Brief Cognitive Tests in the Case of Dementia and Alzheimer’s Disease Early Diagnosis

Sagiadinou, Maria; Plerou, Antonia

doi:10.1007/978-3-030-32633-3_17

Cited by 4 publications

(3 citation statements)

References 44 publications

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“…Cognitive screening tools are standardized instruments that assess older adults' cognitive status in various settings, such as primary care, geriatric clinics, or community-based programs (10). These tools can also be used to monitor cognitive functioning changes over time and evaluate interventions' effects (11).…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Accuracy of Cognitive Screening Tools Validated for Older Adults in Iran: A Systematic Review and Meta-analysis

Kamalzadeh,

Tayyebi,

Shariati

et al. 2023

Preprint

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Background This systematic review aims to comprehensively assess the diagnostic accuracy of cognitive screening tools validated for older adults in Iran, providing evidence-based recommendations for clinicians and researchers. Methods Multiple databases were searched for cross-sectional research published until March 2033. Inclusion criteria encompassed paper and pencil cognitive screening tools used in Iranian seniors. Data extraction involved evaluating diagnostic accuracy measures, cognitive domains, and strengths/weaknesses of each test. A bivariate random-effects meta-analysis generated summary estimates with 95% CIs, and forest plots visually represented the findings. Results The review included 17 studies investigating 14 cognitive screening instruments. Diagnostic accuracy data were extracted for the Clock Drawing Test (CDT), Mini-Cog, short portable mental status questionnaire (SPMSQ), A Quick Test of Cognitive Speed (AQT), Quick Mild Cognitive Impairment (Qmci) screen, Rowland Universal Dementia Assessment (RUDAS), Picture-Based Memory Impairment Screen (PMIS), Abbreviated Mental Test Score (AMTS), Mini–Mental State Examination (MMSE), Modified Mini-Mental State Examination (3MS), Montreal Cognitive Assessment (MoCA), Addenbrooke’s Cognitive Examination (ACE)-III, Persian test of Elderly for Assessment of Cognition and Executive function (PEACE), and Rey Auditory Verbal Learning Test (RAVLT). Pooled values from the bivariate effect model for the MMSE showed a sensitivity of 0.97, specificity of 0.87, DOR of 242, LR + of 7.69, and LR- of 0.03. Conclusion The results showed that the ACE-III demonstrated the highest accuracy for dementia and mild cognitive impairment (MCI) in specialized care settings. However, the high risk of bias in many studies emphasizes the need for more rigorous validations in diverse clinical contexts and populations.

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Section: Introductionmentioning

confidence: 99%

Diagnostic Accuracy of Cognitive Screening Tools Validated for Older Adults in Iran: A Systematic Review and Meta-analysis

Kamalzadeh,

Tayyebi,

Shariati

et al. 2023

Preprint

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“…13,14 There is strong interest in expanding early diagnosis of ADRD through new reimbursement opportunities for providers, advances in biomarkers, and more sensitive cognitive testing. 12,[15][16][17][18] Awareness of a formal ADRD diagnosis, especially at earlier disease stages, may improve outcomes for the older adult as they are able to receive treatment for reversible causes, complete advance care planning, and connect to specialized social and medical services. [19][20][21] Little is known about the effect of a recognized, formal ADRD diagnosis on older adults' family caregivers, who are a critical part of the care team for older adults with impaired cognition.…”

Section: Introductionmentioning

confidence: 99%

“…Given the increasing interest in policies and practices to encourage earlier diagnosis, 12,[15][16][17][18] and recent consensus that evidence remains insufficient to support expanded ADRD screening, 25 there is value in understanding the effects of formal ADRD diagnosis on caregivers to add to the available evidence regarding potential benefits and/or harms of diagnosis. The present study analyzes data from linked surveys of community-living older adults and their family caregivers, collected in 2017.…”

Section: Introductionmentioning

confidence: 99%

Impact of diagnosed (vs undiagnosed) dementia on family caregiving experiences

Burgdorf

Amjad

2022

J American Geriatrics Society

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Background Most older adults with Alzheimer's disease and related dementias (ADRD) do not receive a timely formal diagnosis, although formal diagnosis is linked to improved outcomes. Little is known about how a recognized formal diagnosis impacts family caregivers, who provide crucial support for older adults experiencing ADRD. Methods We analyzed 2017 National Health and Aging Trends Study and linked National Study of Caregiving data for a nationally representative sample of 724 (weighted n = 5,431,551) caregivers who assisted an older adult with probable dementia. Probable dementia was determined via previously validated composite measure. We modeled caregiver experiences as a function of recognized formal ADRD diagnosis using weighted, logistic regression and adjusting for the relevant older adult and caregiver characteristics. Results Among caregivers who assisted an older adult with probable dementia, those assisting an individual with recognized formal ADRD diagnosis were significantly more likely to report emotional difficulty (aOR: 1.77; p = 0.03) and family disagreement over the older adult's care (aOR: 5.53; p = 0.03). They were also more likely to assist with communication during doctors' visits (aOR: 9.71; p < 0.001) and to receive caregiving‐related training (aOR: 2.59; p = 0.01). Conclusions While a timely ADRD diagnosis may help ensure access to needed supports for older adult and caregiver alike, diagnosis must be linked to support as they navigate resultant complex emotions. Formal diagnosis is linked to caregiver integration with, and support from, the older adult's team of health care providers; therefore, reducing existing disparities in timely diagnosis is necessary to ensure all caregivers have equal access to support.

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Use of technology to sustain mobility in older people with cognitive impairment and dementia: a scoping review

Lancioni

Desideri

Singh

et al. 2021

Disability and Rehabilitation: Assistive Technology

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Brief Cognitive Tests in the Case of Dementia and Alzheimer’s Disease Early Diagnosis

Cited by 4 publications

References 44 publications

Diagnostic Accuracy of Cognitive Screening Tools Validated for Older Adults in Iran: A Systematic Review and Meta-analysis

Diagnostic Accuracy of Cognitive Screening Tools Validated for Older Adults in Iran: A Systematic Review and Meta-analysis

Impact of diagnosed (vs undiagnosed) dementia on family caregiving experiences

Use of technology to sustain mobility in older people with cognitive impairment and dementia: a scoping review

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