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Brada Brada (1989)
Back to the future—radiotherapy in high grade gliomasBritish Journal of Cancer, 60
Clarke Clarke, Fallowfield Fallowfield (1986)
Quality of life measurements in patients with malignant disease: a reviewJournal of the Royal Society Medicine, 79
De Haan De Haan, Horn Horn, Limburg Limburg (1993)
A comparison of 5 stroke scales with measures of disability, handicap, and quality of lifeStroke, 24
Karla Karla, Crome Crome (1993)
The role of prognostic scores in targetting stroke rehabilitation in elderly patientsJournal of the American Geriatrics Society, 4
Haas Haas, Vogt Vogt, Shiemann Shiemann, Patzold Patzold (1982)
Aphasia and non‐verbal intelligence in brain tumour patientsJournal of Neurology, 227
Granger Granger, Dewis Dewis, Peters Peters, Sherwood Sherwood, Barrett Barrett (1979)
Stroke rehabilitation: analysis of repeated Bartel index measuresArchives of Physical and Medical Rehabilitation, 60
Dam Dam, Tonin Tonin, Casson Casson, Ermani Ermani (1993)
The effects of long‐term rehabilitation therapy on post stroke hemiplegic patientsStroke, 24
Gresham Gresham, Philips Philips, Labi Labi (1980)
ADL status in stroke, relative merits of three standard indexesArchives of Physical and Medical Rehabilitation, 61
Lue Lue, Chen Chen, Jong Jong (1993)
Investigation of activity of daily living performance in patients with Duchenne Muscular DystrophyKao Hsiung I Hsueh Ko Hsueh Tsa Chih, 9
Law Law, Letts Letts (1989)
A critical review of scales of ADLAmerican Journal of Occupational Therapy, 43
Mahoney Mahoney, Barthel Barthel (1965)
Functional evaluation: the Barthel IndexMaryland Medical Journal, 14
Bleehen Bleehen, Stenning Stenning (1991)
Medical Research Council trial of two radiotherapy doses in the treatment of grades 3 and 4 astrocytomaBritish Journal of Cancer, 64
Performance status scores are useful tools in the management of patients with malignant disease. No specific performance index score exist, however, for patients with glioma. The Barthel Index, has been used in our department because it has been widely used in patients following stroke and found useful. This study aims to establish whether a modification of the Barthel Index would be more appropriate for patients with glioma and, if so, what modifications should be made. The opinions of multidisciplinary health workers and carers experienced in helping patients with glioma were established by questionnaire. Difficulty with speech and the presence of seizures were statistically ranked the most significant disability in terms of overall performance status. As these are not included in the Barthel Index a modification is justified. However, to include new categories in a performance index but avoid increasing its complexity, existing categories have to be omitted. Therefore, the second aim of this study was to establish which categories within the Barthel contribute least to a change in the total score. Three‐hundred‐and‐thirty‐three prospectively recorded Barthel scores were evaluated in 81 patients over 2 years and the individual categories evaluated by multifactor analysis. The sensitivity of the categories‘bowel function’and‘independence in grooming’to a change in the total score was less than 1%. In conclusion, substituting 'speech difficulties’and the presence of seizure in place of‘bowel function’and‘independence in grooming’from the Barthel Index will improve the specificity for patients with glioma without reducing the sensitivity or acceptability for the patients and research nurses who most often complete them. Plans to verify this modified index are underway.
European Journal of Cancer Care – Wiley
Published: Mar 1, 1995
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