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Cognitive screening test in primary care

Overview of attention for article published in Revista de Saúde Pública, November 2018
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32 Mendeley
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Title
Cognitive screening test in primary care
Published in
Revista de Saúde Pública, November 2018
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

The data shown below were compiled from readership statistics for 32 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 32 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 7 22%
Student > Master 4 13%
Student > Doctoral Student 3 9%
Student > Postgraduate 3 9%
Professor 2 6%
Other 5 16%
Unknown 8 25%
Readers by discipline Count As %
Medicine and Dentistry 9 28%
Neuroscience 3 9%
Nursing and Health Professions 3 9%
Psychology 2 6%
Pharmacology, Toxicology and Pharmaceutical Science 1 3%
Other 3 9%
Unknown 11 34%