The 10/66 Dementia Research Group's fully operationalised DSM-IV dementia computerized diagnostic algorithm, compared with the 10/66 dementia algorithm and a clinician diagnosis: a population validation study

Prince, Martin; Rodriguez, Juan L.; Noriega, Lisseth; López, Astrid; Acosta, Daisy; Albanese, Emiliano; Arizaga, Raúl Luciano; Copeland, J. R. M.; Dewey, Michael; Ferri, Cleusa P.; Guerra, Mariella; Huang, Yueqin; Jacob, K. S.; Krishnamoorthy, Ennapadam S.; McKeigue, Paul; Sousa, Renata M; Stewart, Robert; Salas, Aquiles; Sosa, Ana Luisa; Uwakwa, Richard

doi:10.1186/1471-2458-8-219

Cited by 116 publications

(155 citation statements)

References 17 publications

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“…On the other hand, prevalence may have been underestimated by studies that did use the specific protocol. This latter hypothesis is not substantiated, however, because studies have shown that prevalences tend to be lower when obtained using conventional diagnostic methods than when using the adapted protocol [33,34]. In the present study, diagnostic assessment protocols adapted for low educational level were not used, but the difficulties stemming from illiteracy and low education are believed to have been reduced, because unlike other Brazilian studies the study population comprised mainly individuals with substantial schooling.…”

Section: Discussionmentioning

confidence: 39%

Prevalence of Dementia in Elderly Clients of a Private Health Care Plan: A Study of the FIBRA-RJ, Brazil

Ribeiro¹,

Lopes²,

Lourenço³

2013

Dement Geriatr Cogn Disord

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Aims: To describe the overall prevalence of dementia syndrome and its major subtypes among elderly clients of a private health care plan and to ascertain the association between this syndrome and socioeconomic characteristics. Methods: A survey was organized in two stages: screening for cognitive impairment and diagnostic evaluation. The study population comprised 683 elderly subjects (aged >67 years), an expanded sample of 7,486 individuals, of the database of the FIBRA-RJ, which evaluated clients of a private health care plan residing in northern districts of the municipality of Rio de Janeiro, Brazil. The diagnosis of dementia was obtained according to DSM-IV criteria. Results: A total of 115 individuals were diagnosed with dementia, resulting in a prevalence of 16.9% (95% CI = 14.4–19.8). The association was strongest among older age groups, i.e. 85–89 years old (prevalence ratio = 8.85; 95% CI = 2.11–37.11) and 90 or more years old (prevalence ratio = 8.85; 95% CI = 2.11–37.11), and among illiterate people (prevalence ratio = 2.77; 95% CI = 1.07–7.19). Sex, personal income and marital status displayed no association with dementia. Conclusion: The prevalence of dementia was higher than found by population-based studies. These findings point to a possibility of a high demand for specialized services among older adults served by the private health care sector.

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Section: Discussionmentioning

confidence: 39%

Prevalence of Dementia in Elderly Clients of a Private Health Care Plan: A Study of the FIBRA-RJ, Brazil

Ribeiro¹,

Lopes²,

Lourenço³

2013

Dement Geriatr Cogn Disord

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“…32 Current diagnostic criteria define a 'narrow category of unambiguous dementia characterised by marked impairment'. 46 The limitations of the current DSM IV-TR diagnostic system has the potential to under-estimate the prevalence of dementia with significant socio-clinical implications. 47 Similar diagnostic challenges are encountered with MCI diagnosis.…”

Section: Prevalence Of Dementia and MCImentioning

confidence: 99%

Mild cognitive impairment and dementia in a heterogeneous elderly population: prevalence and risk profile

et al. 2013

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Objective: To describe the demographic, clinical and risk profile of Mild Cognitive Impairment and dementia in a sample of elderly South Africans within a residential setting. Method: One hundred and forty participants residing in a group of residential homes for the elderly were assessed by psychiatrists and assigned diagnoses of dementia or Mild Cognitive Impairment (MCI). Participants diagnosed with dementia were also offered haematological investigations and a CT scan of the brain. Results: The sample consisted of 140 participants comprising 46.4% White, 29.3% Coloured, 20% Asian and 4.3% Black participants. There were 97 (69.3%) females and 106 (75.7%) participants had less than 12 years of education. Eleven (7.9%) dementia and 38 (27.1%) MCI cases were diagnosed. Increasing age was associated with cognitive impairment (MCI and dementia) (p=.020) but there was no association between gender and cognitive impairment (p=.165). MCI was significantly associated with a lower education level (p=.036) and no association was found between depression (current-p=.646; past-p=.719) and dementia or MCI. The presence of vascular risk factors (n=140) ranged from 66.4% (hypertension) to 14.3% (stroke). Subjective memory complaints were significantly associated with cognitive impairment (p=.001). Except for the use of the telephone (p=.225) and the television (p=.08), impairment in all domains of instrumental activities of daily living that were assessed were significantly associated with a dementia diagnosis. Conclusion: The study showed that cognitive impairment was associated with increasing age and low education levels. The presence of vascular risk factors places this population at risk for future cognitive decline. ?? differences in the risk profile (low levels of cardiovascular risk and hypolipidaemia) in LAMIC populations may be contributing to the lower rates. 1 While the incidence and prevalence of dementia have been extensively studied in Western and European countries 5 there remains a dearth of similar studies from Africa. The few studies conducted in Africa prior to 2000 used small samples and was reported to have used 'non-standardised clinical assessments'. 10 Recent studies from Africa reported prevalence figures ranging from 2.6% to 8.1%. 11,12,13 Dementia studies from South Africa include a Western Cape sample of coloured people 14 , with a prevalence of 8.6%, and a Free State sample of indigenous Sotho-speaking elderly black people 15 , which reported a prevalence of 7.7%. This paper describes the clinical and risk profile of a sample of elderly participants who were assessed for the presence of dementia and MCI. In addition, the value of functional assessments and subjective memory complaints in case-finding are also explored. Keywords MethodThe study consisted of three stages: 1) Administration of dementia screening tools; 2) Clinical diagnostic evaluation for dementia; and 3) Administration of a neuropsychological battery of tests. SampleThe study population comprised residents (N=1450) of a ...

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“…En la categoría de deterioro cognitivo se incluyeron los casos identificados como deterioro cognitivo leve o demencia. El deterioro cognitivo leve lo definimos de acuerdo con los criterios de la Clínica Mayo para deterioro cognitivo leve amnésico, operacionalizados mediante un algoritmo desarrollado por el GID 10/66 18 ; la demencia, según la presencia de síndrome demencial, definida a partir de los criterios del DSM-IV y del algoritmo también desarrollado por el GID 10/66, mismos que han sido validados en población de ingreso económico medio o bajo 19 y en estudios poblacionales teniendo el juicio clínico como método de referencia 20 . -Antecedentes personales de depresión: documentada mediante el reporte de historia personal de depresión, vacío o tristeza que hubiera afectado sus actividades de la vida diaria, con duración de al menos 2 semanas.…”

Section: Variable Dependienteunclassified

Determinantes asociados a depresión crónica e incidente en adultos mayores mexicanos

Sosa‐Ortíz¹,

García²,

Acosta‐Castillo³

2019

GMM

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The 10/66 Dementia Research Group's fully operationalised DSM-IV dementia computerized diagnostic algorithm, compared with the 10/66 dementia algorithm and a clinician diagnosis: a population validation study

Cited by 116 publications

References 17 publications

Prevalence of Dementia in Elderly Clients of a Private Health Care Plan: A Study of the FIBRA-RJ, Brazil

Prevalence of Dementia in Elderly Clients of a Private Health Care Plan: A Study of the FIBRA-RJ, Brazil

Mild cognitive impairment and dementia in a heterogeneous elderly population: prevalence and risk profile

Determinantes asociados a depresión crónica e incidente en adultos mayores mexicanos

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