Is the MDS-UPDRS a Good Screening Tool for Detecting Sleep Problems and Daytime Sleepiness in Parkinson’s Disease?
Movement Disorder Society-sponsored Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) has separate items for measuring sleep problems (item 1.7) and daytime sleepiness (1.8). The aim of our study was to evaluate the screening sensitivity and specificity of these items to the PD Sleep Scale 2nd ve...
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doaj-821b49883ab949aba1d2554ee0e29f1d2020-11-24T23:02:36ZengHindawi LimitedParkinson's Disease2090-80832042-00802014-01-01201410.1155/2014/806169806169Is the MDS-UPDRS a Good Screening Tool for Detecting Sleep Problems and Daytime Sleepiness in Parkinson’s Disease?Krisztina Horváth0Zsuzsanna Aschermann1Péter Ács2Edit Bosnyák3Gabriella Deli4Endre Pál5József Janszky6Béla Faludi7Ildikó Késmárki8Sámuel Komoly9Magdolna Bokor10Eszter Rigó11Júlia Lajtos12Péter Klivényi13György Dibó14László Vécsei15Annamária Takáts16Adrián Tóth17Piroska Imre18Ferenc Nagy19Mihály Herceg20Anita Kamondi21Eszter Hidasi22Norbert Kovács23Doctoral School of Clinical Neuroscience, University of Pécs, Rét Utca 2, Pécs 7623, HungaryDepartment of Neurology, University of Pécs, Rét Utca 2, Pécs 7633, HungaryDepartment of Neurology, University of Pécs, Rét Utca 2, Pécs 7633, HungaryDepartment of Neurology, University of Pécs, Rét Utca 2, Pécs 7633, HungaryDepartment of Neurology, University of Pécs, Rét Utca 2, Pécs 7633, HungaryDepartment of Neurology, University of Pécs, Rét Utca 2, Pécs 7633, HungaryDepartment of Neurology, University of Pécs, Rét Utca 2, Pécs 7633, HungaryDepartment of Neurology, University of Pécs, Rét Utca 2, Pécs 7633, HungaryUnified Health Centers of the City of Pécs, Dr. Veress Endre Utca 2, Pécs 7633, HungaryDepartment of Neurology, University of Pécs, Rét Utca 2, Pécs 7633, HungaryDepartment of Neurology, Nyirő Gyula Hospital-National Institute of Psychiatry and Addictology, Dévai Utca 15a, Budapest, HungaryDepartment of Neurology, Nyirő Gyula Hospital-National Institute of Psychiatry and Addictology, Dévai Utca 15a, Budapest, HungaryDepartment of Neurology, Kenézy Gyula Hospital, Bartók Béla Utca 2-26, Debrecen, HungaryDepartment of Neurology, University of Szeged, Semmelweis Utca 6, Szeged, HungaryDepartment of Neurology, University of Szeged, Semmelweis Utca 6, Szeged, HungaryDepartment of Neurology, University of Szeged, Semmelweis Utca 6, Szeged, HungaryDepartment of Neurology, Semmelweis University, Balassa Utca 6, Budapest, HungaryDepartment of Neurology, Semmelweis University, Balassa Utca 6, Budapest, HungaryDepartment of Neurology, Csolnoky Ferenc Hospital, Kórház Utca 1, Veszprém, HungaryDepartment of Neurology, Kaposi Mór Hospital, Tallián Gyula Utca 20-32, Kaposvár 7400, HungaryDepartment of Neurology, Kaposi Mór Hospital, Tallián Gyula Utca 20-32, Kaposvár 7400, HungaryNational Institute of Clinical Neuroscience, Amerikai Utca 57, Budapest, HungaryDepartment of Neurology, University of Debrecen, Móricz Zsigmond Körút 22, Debrecen, HungaryDepartment of Neurology, University of Pécs, Rét Utca 2, Pécs 7633, HungaryMovement Disorder Society-sponsored Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) has separate items for measuring sleep problems (item 1.7) and daytime sleepiness (1.8). The aim of our study was to evaluate the screening sensitivity and specificity of these items to the PD Sleep Scale 2nd version (PDSS-2) and Epworth Sleepiness Scale (ESS). In this nationwide, cross-sectional study 460 PD patients were enrolled. Spearman’s rank correlation coefficients were calculated between the individual items, domains, and the total score of PDSS-2 and item 1.7 of MDS-UPDRS. Similarly, the items and the total score of ESS were contrasted to item 1.8 of MDS-UPDRS. After developing generalized ordinal logistic regression models, the transformed and observed scores were compared by Lin’s Concordance Correlation Coefficient. Only item 3 difficulties staying asleep and the “disturbed sleep” domain of PDSS-2 showed high correlation with “sleep problems” item 1.7 of the MDS-UPDRS. Total score of PDSS-2 had moderate correlation with this MDS-UPRDS item. The total score of ESS showed the strongest, but still moderate, correlation with “daytime sleepiness” item 1.8 of MDS-UPDRS. As intended, the MDS-UPDRS serves as an effective screening tool for both sleep problems and daytime sleepiness and identifies subjects whose disabilities need further investigation.http://dx.doi.org/10.1155/2014/806169 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Krisztina Horváth Zsuzsanna Aschermann Péter Ács Edit Bosnyák Gabriella Deli Endre Pál József Janszky Béla Faludi Ildikó Késmárki Sámuel Komoly Magdolna Bokor Eszter Rigó Júlia Lajtos Péter Klivényi György Dibó László Vécsei Annamária Takáts Adrián Tóth Piroska Imre Ferenc Nagy Mihály Herceg Anita Kamondi Eszter Hidasi Norbert Kovács |
spellingShingle |
Krisztina Horváth Zsuzsanna Aschermann Péter Ács Edit Bosnyák Gabriella Deli Endre Pál József Janszky Béla Faludi Ildikó Késmárki Sámuel Komoly Magdolna Bokor Eszter Rigó Júlia Lajtos Péter Klivényi György Dibó László Vécsei Annamária Takáts Adrián Tóth Piroska Imre Ferenc Nagy Mihály Herceg Anita Kamondi Eszter Hidasi Norbert Kovács Is the MDS-UPDRS a Good Screening Tool for Detecting Sleep Problems and Daytime Sleepiness in Parkinson’s Disease? Parkinson's Disease |
author_facet |
Krisztina Horváth Zsuzsanna Aschermann Péter Ács Edit Bosnyák Gabriella Deli Endre Pál József Janszky Béla Faludi Ildikó Késmárki Sámuel Komoly Magdolna Bokor Eszter Rigó Júlia Lajtos Péter Klivényi György Dibó László Vécsei Annamária Takáts Adrián Tóth Piroska Imre Ferenc Nagy Mihály Herceg Anita Kamondi Eszter Hidasi Norbert Kovács |
author_sort |
Krisztina Horváth |
title |
Is the MDS-UPDRS a Good Screening Tool for Detecting Sleep Problems and Daytime Sleepiness in Parkinson’s Disease? |
title_short |
Is the MDS-UPDRS a Good Screening Tool for Detecting Sleep Problems and Daytime Sleepiness in Parkinson’s Disease? |
title_full |
Is the MDS-UPDRS a Good Screening Tool for Detecting Sleep Problems and Daytime Sleepiness in Parkinson’s Disease? |
title_fullStr |
Is the MDS-UPDRS a Good Screening Tool for Detecting Sleep Problems and Daytime Sleepiness in Parkinson’s Disease? |
title_full_unstemmed |
Is the MDS-UPDRS a Good Screening Tool for Detecting Sleep Problems and Daytime Sleepiness in Parkinson’s Disease? |
title_sort |
is the mds-updrs a good screening tool for detecting sleep problems and daytime sleepiness in parkinson’s disease? |
publisher |
Hindawi Limited |
series |
Parkinson's Disease |
issn |
2090-8083 2042-0080 |
publishDate |
2014-01-01 |
description |
Movement Disorder Society-sponsored Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) has separate items for measuring sleep problems (item 1.7) and daytime sleepiness (1.8). The aim of our study was to evaluate the screening sensitivity and specificity of these items to the PD Sleep Scale 2nd version (PDSS-2) and Epworth Sleepiness Scale (ESS). In this nationwide, cross-sectional study 460 PD patients were enrolled. Spearman’s rank correlation coefficients were calculated between the individual items, domains, and the total score of PDSS-2 and item 1.7 of MDS-UPDRS. Similarly, the items and the total score of ESS were contrasted to item 1.8 of MDS-UPDRS. After developing generalized ordinal logistic regression models, the transformed and observed scores were compared by Lin’s Concordance Correlation Coefficient. Only item 3 difficulties staying asleep and the “disturbed sleep” domain of PDSS-2 showed high correlation with “sleep problems” item 1.7 of the MDS-UPDRS. Total score of PDSS-2 had moderate correlation with this MDS-UPRDS item. The total score of ESS showed the strongest, but still moderate, correlation with “daytime sleepiness” item 1.8 of MDS-UPDRS. As intended, the MDS-UPDRS serves as an effective screening tool for both sleep problems and daytime sleepiness and identifies subjects whose disabilities need further investigation. |
url |
http://dx.doi.org/10.1155/2014/806169 |
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