VALIDATION OF THE BESTA NEUROLOGICAL INSTITUTE RATING SCALE FOR MYASTHENIA GRAVIS

被引:14
作者
Antozzi, Carlo [1 ]
Brenna, Greta [1 ]
Baggi, Fulvio [1 ]
Camera, Giorgia [1 ]
Maggi, Lorenzo [1 ]
Rezzani, Cristiana [2 ]
Montomoli, Cristina [2 ]
Mantegazza, Renato [1 ]
机构
[1] Fdn IRCCS Ist Nazl Neurol C Besta, UO Neurol Neuroimmunol & Malattie Neuromuscolari, I-20133 Milan, Italy
[2] Univ Pavia, Dipartimento Sanita Pubbl Med Sperimentale & Fore, Unita Biostat & Epidemiol Clin, I-27100 Pavia, Italy
关键词
disability; Myasthenia Gravis; outcome; rating scale; validation; RECOMMENDATIONS; COMPOSITE;
D O I
10.1002/mus.24911
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Introduction: We validated the scale for myasthenia gravis (MG) developed at the Neurological Institute Foundation of Milan (INCB-MG scale). Methods: A total of 174 patients were evaluated with the INCB-MG and compared with the MG Composite (MGC) as the gold standard. Dimensionality, reliability, and validity of the INCB-MG scale were studied by principal component factor analysis, Cronbach alpha, and Pearson correlation coefficients; interobserver reliability was calculated by the weighted Cohen K coefficient. Results: Generalized and bulbar INCB-MG subscales were unidimensional with excellent consistency; the INCB-MG and MGC scales were strongly correlated. Fatigability assessment was correlated with the INCB-MG generalized, bulbar, and respiratory subscales. Conclusions: The INCB-MG scale is a reliable tool to assess MG and is strongly correlated with the MGC. The INCB-MG scale is a valid tool for every day practice and should be further investigated for its application in clinical trials.
引用
收藏
页码:32 / 37
页数:6
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