Usefulness of the Rowland Universal Dementia Assessment Scale in South India

Iype, Thomas; Ajitha, B. K.; Antony, P; Ajeeth, N B; Job, Sylvanus; Shaji, K S

doi:10.1136/jnnp.2005.069005

Cited by 55 publications

(70 citation statements)

References 9 publications

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“…The RUDAS seems to be relatively unaffected by gender, years of education, and language of preference. However, in a South Indian sample with the RUDAS translated into Malayalam, an educational bias did emerge (Iype et al, 2006). In this study, fewer patients had less than 6 years of education compared to the original Australian sample.…”

Section: Rowland Universal Dementia Assessment Scale (Rudas)contrasting

confidence: 58%

Brief cognitive screening instruments: an update

Ismail

Rajji

Shulman

2009

Int J Geriat Psychiatry

370

292

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Objective: To review the recent literature on cognitive screening with a focus on brief screening methods in primary care as well as geriatric services. Design: The Medline search engine was utilized using the keyword search terms 'cognitive screening', 'cognitive assessment', and 'dementia screening' limiting articles to those published in English since 1998. Results: 679 abstracts were retrieved. Articles focusing on attitudes toward cognitive screening, current screening practices, promising new instruments and more recent updates contributing significant information on established instruments were retrieved and incorporated into this review. Reference lists were reviewed for relevant contributing articles. Instruments recommended from previous reviews of cognitive screening and those identified in surveys as most frequently used in primary care and geriatric settings were emphasized in this review. Conclusions: Dementia remains under-diagnosed in the elderly population. Despite significant limitations, the Mini Mental State Exam remains the most frequently used cognitive screening instrument. Its best value in the community and primary care appears to be for the purpose of ruling out a diagnosis of dementia. Instruments such as the Mini-Cog, Memory Impairment Screen (MIS), and the General Practitioner Assessment of Cognition (GPCOG) have consistently been recognized for utility in primary care. The clock drawing test (CDT) and newer instruments such as the Montreal Cognitive Assessment (MoCA) and the Rowland Universal Dementia Assessment Scale (RUDAS) are gaining credibility due to improvements in sensitivity, addressing frontal/executive functioning, and decreasing susceptibility to cultural and educational biases.

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Section: Rowland Universal Dementia Assessment Scale (Rudas)contrasting

confidence: 58%

Brief cognitive screening instruments: an update

Ismail

Rajji

Shulman

2009

Int J Geriat Psychiatry

370

292

View full text Add to dashboard Cite

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“…These barriers often delay the contact between immigrants and ethnic minorities and health services until later stages of the disease [14]. Secondly, once in contact with the point of care, diagnostic evaluation of dementia in immigrant patients can be particularly complicated because of communication problems, often requiring the use of interpreters, and due to a lack of appropriate assessment tools, especially for immigrants with low levels of education [15,16,17]. Thirdly, the epidemiology of the disease might also differ among immigrant groups [18].…”

Section: Introductionmentioning

confidence: 99%

Immigrant Patients with Dementia and Memory Impairment in Primary Health Care in Norway: A National Registry Study

Díaz

Kumar

Engedal

2015

Dement Geriatr Cogn Disord

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Background: Immigrants comprise a growing proportion of the elderly population. However, knowledge about the diagnosis and management of dementia and memory impairment among immigrants is scarce in Norway and elsewhere. Aims: To compare proportions of Norwegians and immigrants aged ≥50 years with a diagnosis of dementia or memory impairment in primary health care and to study the demographic characteristics, utilization of primary health care services and pharmacological treatment of Norwegians and immigrants with either of the two diagnoses in 2008. Method: This is a registry-based study using linked data at the individual level from 4 national Norwegian registers. Results: A significantly lower proportion of immigrants, especially those from other than high-income countries, had a diagnosis of dementia or memory impairment. Among patients with such diagnoses, anti-dementia medication was purchased 20-50% more often by Norwegians than by immigrants, although the differences remained significant only for immigrants from other than high-income countries after adjustment for several variables. Conclusion: The lower proportions of immigrants with a dementia diagnosis and lower proportions of patients receiving treatment might indicate a lower prevalence or milder forms of dementia among immigrants. However, the cultural validity of the assessment tools, linguistic barriers and challenges for general practitioners should be further investigated.

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“…Clinical Dementia Rating (CDR) [23] 8. Rowland Universal Dementia Assessment Scale (RUDAS) [24] These all tests have been validated in high income countries [25]. Unfortunately, in developed countries, there is shortage of adequate and valid screening instruments for dementia [26].…”

Section: Dementia Screening Tests: International and National Statusmentioning

confidence: 99%

“…However, it cannot be used with illiterate population (India major population is illiterate) or with hearing/visual impaired individuals. Apart from MMSE, other tests which are used in India are: MoCA [25]; CDR [23]; ACE [22]; RUDAS [24] and many more.…”

Section: Dementia Screening Tests: International and National Statusmentioning

confidence: 99%

Dementia Assessment by Rapid Test (DART): An Indian Screening T ool for Dementia

Swati¹,

Sreenivas²,

Manjari³

et al. 2015

J Alzheimers Dis Parkinsonism

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Background: There is a need to develop a quick original screening test for dementia due to paucity of short, education and culture fair tests. Hence, following DSM-V criteria, a quick screening test was developed which can be used for both the clinical and prognostic purposes.Objective: Develop a quick and valid Indian screening test for geriatric population for early and timely identification of cognitive decline.Method: Total sample consisted of 150 (88=patients and 62=control) right-handed, consenting subjects between 55-84 yrs of age with minimum elementary education were recruited in the study.Results: DART scores discriminated between dementia cases and controls clearly. It was also validated against gold standard of MMSE, with sensitivity of 95.5% and specificity of 60.0%; true positive predictive value of 70.2% and true negative predictive value of 93.0%. Conclusion:DART is a quick and valid screening test for dementia for Indian population.

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Usefulness of the Rowland Universal Dementia Assessment Scale in South India

Cited by 55 publications

References 9 publications

Brief cognitive screening instruments: an update

Brief cognitive screening instruments: an update

Immigrant Patients with Dementia and Memory Impairment in Primary Health Care in Norway: A National Registry Study

Dementia Assessment by Rapid Test (DART): An Indian Screening T ool for Dementia

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