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Published in: Health and Quality of Life Outcomes 1/2009

Open Access 01-12-2009 | Research

The AMC Linear Disability Score (ALDS): a cross-sectional study with a new generic instrument to measure disability applied to patients with peripheral arterial disease

Authors: Rosemarie Met, Jim A Reekers, Mark JW Koelemay, Dink A Legemate, Rob J de Haan

Published in: Health and Quality of Life Outcomes | Issue 1/2009

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Abstract

Background

The AMC Linear Disability Score (ALDS) is a calibrated generic itembank to measure the level of physical disability in patients with chronic diseases. The ALDS has already been validated in different patient populations suffering from chronic diseases. The aim of this study was to assess the clinimetric properties of the ALDS in patients with peripheral arterial disease.

Methods

Patients with intermittent claudication (IC) and critical limb ischemia (CLI) presenting from January 2007 through November 2007 were included. Risk factors for atherosclerosis, ankle/brachial index and toe pressure, the Vascular Quality of Life Questionnaire (VascuQol), and the ALDS were recorded. To compare ALDS and VascuQol scores between the two patient groups, an unpaired t-test was used. Correlations were determined between VascuQol, ALDS and pressure measurements.

Results

Sixty-two patients were included (44 male, mean ± sd age was 68 ± 11 years) with IC (n = 26) and CLI (n = 36). The average ALDS was significantly higher in patients with IC (80, ± 10) compared to patients with CLI (64, ± 18). Internal reliability consistency of the ALDS expressed as Cronbach's α coefficient was excellent (α > 0.90). There was a strong convergent correlation between the ALDS and the disability related Activity domain of the VascuQol (r = 0.64).

Conclusion

The ALDS is a promising clinimetric instrument to measure disability in patients with various stages of peripheral arterial disease.
Appendix
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Literature
2.
go back to reference Regensteiner JG, Hiatt WR, Coll JR, Criqui MH, Treat-Jacobson D, McDermott MM, Hirsch AT: The impact of peripheral arterial disease on health-related quality of life in the Peripheral Arterial Disease Awareness, Risk, and Treatment: New Resources for Survival (PARTNERS) Program. Vasc Med 2008, 13: 15–24. 10.1177/1358863X07084911CrossRefPubMed Regensteiner JG, Hiatt WR, Coll JR, Criqui MH, Treat-Jacobson D, McDermott MM, Hirsch AT: The impact of peripheral arterial disease on health-related quality of life in the Peripheral Arterial Disease Awareness, Risk, and Treatment: New Resources for Survival (PARTNERS) Program. Vasc Med 2008, 13: 15–24. 10.1177/1358863X07084911CrossRefPubMed
3.
go back to reference McDermott MM, Mehta S, Liu K, Guralnik JM, Martin GJ, Criqui MH, Greenland P: Leg symptoms, the ankle-brachial index, and walking ability in patients with peripheral arterial disease. J Gen Intern Med 1999, 14: 173–181. 10.1046/j.1525-1497.1999.00309.xCrossRefPubMed McDermott MM, Mehta S, Liu K, Guralnik JM, Martin GJ, Criqui MH, Greenland P: Leg symptoms, the ankle-brachial index, and walking ability in patients with peripheral arterial disease. J Gen Intern Med 1999, 14: 173–181. 10.1046/j.1525-1497.1999.00309.xCrossRefPubMed
4.
go back to reference Brach JS, Solomon C, Naydeck BL, Sutton-Tyrrell K, Enright PL, Jenny NS, Chaves PM, Newman AB, Cardiovascular Health Study Research Group: Incident physical disability in people with lower extremity peripheral arterial disease: the role of cardiovascular disease. J Am Geriatr Soc 2008, 56: 1037–1044. 10.1111/j.1532-5415.2008.01719.xCrossRefPubMed Brach JS, Solomon C, Naydeck BL, Sutton-Tyrrell K, Enright PL, Jenny NS, Chaves PM, Newman AB, Cardiovascular Health Study Research Group: Incident physical disability in people with lower extremity peripheral arterial disease: the role of cardiovascular disease. J Am Geriatr Soc 2008, 56: 1037–1044. 10.1111/j.1532-5415.2008.01719.xCrossRefPubMed
5.
go back to reference Kuo HK, Yu YH: The relation of peripheral arterial disease to leg force, gait speed, and functional dependence among older adults. J Gerontol A Biol Sci Med Sci 2008, 63: 384–390.CrossRefPubMed Kuo HK, Yu YH: The relation of peripheral arterial disease to leg force, gait speed, and functional dependence among older adults. J Gerontol A Biol Sci Med Sci 2008, 63: 384–390.CrossRefPubMed
6.
go back to reference Landry GJ: Functional outcome of critical limb ischemia. J Vasc Surg 2007, 45: 141a-148a. 10.1016/j.jvs.2007.02.052CrossRef Landry GJ: Functional outcome of critical limb ischemia. J Vasc Surg 2007, 45: 141a-148a. 10.1016/j.jvs.2007.02.052CrossRef
7.
go back to reference De Vries M, Ouwendijk R, Kessels AG, De Haan MW, Flobbe K, Hunink MG, Van Engelshoven JM, Nelemans PJ: Comparison of generic and disease-specific questionnaires for the assessment of quality of life in patients with peripheral arterial disease. J Vasc Surg 2005, 41: 261–268. 10.1016/j.jvs.2004.11.022CrossRefPubMed De Vries M, Ouwendijk R, Kessels AG, De Haan MW, Flobbe K, Hunink MG, Van Engelshoven JM, Nelemans PJ: Comparison of generic and disease-specific questionnaires for the assessment of quality of life in patients with peripheral arterial disease. J Vasc Surg 2005, 41: 261–268. 10.1016/j.jvs.2004.11.022CrossRefPubMed
8.
go back to reference Mehta T, Venkata Subramaniam A, Chetter I, McCollum P: Disease-specific quality of life assessment in intermittent claudication: review. Eur J Vasc Endovasc Surg 2003, 25: 202–8. 10.1053/ejvs.2002.1837CrossRefPubMed Mehta T, Venkata Subramaniam A, Chetter I, McCollum P: Disease-specific quality of life assessment in intermittent claudication: review. Eur J Vasc Endovasc Surg 2003, 25: 202–8. 10.1053/ejvs.2002.1837CrossRefPubMed
9.
go back to reference Holman R, Lindeboom R, Glas CA, Vermeulen M, De Haan RJ: Constructing an item bank using item response theory: the AMC Linear Disability Score project. Health Serv Outcomes Res Methodol 2003, 4: 19–33. 10.1023/A:1025824810390CrossRef Holman R, Lindeboom R, Glas CA, Vermeulen M, De Haan RJ: Constructing an item bank using item response theory: the AMC Linear Disability Score project. Health Serv Outcomes Res Methodol 2003, 4: 19–33. 10.1023/A:1025824810390CrossRef
10.
go back to reference De Haan RJ, Vermeulen M, Holman R, Lindeboom R: Measuring the functional status of patients in clinical trials using modern clinimetric methods [Dutch]. Ned Tijdschr Geneeskd 2002, 146: 606–611.PubMed De Haan RJ, Vermeulen M, Holman R, Lindeboom R: Measuring the functional status of patients in clinical trials using modern clinimetric methods [Dutch]. Ned Tijdschr Geneeskd 2002, 146: 606–611.PubMed
11.
go back to reference Holman R, Weisscher N, Glas CA, Dijkgraaf MG, Vermeulen M, De Haan RJ, Lindeboom R: The Academic Medical Center Linear Disability Score (ALDS) item bank: item response theory analysis in a mixed patient population. Health Qual Life Outcomes 2005, 3: 83. 10.1186/1477-7525-3-83CrossRefPubMed Holman R, Weisscher N, Glas CA, Dijkgraaf MG, Vermeulen M, De Haan RJ, Lindeboom R: The Academic Medical Center Linear Disability Score (ALDS) item bank: item response theory analysis in a mixed patient population. Health Qual Life Outcomes 2005, 3: 83. 10.1186/1477-7525-3-83CrossRefPubMed
12.
go back to reference Weisscher N, Wijbrandts CA, De Haan R, Glas CA, Vermeulen M, Tak PP: The Academic Medical Center Linear Disability Score item bank: psychometric properties of a new generic disability measure in rheumatoid arthritis. J Rheumatol 2007, 34: 1222–1228.PubMed Weisscher N, Wijbrandts CA, De Haan R, Glas CA, Vermeulen M, Tak PP: The Academic Medical Center Linear Disability Score item bank: psychometric properties of a new generic disability measure in rheumatoid arthritis. J Rheumatol 2007, 34: 1222–1228.PubMed
13.
go back to reference Weisscher N, Vermeulen M, Glas CA, Roos YB, De Haan RJ: The AMC Linear Disability Score itembank: a new generic disability measure in stroke. In Edited by: Weisscher N. Thesis: The AMC Linear Disability Score (ALDS): Measuring disability in clinical studies. Amsterdam; 2008, 81–92. [http://dare.uva.nl/record/270674] Weisscher N, Vermeulen M, Glas CA, Roos YB, De Haan RJ: The AMC Linear Disability Score itembank: a new generic disability measure in stroke. In Edited by: Weisscher N. Thesis: The AMC Linear Disability Score (ALDS): Measuring disability in clinical studies. Amsterdam; 2008, 81–92. [http://​dare.​uva.​nl/​record/​270674]
14.
go back to reference Weisscher N, Post B, De Haan RJ, Glas CA, Speelman JD, Vermeulen M: The AMC linear disability score in patients with newly diagnosed Parkinson disease. Neurology 2007, 69: 2155–2161. 10.1212/01.wnl.0000295666.30948.9dCrossRefPubMed Weisscher N, Post B, De Haan RJ, Glas CA, Speelman JD, Vermeulen M: The AMC linear disability score in patients with newly diagnosed Parkinson disease. Neurology 2007, 69: 2155–2161. 10.1212/01.wnl.0000295666.30948.9dCrossRefPubMed
15.
go back to reference Rutherford RB, Baker JD, Ernst C, Johnston KW, Porter JM, Ahn S, Jones DN: Recommended standards for reports dealing with lower extremity ischemia: revised version. J Vasc Surg 1997, 26: 517–538. 10.1016/S0741-5214(97)70045-4CrossRefPubMed Rutherford RB, Baker JD, Ernst C, Johnston KW, Porter JM, Ahn S, Jones DN: Recommended standards for reports dealing with lower extremity ischemia: revised version. J Vasc Surg 1997, 26: 517–538. 10.1016/S0741-5214(97)70045-4CrossRefPubMed
16.
go back to reference Morgan MB, Crayford T, Murrin B, Fraser SC: Developing the Vascular Quality of Life Questionnaire: a new disease-specific quality of life measure for use in lower limb ischemia. J Vasc Surg 2001, 33: 679–687. 10.1067/mva.2001.112326CrossRefPubMed Morgan MB, Crayford T, Murrin B, Fraser SC: Developing the Vascular Quality of Life Questionnaire: a new disease-specific quality of life measure for use in lower limb ischemia. J Vasc Surg 2001, 33: 679–687. 10.1067/mva.2001.112326CrossRefPubMed
17.
go back to reference Nguyen LL, Moneta GL, Conte MS, Bandyk DF, Clowes AW, Seely BL: Prospective multicenter study of quality of life before and after lower extremity vein bypass in 1404 patients with critical limb ischemia. J Vasc Surg 2006, 44: 977–983. 10.1016/j.jvs.2006.07.015CrossRefPubMed Nguyen LL, Moneta GL, Conte MS, Bandyk DF, Clowes AW, Seely BL: Prospective multicenter study of quality of life before and after lower extremity vein bypass in 1404 patients with critical limb ischemia. J Vasc Surg 2006, 44: 977–983. 10.1016/j.jvs.2006.07.015CrossRefPubMed
18.
go back to reference Holman R, Glas CA: Modelling non-ignorable missing data mechanisms with item response theory models. Br J Math Stat Psychol 2005, 58: 1–17. 10.1348/000711005X47168CrossRefPubMed Holman R, Glas CA: Modelling non-ignorable missing data mechanisms with item response theory models. Br J Math Stat Psychol 2005, 58: 1–17. 10.1348/000711005X47168CrossRefPubMed
19.
go back to reference Holman R, Lindeboom R, De Haan RJ: Gender and age based differential item functioning in the AMC Linear Disability Score project. Quality of life newsletter 2004, 32: 1–4. Holman R, Lindeboom R, De Haan RJ: Gender and age based differential item functioning in the AMC Linear Disability Score project. Quality of life newsletter 2004, 32: 1–4.
20.
go back to reference Holman R, Glas CA, De Haan RJ: Power analysis in randomized clinical trials based on item response theory. Control Clin Trials 2003, 24: 390–410. 10.1016/S0197-2456(03)00061-8CrossRefPubMed Holman R, Glas CA, De Haan RJ: Power analysis in randomized clinical trials based on item response theory. Control Clin Trials 2003, 24: 390–410. 10.1016/S0197-2456(03)00061-8CrossRefPubMed
21.
go back to reference Cronbach LJ: Coefficient alpha and the internal structure of tests. Psychometrika 1951, 16: 297–333. 10.1007/BF02310555CrossRef Cronbach LJ: Coefficient alpha and the internal structure of tests. Psychometrika 1951, 16: 297–333. 10.1007/BF02310555CrossRef
23.
go back to reference Nunnally J: Psychometric theory. New York: McGraw-Hill; 1978. Nunnally J: Psychometric theory. New York: McGraw-Hill; 1978.
24.
go back to reference Long J, Modrall JG, Parker BJ, Swann A, Welborn MB 3rd, Anthony T: Correlation between ankle-brachial index, symptoms, and health-related quality of life in patients with peripheral vascular disease. J Vasc Surg 2004, 39: 723–727. 10.1016/j.jvs.2003.12.006CrossRefPubMed Long J, Modrall JG, Parker BJ, Swann A, Welborn MB 3rd, Anthony T: Correlation between ankle-brachial index, symptoms, and health-related quality of life in patients with peripheral vascular disease. J Vasc Surg 2004, 39: 723–727. 10.1016/j.jvs.2003.12.006CrossRefPubMed
25.
go back to reference Izquierdo-Porrera AM, Gardner AW, Bradham DD, Montgomery PS, Sorkin JD, Powell CC, Katzel LI: Relationship between objective measures of peripheral arterial disease severity to self-reported quality of life in older adults with intermittent claudication. J Vasc Surg 2005, 41: 625–630. 10.1016/j.jvs.2005.01.012CrossRefPubMed Izquierdo-Porrera AM, Gardner AW, Bradham DD, Montgomery PS, Sorkin JD, Powell CC, Katzel LI: Relationship between objective measures of peripheral arterial disease severity to self-reported quality of life in older adults with intermittent claudication. J Vasc Surg 2005, 41: 625–630. 10.1016/j.jvs.2005.01.012CrossRefPubMed
27.
go back to reference Cohen J: Statistical power analysis for the behavioral sciences. New York: Academic Press; 1977. Cohen J: Statistical power analysis for the behavioral sciences. New York: Academic Press; 1977.
28.
go back to reference Weisscher N, De Haan RJ, Vermeulen M: The impact of disease-related impairments on disability and health-related quality of life: a systematic review. BMC Med Res Methodol 2007, 7: 24. 10.1186/1471-2288-7-24CrossRefPubMed Weisscher N, De Haan RJ, Vermeulen M: The impact of disease-related impairments on disability and health-related quality of life: a systematic review. BMC Med Res Methodol 2007, 7: 24. 10.1186/1471-2288-7-24CrossRefPubMed
29.
go back to reference Feinglass J, McCarthy WJ, Slavensky R, Manheim LM, Martin GJ: Effect of lower extremity blood pressure on physical functioning in patients who have intermittent claudication. J Vasc Surg 1996, 24: 503–512. 10.1016/S0741-5214(96)70066-6CrossRefPubMed Feinglass J, McCarthy WJ, Slavensky R, Manheim LM, Martin GJ: Effect of lower extremity blood pressure on physical functioning in patients who have intermittent claudication. J Vasc Surg 1996, 24: 503–512. 10.1016/S0741-5214(96)70066-6CrossRefPubMed
30.
go back to reference Chetter IC, Dolan P, Spark JI, Scott DJA, Kester RC: Correlating clinical indicators of lower-limb ischaemia with quality of life. Cardiovasc Surg 1997, 5: 361–366. 10.1016/S0967-2109(97)00011-2CrossRefPubMed Chetter IC, Dolan P, Spark JI, Scott DJA, Kester RC: Correlating clinical indicators of lower-limb ischaemia with quality of life. Cardiovasc Surg 1997, 5: 361–366. 10.1016/S0967-2109(97)00011-2CrossRefPubMed
31.
go back to reference Regensteiner JG, Steiner JF, Panzer RJ, Hiatt WR: Evaluation of walking impairment by questionnaire in patients with peripheral arterial disease. J Vasc Med Biol 1990, 2: 142–152. Regensteiner JG, Steiner JF, Panzer RJ, Hiatt WR: Evaluation of walking impairment by questionnaire in patients with peripheral arterial disease. J Vasc Med Biol 1990, 2: 142–152.
32.
go back to reference McDermott MM, Liu K, Guralnik JM, Martin GJ, Criqui MH, Greenland P: Measurement of walking endurance and walking velocity with questionnaire: validation of the walking impairment questionnaire in men and women with peripheral arterial disease. J Vasc Surg 1998, 28: 1072–1081. 10.1016/S0741-5214(98)70034-5CrossRefPubMed McDermott MM, Liu K, Guralnik JM, Martin GJ, Criqui MH, Greenland P: Measurement of walking endurance and walking velocity with questionnaire: validation of the walking impairment questionnaire in men and women with peripheral arterial disease. J Vasc Surg 1998, 28: 1072–1081. 10.1016/S0741-5214(98)70034-5CrossRefPubMed
33.
go back to reference Linden WJ, Hambleton RK: Handbook of Modern Item Response Theory. New York: Springer; 1997.CrossRef Linden WJ, Hambleton RK: Handbook of Modern Item Response Theory. New York: Springer; 1997.CrossRef
Metadata
Title
The AMC Linear Disability Score (ALDS): a cross-sectional study with a new generic instrument to measure disability applied to patients with peripheral arterial disease
Authors
Rosemarie Met
Jim A Reekers
Mark JW Koelemay
Dink A Legemate
Rob J de Haan
Publication date
01-12-2009
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2009
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-7-88

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