Article

Validation of Patient Determined Disease Steps (PDDS) scale scores in persons with multiple sclerosis

BMC Neurology (Impact Factor: 2.49). 04/2013; 13(1):37. DOI: 10.1186/1471-2377-13-37
Source: PubMed

ABSTRACT Background
The Patient Determined Disease Steps (PDDS) is a promising patient-reported outcome (PRO) of disability in multiple sclerosis (MS). To date, there is limited evidence regarding the validity of PDDS scores, despite its sound conceptual development and broad inclusion in MS research. This study examined the validity of the PDDS based on (1) the association with Expanded Disability Status Scale (EDSS) scores and (2) the pattern of associations between PDDS and EDSS scores with Functional System (FS) scores as well as ambulatory and other outcomes.

Methods
96 persons with MS provided demographic/clinical information, completed the PDDS and other PROs including the Multiple Sclerosis Walking Scale-12 (MSWS-12), and underwent a neurological examination for generating FS and EDSS scores. Participants completed assessments of cognition, ambulation including the 6-minute walk (6 MW), and wore an accelerometer during waking hours over seven days.

Results
There was a strong correlation between EDSS and PDDS scores (ρ = .783). PDDS and EDSS scores were strongly correlated with Pyramidal (ρ = .578 &ρ = .647, respectively) and Cerebellar (ρ = .501 &ρ = .528, respectively) FS scores as well as 6 MW distance (ρ = .704 &ρ = .805, respectively), MSWS-12 scores (ρ = .801 &ρ = .729, respectively), and accelerometer steps/day (ρ = -.740 &ρ = -.717, respectively).

Conclusion
This study provides novel evidence supporting the PDDS as valid PRO of disability in MS.

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Available from: Yvonne C Learmonth, Aug 15, 2015
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    • "Participants arrived at the Colorado Translational Research Imaging Center during the morning hours following an 8 h fast, and patients with MS were assessed for disability levels utilizing the Patient Determined Disease Steps (PDDS). The PDDS has been validated and shows a high correlation to the Expanded Disability Status Scale (EDSS) (Hohol et al., 1995, 1999; Kobelt et al., 2006; Learmonth et al., 2013; Marrie and Goldman, 2007). Leg spasticity was graded using the MASS. "
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