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Erschienen in: Clinical Autonomic Research 2/2023

27.03.2023 | Review Article

Motor assessment of patients with multiple system atrophy: underuse of the Unified Multiple System Atrophy Rating Scale (UMSARS)

verfasst von: Alexandra Ferreirós, Sergio A. Castillo-Torres, Marcelo Merello

Erschienen in: Clinical Autonomic Research | Ausgabe 2/2023

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Abstract

Purpose

Despite the availability of the Unified Multiple System Atrophy (MSA) Rating Scale (UMSARS) for almost two decades, studies still use scales developed for Parkinson’s disease (PD) or ataxia (ATX). Our aim was to evaluate the use of UMSARS (part II, motor) compared to other motor rating scales in patients with MSA.

Methods

A Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-compliant literature search was conducted concerning studies of patients with MSA, reporting motor assessment with clinical rating scales, and focusing on the frequency of UMSARS use.

Results

We included 261 articles, of which 42.9% did not use UMSARS, but rather scales for PD (59.8%), ATX (24.1%), or both (14.3%). Although UMSARS use increased with time, misuse of PD and ATX scales persists, with no evidence of a decremental trend.

Conclusions

Although higher in observational studies, the misuse of PD and ATX-related scales in MSA patients persists in prospective (planned) trials. Reasons for that must be addressed.
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Literatur
6.
Zurück zum Zitat Altman DG (1991) Designing research. Practical statistics for medical research, 1st edn. Chapman and Hall, London, New York Altman DG (1991) Designing research. Practical statistics for medical research, 1st edn. Chapman and Hall, London, New York
Metadaten
Titel
Motor assessment of patients with multiple system atrophy: underuse of the Unified Multiple System Atrophy Rating Scale (UMSARS)
verfasst von
Alexandra Ferreirós
Sergio A. Castillo-Torres
Marcelo Merello
Publikationsdatum
27.03.2023
Verlag
Springer Berlin Heidelberg
Erschienen in
Clinical Autonomic Research / Ausgabe 2/2023
Print ISSN: 0959-9851
Elektronische ISSN: 1619-1560
DOI
https://doi.org/10.1007/s10286-023-00934-0

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