The cognitive disorders examination (Codex) is a reliable 3-minute test for detection of dementia in the elderly (validation study on 323 subjects)

Belmin, Joël; Pariel-Madjlessi, Sylvie; Surun, Philomène; Bentot, C.; Feteanu, Dorin; Noëttes, Véronique Lefebvre des; Onen, Fannie; Drunat, O.; Trivalle, C.; Chassagne, Philippe; Golmard, Jean‐Louis

doi:10.1016/j.lpm.2007.03.016

Cited by 66 publications

(34 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some authors have developed specific tools for early detection of dementia in general practice, such as the Observation List for early signs of Dementia (OLD) (44) or the Test Your Memory cognitive screen (45) or the cognitive disorders examination (CODEX) (46). The opinion of our group is that the target population for detection must be identified beforehand.…”

Section: The Population Targeted For Detectionmentioning

confidence: 99%

The primary care physician and Alzheimer's disease: An international position paper

Villars

Oustric

Andrieu

et al. 2010

The Journal of nutrition, health and aging

View full text Add to dashboard Cite

This paper aims to define the role of the primary care physician (PCP) in the management of Alzheimer's disease (AD) and to propose a model for a work plan. The proposals in this position paper stem from a collaborative work of experts involved in the care of AD patients. It combines evidence from a literature review and expert's opinions who met in Paris, France, on July 2009 during the International Association of Geriatrics and Gerontology (IAGG) World Congress. The PCP's intervention appears essential at many levels: detection of the onset of dementia, diagnostic management, treatment and follow-up. The key role of the PCP in the management of AD, as care providers and care planners, is consolidated by the family caregiver's confidence in their skills. In primary care practice the first step is to identify dementia. The group proposes a "case finding" strategy, in target situations in which dementia should be detected to allow, secondarily, a diagnosis of AD, in certain cases. We propose that the PCP identifies 'typical' cases. In typical cases, among older subjects, the diagnosis of "probable AD" can be done by the PCP and then confirm by the specialist. While under-diagnosis of AD exists, so does under-disclosure. Disclosure to patient and family should be done by both specialist and PCP. Then, the PCP has a central role in management of the disease with the general objectives to detect, prevent and treat, when possible, the complications of the disease (falls, malnutrition, behavioural and psychological symptoms of dementia). The PCP needs to give basic information to the caregiver on respite care and home support services in order to prevent crisis situations such as unplanned institutionalisation and "emergency" hospital admission. Finally, therapeutic research must be integrated in the daily practice of PCP. It is a matter of patients' right to benefit from access to innovation and clinical research whatever his age or diseases, while of course fully respecting the rules and protective measures that are in force.

show abstract

Section: The Population Targeted For Detectionmentioning

confidence: 99%

The primary care physician and Alzheimer's disease: An international position paper

Villars

Oustric

Andrieu

et al. 2010

The Journal of nutrition, health and aging

View full text Add to dashboard Cite

show abstract

“…Demansı olanlarla olmayanların karşılaştırıldığı bir çalışmada SÇT demans grubunda %89 oranında bozukken, bu oran demans olmayan grupta %26'da kalmıştır (24). Bizim çalışmamızda da SÇT'nin diğer kognitif fonksiyonları değerlendiren testlerle ilişkili, ancak GDÖ puanları ile ilişkisiz bulunduğunu göz önüne alırsak SÇT'nin demans ve depresyonun ayırt edilemediği hastalarda faydalı olabileceği düşünülmüştür.…”

Section: Discussionunclassified

Elli Beş Yaş Üstü Popülasyonda Subjektif Bellek Yakınması ile Objektif Kognitif Performans Arasındaki İlişkinin Belirlenmesi

Açıkgöz¹,

Barut²,

Emre³

et al. 2014

npa

View full text Add to dashboard Cite

SMCs are common in people over 55 years of age. Being a woman as well as depression was found to be a risk factor for SMC. Since depression is a treatable condition, these people should be assessed carefully in terms of depressive symptoms. Laboratory parameters, such as hemoglobin, ferritin and free T4 levels should be investigated in patients with SMC. Unlike the other cognitive tests, CDT performance is independent of subjective memory complaints. Elderly patients rarely visit hospital with complaint of SMC, therefore, clinicians should be watchful for this problem.

show abstract

“…The EVATEM study assessed Dubois’ five-word test [24], the cognitive disorders examination test (CODEX) [25,26] and the verbal fluency test [27]. These tests were chosen as they assess verbal memory, temporal and spatial orientation and executive function but are straightforward and rapid.…”

Section: Methodsmentioning

confidence: 99%

Early detection of memory impairment in people over 65 years old consulting at Health Examination Centers for the French health insurance: the EVATEM protocol

et al. 2013

View full text Add to dashboard Cite

BackgroundOnly half of those living with Alzheimer’s disease in France are currently diagnosed, and only one patient in three is supported during the early stages of dementia. This study aims to evaluate three cognitive tests for their predictive ability to diagnose mild cognitive impairments and Alzheimer’s disease and related disorders. For people aged 65 years or over, presenting with a memory complaint, these tests can be performed easily during a preventative consultation.Method/designThe EVATEM (évaluation des troubles de l’équilibre et de la mémoire (evaluation of balance and memory problems)) cohort study was designed to prospectively assess the predictive value of tests for the diagnosis of mild cognitive impairments and Alzheimer’s disease in elderly subjects aged 65 years or over. Subjects were recruited from three health examination centers that are part of the French health insurance system. If a memory complaint was identified (using a dedicated questionnaire), the five-word test, the cognitive disorders examination test and the verbal fluency test were administered during a preventative consultation. A memory consultation was performed at a University Hospital to diagnosis any potential cognitive disorder and a one-year follow-up consultation was also scheduled. We recorded 2041 cases of memory complaint at our Health Examination Centers. Cognitive tests were refused by 33.6% of people who had a memory complaint. The number of subjects sent to a University Hospital memory consultation was 832 and 74.5% of them completed this consultation. The study population therefore includes 620 subjects.DiscussionTests for the early diagnosis of a mild cognitive impairment or Alzheimer’s disease and related disorders should be used in centers dedicated to disease prevention. These should guide subjects with memory impairment to full memory consultations at hospitals and improve the access to early medical and behavioral support.Trial registrationClinicalTrials.gov:NCT01316562

show abstract

The cognitive disorders examination (Codex) is a reliable 3-minute test for detection of dementia in the elderly (validation study on 323 subjects)

Cited by 66 publications

References 27 publications

The primary care physician and Alzheimer's disease: An international position paper

The primary care physician and Alzheimer's disease: An international position paper

Elli Beş Yaş Üstü Popülasyonda Subjektif Bellek Yakınması ile Objektif Kognitif Performans Arasındaki İlişkinin Belirlenmesi

Early detection of memory impairment in people over 65 years old consulting at Health Examination Centers for the French health insurance: the EVATEM protocol

Contact Info

Product

Resources

About