Cognitive screening test in primary care: cut points for low education

Detalhes bibliográficos
Autor(a) principal: Yokomizo,Juliana Emy
Data de Publicação: 2018
Outros Autores: Seeher,Katrin, Oliveira,Glaucia Martins de, Silva,Laís dos Santos Vinholi e, Saran,Laura, Brodaty,Henry, Aprahamian,Ivan, Yassuda,Monica Sanches, Bottino,Cássio Machado de Campos
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista de Saúde Pública
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102018000100276
Resumo: 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.
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spelling Cognitive screening test in primary care: cut points for low educationAgedCognitive Dysfunction classificationDementia, diagnosisEducational StatusPsychometricsGeriatric PsychiatrySurveys and Questionnaires, utilizationABSTRACT 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.Faculdade de Saúde Pública da Universidade de São Paulo2018-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102018000100276Revista de Saúde Pública v.52 2018reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.11606/s1518-8787.2018052000462info:eu-repo/semantics/openAccessYokomizo,Juliana EmySeeher,KatrinOliveira,Glaucia Martins deSilva,Laís dos Santos Vinholi eSaran,LauraBrodaty,HenryAprahamian,IvanYassuda,Monica SanchesBottino,Cássio Machado de Camposeng2018-11-13T00:00:00Zoai:scielo:S0034-89102018000100276Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2018-11-13T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Cognitive screening test in primary care: cut points for low education
title Cognitive screening test in primary care: cut points for low education
spellingShingle Cognitive screening test in primary care: cut points for low education
Yokomizo,Juliana Emy
Aged
Cognitive Dysfunction classification
Dementia, diagnosis
Educational Status
Psychometrics
Geriatric Psychiatry
Surveys and Questionnaires, utilization
title_short Cognitive screening test in primary care: cut points for low education
title_full Cognitive screening test in primary care: cut points for low education
title_fullStr Cognitive screening test in primary care: cut points for low education
title_full_unstemmed Cognitive screening test in primary care: cut points for low education
title_sort Cognitive screening test in primary care: cut points for low education
author Yokomizo,Juliana Emy
author_facet Yokomizo,Juliana Emy
Seeher,Katrin
Oliveira,Glaucia Martins de
Silva,Laís dos Santos Vinholi e
Saran,Laura
Brodaty,Henry
Aprahamian,Ivan
Yassuda,Monica Sanches
Bottino,Cássio Machado de Campos
author_role author
author2 Seeher,Katrin
Oliveira,Glaucia Martins de
Silva,Laís dos Santos Vinholi e
Saran,Laura
Brodaty,Henry
Aprahamian,Ivan
Yassuda,Monica Sanches
Bottino,Cássio Machado de Campos
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Yokomizo,Juliana Emy
Seeher,Katrin
Oliveira,Glaucia Martins de
Silva,Laís dos Santos Vinholi e
Saran,Laura
Brodaty,Henry
Aprahamian,Ivan
Yassuda,Monica Sanches
Bottino,Cássio Machado de Campos
dc.subject.por.fl_str_mv Aged
Cognitive Dysfunction classification
Dementia, diagnosis
Educational Status
Psychometrics
Geriatric Psychiatry
Surveys and Questionnaires, utilization
topic Aged
Cognitive Dysfunction classification
Dementia, diagnosis
Educational Status
Psychometrics
Geriatric Psychiatry
Surveys and Questionnaires, utilization
description 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.
publishDate 2018
dc.date.none.fl_str_mv 2018-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102018000100276
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102018000100276
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.11606/s1518-8787.2018052000462
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
dc.source.none.fl_str_mv Revista de Saúde Pública v.52 2018
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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