Suggested instruments for General Practitioners in countries with low schooling to screen for cognitive impairment in the elderly

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dc.contributor.author Jacinto, Alessandro Ferrari [UNIFESP]
dc.contributor.author Dozzi Brucki, Sonia Maria
dc.contributor.author Porto, Claudia Sellitto
dc.contributor.author Martins, Milton de Arruda
dc.contributor.author Citero, Vanessa de Albuquerque [UNIFESP]
dc.contributor.author Nitrini, Ricardo
dc.date.accessioned 2016-01-24T14:37:33Z
dc.date.available 2016-01-24T14:37:33Z
dc.date.issued 2014-07-01
dc.identifier http://dx.doi.org/10.1017/S1041610214000325
dc.identifier.citation International Psychogeriatrics. New York: Cambridge Univ Press, v. 26, n. 7, p. 1121-1125, 2014.
dc.identifier.issn 1041-6102
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/37961
dc.description.abstract Background: General Practitioners (GPs) from underdeveloped countries apply cognitive impairment (CI) assessment tools translated and adapted to cultural setting from other idioms, mainly English. As schooling in elderly from underdeveloped countries tends to be relatively heterogeneous, it is necessary to establish normative and cut-off scores for these CI instruments that are based on studies conducted locally. Some CI screening instruments frequently used by Brazilian specialists in dementia were analyzed to determine which could be most useful to GPs in their working sets.Method: Two hundred forty-eight patients aged 65 years or older that had been assisted by GPs in a tertiary hospital in Brazil were evaluated. Based on the MMSE and/or Short-IQCODE scores, 52 probable cases were identified on the basis of clinical data, performances on the neuropsychological tests and questionnaires (Functional Assessment Questionnaire/FAQ, Category Verbal Fluency/CVF, Clock Drawing Test /CDT) and blood tests and brain CT.Results: the combination of a functional questionnaire with a cognitive instrument had higher sensitivity and specificity than using the instruments alone. A FAQ cut-off of 3 in conjunction with a CDT cut-off of 6 proved optimal (93% sensitivity and 92.5% specificity). A higher specificity (93.5%) was attained using a combination of the FAQ (cut-off of 3) with the CVF (cut-off of 10).Conclusions: for low schooling elderly, the combination of the FAQ and CVF represented a very simple method of increasing the chances of correct screening. for those with higher schooling, the combination of the FAQ and CDT was more suitable. en
dc.format.extent 1121-1125
dc.language.iso eng
dc.publisher Cambridge Univ Press
dc.relation.ispartof International Psychogeriatrics
dc.rights Acesso restrito
dc.subject cognitive impairment en
dc.subject screening en
dc.subject cognitive testing en
dc.subject developing country en
dc.subject aging en
dc.title Suggested instruments for General Practitioners in countries with low schooling to screen for cognitive impairment in the elderly en
dc.type Artigo
dc.rights.license http://journals.cambridge.org/action/displaySpecialPage?pageId=4676
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.contributor.institution Universidade de São Paulo (USP)
dc.description.affiliation Universidade Federal de São Paulo, Dept Psychiat, Escola Paulista Med, BR-01333000 São Paulo, Brazil
dc.description.affiliation Univ São Paulo, Fac Med, Dept Neurol, BR-05508 São Paulo, Brazil
dc.description.affiliation Univ São Paulo, Fac Med, Dept Internal Med, BR-05508 São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Dept Psychiat, Escola Paulista Med, BR-01333000 São Paulo, Brazil
dc.identifier.doi 10.1017/S1041610214000325
dc.description.source Web of Science
dc.identifier.wos WOS:000337708600008



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