The EDSS integration with the Brief International Cognitive Assessment for Multiple Sclerosis and orientation tests

Saccà, Francesco; Costabile, Teresa; Carotenuto, Antonio; Lanzillo, Roberta; Moccia, Marcello; Pane, Chiara; Russo, Cinzia Valeria; Barbarulo, Anna Maria; Casertano, Sara; Rossi, F.; Signoriello, Elisabetta; Lus, Giacomo; Morra, Vincenzo Brescia

doi:10.1177/1352458516677592

Cited by 50 publications

(40 citation statements)

References 33 publications

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“…Another advantage of using the BICAMS battery for assessing brain function FS is its administration time: it requires less than 15 minutes. Similar to the study by Saccà et al, 7 inclusion of the modified brain function FS did not affect the final EDSS score when scores were higher than 4.0. As previously stated, this is the result of the effect that gait alterations have on scores equal to or higher than 5.…”

Section: Assessment Of Modified Edss Scoressupporting

confidence: 80%

“…The brain function FS was redefined in the EDSS by a new scoring system based on a change in assessment proposed by Saccà et al 7 The "basal EDSS" score (which excludes brain function) and the "modified EDSS" score, proposed for this work, were calculated. To calculate the modified EDSS score, the scores obtained in the tests of the BICAMS battery 8 were used ( Table 1).…”

Section: Assessment Of Brain Function Fsmentioning

confidence: 99%

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Brain Function Assessment of Patients with Multiple Sclerosis in the Expanded Disability Status Scale

Alonso¹,

Eizaguirre²,

Silva³

et al. 2020

International Journal of MS Care

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Background: There is no consensus regarding assessment of the brain function functional system (FS) of the Expanded Disability Status Scale (EDSS) in patients with multiple sclerosis (MS). We sought to describe brain function FS assessment criteria used by Argentinian neurologists and, based on the results, propose redefined brain function FS criteria. Methods: A structured survey was conducted of 113 Argentinian neurologists. Considering the survey results, we decided to redefine the brain function FS scoring using the Brief International Cognitive Assessment for MS (BICAMS) battery. For 120 adult patients with MS we calculated the EDSS score without brain function FS (basal EDSS) and compared it with the EDSS score after adding the modified brain function FS (modified EDSS). Results: Of the 93 neurologists analyzed, 14% reported that they did not assess brain function FS, 35% reported that they assessed it through a nonstructured interview, and the remainder used other tools. Significant differences were found in EDSS scores before and after the inclusion of BICAMS (P < .001). Redefining the brain function FS, 15% of patients modified their basal EDSS score, as did 20% of those with a score of 4.0 or less. Conclusions: The survey results show the importance of unifying the brain function FS scoring criteria in calculating the EDSS score. While allowing more consistent brain function FS scoring, including the modified brain function FS led to a change in EDSS score in many patients, particularly in the lower range of EDSS scores. Considering the relevance of the EDSS for monitoring patients with MS and for decision making, it is imperative to further validate the modified brain function FS scoring.

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Section: Assessment Of Modified Edss Scoressupporting

confidence: 80%

Section: Assessment Of Brain Function Fsmentioning

confidence: 99%

Brain Function Assessment of Patients with Multiple Sclerosis in the Expanded Disability Status Scale

Alonso¹,

Eizaguirre²,

Silva³

et al. 2020

International Journal of MS Care

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“…[8][9][10][11][12][13] Despite this, cognitive issues are not adequately addressed, as traditional neurologic practice dominates over interdisciplinary approaches. 2,7,14 Up to 50% of people with MS experience depression. [14][15][16] Other mental health concerns (anxiety, psychosis, bipolar disorder, suicide, etc [17][18][19] ) are also prevalent and negatively affect HRQOL.…”

Section: Methodsmentioning

confidence: 99%

“…3 Cognitive impairment (present in up to 70% of people with MS 4 ) leads to a greater likelihood of psychosocial challenges 5,6 and disability. 7 Methods exist to assess and instead relied on observation of overt signs of cognitive impairment, which is known to be inadequate. 14 No survey looked at psychosocial concerns.…”

mentioning

confidence: 99%

Research-to-Practice Gaps in Multiple Sclerosis Care for Patients with Subjective Cognitive, Mental Health, and Psychosocial Concerns in a Canadian Center

Walker¹,

Gardner²,

Freedman³

et al. 2019

International Journal of MS Care

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Background: People with multiple sclerosis (MS) are at increased risk for cognitive impairment, mental health concerns, and psychosocial issues, which can negatively affect disease outcomes and quality of life. Current MS care guidelines recommend integrated interdisciplinary services to address these concerns; however, issues can be overlooked during routine care. To date, there is inadequate research on how often these issues are identified and addressed during routine MS care. Methods: One hundred medical records were randomly selected and reviewed (55 relapsing-remitting MS, 17 secondary progressive MS, 8 primary progressive MS, and 20 other or subtype not indicated). All visits to, and contacts with (ie, telephone, e-mail), an MS clinic over 1 year were included in the analysis to determine the proportion of patients presenting with cognitive, mental health, and psychosocial concerns and the proportion of patients offered associated services. Results: Of the 25 patients with at least one identified concern, treatment recommendations occurred for 13 (52%). Rates of identification of cognitive, mental health, and psychosocial concerns in standard clinical practice were significantly lower than the identified prevalence in epidemiologic studies. Demographic factors had no bearing on who was offered treatment. Patients with concerns access MS clinic services more often than those without. Conclusions: Discrepancies between reported and expected frequencies may be due to overreliance on patient self-disclosure and concerns by the health care team that inadequate resources are available to address issues. An interdisciplinary team model may help address these issues.

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“…Their results suggests, that a quarter of patients with EDSS≤4 points without integration of BICAMS is miscalculated and the disability underestimated (Sacca et al, 2017). Furthermore, in 2018, a guideline was proposed for the measurement of cognition in PwMS (Kalb et al, 2018).…”

Section: V2 the Hungarian Validation Of The Bicams Batterymentioning

confidence: 99%

The epidemiology of multiple sclerosis

Sandi

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The EDSS integration with the Brief International Cognitive Assessment for Multiple Sclerosis and orientation tests

Cited by 50 publications

References 33 publications

Brain Function Assessment of Patients with Multiple Sclerosis in the Expanded Disability Status Scale

Brain Function Assessment of Patients with Multiple Sclerosis in the Expanded Disability Status Scale

Research-to-Practice Gaps in Multiple Sclerosis Care for Patients with Subjective Cognitive, Mental Health, and Psychosocial Concerns in a Canadian Center

The epidemiology of multiple sclerosis

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