Title |
Cognitive screening test in primary care
|
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Published in |
Revista de Saúde Pública, November 2018
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DOI | 10.11606/s1518-8787.2018052000462 |
Pubmed ID | |
Authors |
Juliana Emy Yokomizo, Katrin Seeher, Glaucia Martins de Oliveira, Laís dos Santos Vinholi e Silva Silva, Laura Saran, Henry Brodaty, Ivan Aprahamian, Monica Sanches Yassuda, Cássio Machado de Campos Bottino |
Abstract |
To establish the diagnostic accuracy of the Brazilian version of the General Practitioner Assessment of Cognition (GPCOG-Br) compared to the Mini-Mental State Examination (MMSE) in individuals with low educational level. Ninety-three patients (≥ 60 years old) from Brazilian primary care units provided sociodemographic, cognitive, and functional data. Receiver operating characteristics, areas under the curve (AUC) and logistic regressions were conducted. Sixty-eight patients with 0-4 years of education. Cases (n = 44) were older (p = 0.006) and performed worse than controls (n = 49) on all cognitive or functional measures (p < 0.001). The GPCOG-Br demonstrated similar diagnostic accuracy to the MMSE (AUC = 0.90 and 0.91, respectively) and similar positive and negative predictive values (PPV/NPV, respectively: 0.79/0.86 for GPCOG-Br and 0.79/0.81 for MMSE). Adjusted cut-points displayed high sensitivity (all 86%) and satisfactory specificity (65%-80%). Lower educational level predicted lower cognitive performance. The GPCOG-Br is clinically well-suited for use in primary care. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 44 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 8 | 18% |
Student > Master | 5 | 11% |
Researcher | 4 | 9% |
Student > Doctoral Student | 3 | 7% |
Student > Postgraduate | 3 | 7% |
Other | 5 | 11% |
Unknown | 16 | 36% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 11 | 25% |
Neuroscience | 4 | 9% |
Nursing and Health Professions | 3 | 7% |
Psychology | 2 | 5% |
Business, Management and Accounting | 1 | 2% |
Other | 4 | 9% |
Unknown | 19 | 43% |