%0 Journal Article %1 Bagley2007 %A Bagley, Anita M %A Gorton, George %A Oeffinger, Donna %A Barnes, Douglas %A Calmes, Janine %A Nicholson, Diane %A Damiano, Diane %A Abel, Mark %A Kryscio, Richard %A Rogers, Sarah %A Tylkowski, Chester %D 2007 %J Dev Med Child Neurol %K Activities of Daily Living; Adolescent; Analysis Variance; Cerebral Palsy; Child; Child, P; Cross-Sectional Studies; Disability Evaluation; Female; Humans; Male; Motor Skills; Skills Disorders; Orthopedics; Outcome Assessment (Health Care); Prospective Reproducibility Results; Severity Illness Index; reschool %N 3 %P 181--186 %R 10.1111/j.1469-8749.2007.00181.x %T Outcome assessments in children with cerebral palsy, part II: discriminatory ability of outcome tools. %U http://dx.doi.org/10.1111/j.1469-8749.2007.00181.x %V 49 %X Discriminatory ability of several pediatric outcome tools was assessed relative to Gross Motor Function Classification System (GMFCS) level in patients with cerebral palsy. Five hundred and sixty-two patients (400 with diplegia, 162 with hemiplegia; 339 males, 223 females; age range 4-18y, mean 11y 1mo SD 3y 7mo), classified as GMFCS Levels I to III, participated in this prospective multicenter, cross-sectional study. All tools were completed by parents and participants when appropriate. Effect size indices (ESIs) for parametric variables and odds ratios for non-parametric data quantified the magnitude of differences across GMFCS levels. Binary logistic regression models determined discrimination, and receiver operating characteristic curves addressed sensitivity and specificity. Between Levels I and II, the most discriminatory tools were Gross Motor Function Measure (GMFM-66), velocity, and WeeFIM Mobility. Between Levels II and III, the most discriminatory tools were GMFM Dimension E, Pediatric Functional Independence Measure (WeeFIM) Self-Care and Mobility, cadence, and Gillette Functional Assessment Questionnaire Question 1. Large ESIs were noted for Parent and Child reports of Pediatric Outcomes Data Collection Instrument (PODCI) Sports & Physical Function, Parent report of PODCI Global Function, GMFM Dimension E, and GMFM-66 across all GMFCS level comparisons. The least discriminatory tools were the Quality of Life and cognition measures; however, these are important in comprehensive assessments of treatment effects.

@article{Bagley2007, abstract = {Discriminatory ability of several pediatric outcome tools was assessed relative to Gross Motor Function Classification System (GMFCS) level in patients with cerebral palsy. Five hundred and sixty-two patients (400 with diplegia, 162 with hemiplegia; 339 males, 223 females; age range 4-18y, mean 11y 1mo [SD 3y 7mo]), classified as GMFCS Levels I to III, participated in this prospective multicenter, cross-sectional study. All tools were completed by parents and participants when appropriate. Effect size indices (ESIs) for parametric variables and odds ratios for non-parametric data quantified the magnitude of differences across GMFCS levels. Binary logistic regression models determined discrimination, and receiver operating characteristic curves addressed sensitivity and specificity. Between Levels I and II, the most discriminatory tools were Gross Motor Function Measure (GMFM-66), velocity, and WeeFIM Mobility. Between Levels II and III, the most discriminatory tools were GMFM Dimension E, Pediatric Functional Independence Measure (WeeFIM) Self-Care and Mobility, cadence, and Gillette Functional Assessment Questionnaire Question 1. Large ESIs were noted for Parent and Child reports of Pediatric Outcomes Data Collection Instrument (PODCI) Sports & Physical Function, Parent report of PODCI Global Function, GMFM Dimension E, and GMFM-66 across all GMFCS level comparisons. The least discriminatory tools were the Quality of Life and cognition measures; however, these are important in comprehensive assessments of treatment effects.}, added-at = {2014-07-19T17:52:25.000+0200}, author = {Bagley, Anita M and Gorton, George and Oeffinger, Donna and Barnes, Douglas and Calmes, Janine and Nicholson, Diane and Damiano, Diane and Abel, Mark and Kryscio, Richard and Rogers, Sarah and Tylkowski, Chester}, biburl = {https://www.bibsonomy.org/bibtex/2f4bba406fc88db3109933a9d2fdfd26b/ar0berts}, doi = {10.1111/j.1469-8749.2007.00181.x}, groups = {public}, interhash = {96a3f600ff429411c3d7c92d1a4502d7}, intrahash = {f4bba406fc88db3109933a9d2fdfd26b}, journal = {Dev Med Child Neurol}, keywords = {Activities of Daily Living; Adolescent; Analysis Variance; Cerebral Palsy; Child; Child, P; Cross-Sectional Studies; Disability Evaluation; Female; Humans; Male; Motor Skills; Skills Disorders; Orthopedics; Outcome Assessment (Health Care); Prospective Reproducibility Results; Severity Illness Index; reschool}, month = Mar, number = 3, pages = {181--186}, pii = {DMCN181}, pmid = {17355473}, timestamp = {2014-07-19T18:00:22.000+0200}, title = {Outcome assessments in children with cerebral palsy, part II: discriminatory ability of outcome tools.}, url = {http://dx.doi.org/10.1111/j.1469-8749.2007.00181.x}, username = {ar0berts}, volume = 49, year = 2007 }