About this Medicine article

Assessing comorbidity in patients with Parkinson's disease by Martine Visser; Johan Marinus; Jacobus J. van Hilten; Ruth G.B. Schipper; Anne M. Stiggelbout is a Medicine article available to read on EtoBox.

## Abstract The aim of this study was to assess the accuracy of an interview‐based assessment of comorbidity, in patients with Parkinson's disease (PD). The Cumulative Illness Rating Scale‐Geriatric (CIRS‐G) was completed (1) in an interview with 31 PD patients and their caregivers, and (2) by reviewing the patient's medical charts from their general practitioners. Based on the interview, all patients had some comorbidity, 84% had one or more moderate comorbid diseases. The most frequently affected organ systems were “lower gastrointestinal” and “genitourinary”. The mean ± SD total score of the interview‐based (chart‐based) CIRS‐G was 6.9 ± 3.8 (7.6 ± 3.5) with a mean of 4.3 ± 1.9 (5.0 ± 1.9) affected organ systems and a mean of 2.1 ± 1.7 (2.3 ± 1.6) organ systems with at least moderate comorbidity per patient. The agreement (intraclass correlation coefficients) between the interview‐based and chart‐based assessments for the six summary scores ranged from 0.69 to 0.81. The agreement for the 14 organ systems ranged from 0.13 to 1.00 (weighted kappa); 12 had a K~w~ above 0.40 (moderate agreement). The comorbidity summary scores had a moderate correlation with age and disability. The

Author

Martine Visser; Johan Marinus; Jacobus J. van Hilten; Ruth G.B. Schipper; Anne M. Stiggelbout

Publisher

John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley (ISSN 0885-3185)

Published

2004

Language

EN

Field

Medicine (Health Sciences)