El cribado de la demencia en atención primaria. Revisión crítica

Contador, Israel; Fernández‐Calvo, Bernardino; Ramos, Francisco; Merino, Eduardo; Bermejo‐Pareja, Félix

doi:10.33588/rn.5111.2010453

Cited by 19 publications

(1 citation statement)

References 66 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Among these, the Mini-Mental State Examination [ 35 ] is the most widely used. Despite this, several studies report its limitations as a screening test, among which the following can be found: it presents low sensitivity to detect dementia in the initial stages [ 36 , 37 ], shows little diagnostic utility in primary care [ 36 ], presents difficulties in detecting dementias other than Alzheimer’s [ 37 ], it has imprecise cut-off scores that lead to inaccurate diagnostic classifications [ 38 ] and has limited evidence of generalization validity, being affected by sociocultural elements [ 39 ].…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of Addenbrooke’s Cognitive Examination III (ACE-III): An item response theory approach

et al. 2021

View full text Add to dashboard Cite

The Addenbrooke’s Cognitive Examination III is one of the most widely used tests to assess cognitive impairment. Although previous studies have shown adequate levels of diagnostic utility to detect severe impairment, it has not shown sensitivity to detect mild decline. The aim of this study was to evaluate the psychometric properties of Addenbrooke’s Cognitive Examination III in a large sample of elderly people through Item Response Theory, due to the lack of studies using this approach. A cross-sectional study was conducted with 1164 people from the age of 60 upwards, of which 63 had a prior diagnosis of Alzheimer dementia. The results showed that, globally, the Addenbrooke’s Cognitive Examination III possesses adequate psychometrics properties. Furthermore, the information function test shows that the subscales have different sensitivity to different levels of impairment. These results can contribute to determining patterns of cognitive deterioration for the adequate detection of different levels of dementia. An optimized version is suggested which may be an economic alternative in the applied field.

show abstract

Section: Introductionmentioning

confidence: 99%

Psychometric properties of Addenbrooke’s Cognitive Examination III (ACE-III): An item response theory approach

et al. 2021

View full text Add to dashboard Cite

show abstract

Efectividad del Mini-Mental en la detección del deterioro cognitivo en Atención Primaria

et al. 2013

View full text Add to dashboard Cite

show abstract

Evaluation of cognitive impairment in elderly population with hypertension from a low-resource setting: Agreement and bias between screening tools

et al. 2016

View full text Add to dashboard Cite

IntroductionThe evaluation of cognitive impairment in adulthood merits attention in societies in transition and especially in people with chronic diseases. Screening tools available for clinical practice and epidemiological studies have been designed in high-income but not in resource-constrained settings. The aim of this study was to assess the agreement and bias of three common tools used for screening of cognitive impairment in people with hypertension: the modified Mini-Mental State Examination (MMSE), the Montreal Cognitive Assessment (MoCA), and the Leganés Cognitive Test (LCT).MethodsA cross-sectional study enrolling participants with hypertension from a semi-urban area in Peru was performed. The three screening tools for cognitive impairment were applied on three consecutive days. The prevalence of cognitive impairment was calculated for each test. Pearson's correlation coefficients, Bland-Altman plots, and Kappa statistics were used to assess agreement and bias between screening tools.ResultsWe evaluated 139 participants, mean age 76.5 years (SD ± 6.9), 56.1% females. Cognitive impairment was found in 28.1% of individuals using LCT, 63.3% using MMSE, and 100% using MoCA. Correlation coefficients ranged from 0.501 between LCT and MoCA, to 0.698 between MMSE and MoCA. Bland-Altman plots confirmed bias between screening tests. The agreement between MMSE and LCT was 60.4%, between MMSE and MoCA was 63.3%, and between MoCA and LCT was 28.1%.ConclusionsThree of the most commonly used screening tests to evaluate cognitive impairment showed major discrepancies in a resource-constrained setting, signaling towards a sorely need to develop and validate appropriate tools.

show abstract

El cribado de la demencia en atención primaria. Revisión crítica

Cited by 19 publications

References 66 publications

Psychometric properties of Addenbrooke’s Cognitive Examination III (ACE-III): An item response theory approach

Psychometric properties of Addenbrooke’s Cognitive Examination III (ACE-III): An item response theory approach

Efectividad del Mini-Mental en la detección del deterioro cognitivo en Atención Primaria

Evaluation of cognitive impairment in elderly population with hypertension from a low-resource setting: Agreement and bias between screening tools

Contact Info

Product

Resources

About