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  • 标题:Cognitive screening test in primary care: cut points for low education
  • 本地全文:下载
  • 作者:Juliana Emy Yokomizo ; Katrin Seeher ; Glaucia Martins de Oliveira
  • 期刊名称:Revista de Saúde Pública
  • 印刷版ISSN:0034-8910
  • 出版年度:2018
  • 卷号:52
  • DOI:10.11606/S1518-8787.2018052000462
  • 语种:English
  • 出版社:Universidade de São Paulo
  • 摘要:ABSTRACT OBJECTIVE 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. METHODS 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. RESULTS 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. CONCLUSIONS The GPCOG-Br is clinically well-suited for use in primary care.
  • 关键词:enAgedCognitive Dysfunction classificationDementia, diagnosisEducational StatusPsychometricsGeriatric PsychiatrySurveys and Questionnaires, utilization
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