sEDSS (p=0.07). Regarding intra-rater reliability, we found 38 discrepancies 14 (p=0.04). Conclusion We as well substantial frequency JN. The use less subjective, easier-to-rate scales should be encouraged.

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ژورنال

عنوان ژورنال: Multiple sclerosis and related disorders

سال: 2021

ISSN: ['2211-0356', '2211-0348']

DOI: https://doi.org/10.1016/j.msard.2021.103144