Integration of the expanded disability status scale with ambulation, visual and cognitive tests

Introduction The Expanded Disability Status Scale (EDSS) is usually calculated through a neurological examination with self-reported performance. This may lead to incorrect assessment of Functional System scores (FSs). Aim of our study was to estimate the difference between EDSS obtained during rout...

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Bibliographic Details
Published in:Neurological sciences 2024-10, Vol.45 (10), p.4799-4805
Main Authors: Sarnataro, Alessio, Cuomo, Nunzia, Russo, Cinzia Valeria, Carotenuto, Antonio, Lanzillo, Roberta, Moccia, Marcello, Petracca, Maria, Morra, Vincenzo Brescia, Saccà, Francesco
Format: Article
Language:English
Subjects:
Acuity
Adult
Aged
Clinical medicine
Clinical trials
Cognition & reasoning
Disability Evaluation
Female
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Multiple Sclerosis - diagnosis
Multiple Sclerosis - physiopathology
Neurology
Neuropsychological Tests - standards
Neuropsychological Tests - statistics & numerical data
Neuropsychology
Neuroradiology
Neurosurgery
Optometry
Original
Original Article
Patients
Psychiatry
Self report
Severity of Illness Index
Vision Tests - methods
Visual acuity
Walking
Walking - physiology
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Summary:Introduction The Expanded Disability Status Scale (EDSS) is usually calculated through a neurological examination with self-reported performance. This may lead to incorrect assessment of Functional System scores (FSs). Aim of our study was to estimate the difference between EDSS obtained during routine visits, or after specific tests. Methods We enrolled 670 MS patients that underwent a regular neurology consultation, and visual evaluation using optotype tables, ambulation evaluation with a rodometer, and cognitive assessment with the Brief International Cognitive assessment for MS (BICAMS). We calculated a new integrated EDSS (iEDSS) using the refined values of the FS and compared it to the standard EDSS. Results Visual, cerebral and ambulation FSs were significantly higher compared with the self-reported counterpart [+ 1.169 (95%CI 1.077, 1.262; p  
ISSN:1590-1874
1590-3478
1590-3478
DOI:10.1007/s10072-024-07559-9