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Validation of a self-report comorbidity questionnaire for multiple sclerosis
Myles Horton1, Richard A Rudick, Claire Hara-Cleaver
1Department of Internal Medicine, University of Manitoba, Winnipeg, Man., Canada.
Self-report questionnaires accurately capture common health conditions in multiple sclerosis (MS) patients. This validation study confirms self-reporting as a reliable method for assessing comorbidity in MS care.
Area of Science:
- Neurology
- Clinical Epidemiology
Background:
- Comorbidity is frequent in multiple sclerosis (MS), impacting quality of life and disability.
- Methods for measuring comorbidity in MS are not well-established.
Purpose of the Study:
- To validate a self-report questionnaire for assessing comorbidity in patients with multiple sclerosis (MS).
Main Methods:
- 404 MS patients from two clinics completed a comorbidity questionnaire.
- Medical records served as the gold standard for comparison.
- Sensitivity, specificity, and kappa statistics were used to determine agreement.
Main Results:
- High agreement (kappa >0.82) was found for diabetes and hypertension.
- Substantial agreement (kappa = 0.62-0.80) was observed for hyperlipidemia, thyroid disease, glaucoma, and lung disease.
- Moderate agreement (kappa = 0.43-0.56) was noted for osteoporosis, IBS, migraine, depression, heart disease, and anxiety.
Conclusions:
- Self-report questionnaires demonstrate validity in capturing comorbidities experienced by MS patients.
- This method can reliably assess the health status of individuals with multiple sclerosis.
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