Publications by authors named "Christina Guldberg"

Article Synopsis
  • The study assessed the effectiveness of the Inclusion Body Myositis Functional Rating Scale (IBMFRS) in measuring physical function in patients with IBM, focusing on its validity, reliability, responsiveness, and meaningful change threshold.
  • Data were collected from a 20-month multi-center clinical trial, employing various statistical methods to test the scale’s performance, revealing strong correlations with other health outcomes and reliability in its administration formats.
  • Results indicated that IBMFRS is a dependable tool for evaluating the impact of IBM on patients, with a score drop of 2 points considered a significant decline in function.
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Background And Objectives: Sporadic inclusion body myositis (IBM) is a rare, muscle-wasting disease that negatively affects health-related quality of life. Although a measure that has been developed to assess the impact of IBM, the IBM Functional Rating Scale (IBMFRS) has limited evidence of content validity or reliability, and what constitutes a meaningful change threshold; this study was conducted to address these gaps.

Methods: Adult patients with a clinical diagnosis of IBM from the United Kingdom and disease area expert health care professionals from the United States and United Kingdom took part in this study.

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Background: Niemann-Pick disease type C (NPC) is a debilitating condition that impacts patients' and caregivers' quality of life (QOL) and reduces the patient's life expectancy. Since there is little qualitative research from the perspective of patients and family caregivers, this study explored the impact of NPC on patients' and caregivers' daily lives to understand the burden of disease.

Results: A survey of caregivers for patients with NPC and adult patients with NPC (n = 49; patient age: 13 months-65 years) assessed NPC severity, importance of NPC symptoms, and how symptoms impacted patients' and caregivers' activities of daily living (ADLs) and health-related QOL (HRQOL).

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Background: Several scales have been developed in the past two decades to evaluate Niemann-Pick disease Type C (NPC) severity in clinical practice and trials. However, a lack of clarity concerning which scale to use in each setting is preventing the use of standardised assessments across the world, resulting in incomparable data sets and clinical trial outcome measures. This study aimed to establish agreed approaches for the use of NPC severity scales in clinical practice and research.

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Article Synopsis
  • Niemann-Pick disease type C (NPC) is a rare genetic disorder leading to severe neurological decline and a shortened life span, measured through the Niemann-Pick type C Clinical Severity Scale (NPCCSS), which evaluates disease progression across 17 domains.
  • A simplified 5-domain version of NPCCSS has been developed focusing on key skills: Ambulation, Swallow, Cognition, Speech, and Fine Motor Skills, with initial reliability confirmed but needing further validation.
  • Mixed methods research, including surveys and interviews, indicated that these five domains are crucial for assessing NPC severity, demonstrating high correlation with the full NPCCSS and meaningful changes perceived by patients and caregivers.
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Background: Niemann-Pick disease type C (NPC) is a rare, progressive, neurodegenerative disease associated with neurovisceral manifestations resulting from lysosomal dysfunction and aberrant lipid accumulation. A multicentre, prospective observational study (Clinical Trials.gov ID: NCT02435030) of individuals with genetically confirmed NPC1 or NPC2 receiving routine clinical care was conducted, to prospectively characterize and measure NPC disease progression and to investigate potential NPC-related biomarkers versus healthy individuals.

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