Transcription of How to Do the EDSS - c.ymcdn.com
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How to Do the EDSSS tephen S. Kamin, MDNew Jersey Medical SchoolJohn F. Kurtzke, MD1926-2015 EDSS expanded disability status scale Devised by John Kurtzke in the 1960s and modified in the 1980sEDSS Advantages Widely used Provides a single number measure of disability Disadvantages Non-linear Bi-modal distribution Overemphasizes ambulation Minimizes cognition Limited inter-rater reliability Some ambiguitiesEDSSMS Impairment ScaleEDSS vs. MSISMS Severity ScoreEDSSN euroStatus A modification of the original Kurtzke scale by Kappos Eliminates some ambiguities In general use in clinical trials On-line training & certification Basis for this sessionNeuroStatusNeuroStatusEDSS Components Functional Systems Scores (FS) disability status Scores (DSS)Functional Systems Scores Visual Pyramidal Cerebellar Sensory Bowel and Bladder Cerebral OtherVisual 0- Normal 1- Disc pallor OR small scotoma OR better than 20/30 2- Worse eye 20/30 to 20/59 3- Large scotoma or moderate field defect ORWorse eye 20/60 to 20/99 4- Marked field defect ORWorse eye 20/100 to 20/200 ORWorse eye 20/60 to 20/99 and better eye < 20/60 Visual 5- Wors
EDSS • Expanded Disability Status Scale – Devised by John Kurtzke in the 1960s and modified in the 1980s EDSS • Advantages – Widely used – Provides a single number measure of disability
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Kurtzke Expanded Disability Status Scale EDSS, Scale, Disability status, Disability, Expanded Disability Status Scale, Measurement of disability in multiple sclerosis, MULTIPLE SCLEROSIS, Rating neurologic impairment in multiple sclerosis, Ocrelizumab)Medication Precertification Request, Natalizumab) Medication Precertification Request, D i s a b i l it y S t a t us, E xp a n d e d D i s a b i l it y S t a t us Sc a l e