TITLE

The 10/66 Dementia Research Group's fully operationalised DSM-IV dementia computerized diagnostic algorithm, compared with the 10/66 dementia algorithm and a clinician diagnosis: a population validati

AUTHOR(S)
Prince, Martin J.; Rodriguez, Juan Llibre de; Noriega, L.; Lopez, A.; Acosta, Daisy; Albanese, Emiliano; Arizaga, Raul; Copeland, John R. M.; Dewey, Michael; Ferri, Cleusa P.; Guerra, Mariella; Yueqin Huang; Jacob, K. S.; Krishnamoorthy, E. S.; McKeigue, Paul; Sousa, Renata; Stewart, Robert J.; Salas, Aquiles; Sosa, Ana Luisa; Uwakwa, Richard
PUB. DATE
January 2008
SOURCE
BMC Public Health;2008, Vol. 8 Issue 1, p219
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: The criterion for dementia implicit in DSM-IV is widely used in research but not fully operationalised. The 10/66 Dementia Research Group sought to do this using assessments from their one phase dementia diagnostic research interview, and to validate the resulting algorithm in a population-based study in Cuba. Methods: The criterion was operationalised as a computerised algorithm, applying clinical principles, based upon the 10/66 cognitive tests, clinical interview and informant reports; the Community Screening Instrument for Dementia, the CERAD 10 word list learning and animal naming tests, the Geriatric Mental State, and the History and Aetiology Schedule - Dementia Diagnosis and Subtype. This was validated in Cuba against a local clinician DSM-IV diagnosis and the 10/66 dementia diagnosis (originally calibrated probabilistically against clinician DSM-IV diagnoses in the 10/66 pilot study). Results: The DSM-IV sub-criteria were plausibly distributed among clinically diagnosed dementia cases and controls. The clinician diagnoses agreed better with 10/66 dementia diagnosis than with the more conservative computerized DSM-IV algorithm. The DSM-IV algorithm was particularly likely to miss less severe dementia cases. Those with a 10/66 dementia diagnosis who did not meet the DSM-IV criterion were less cognitively and functionally impaired compared with the DSMIV confirmed cases, but still grossly impaired compared with those free of dementia. Conclusion: The DSM-IV criterion, strictly applied, defines a narrow category of unambiguous dementia characterized by marked impairment. It may be specific but incompletely sensitive to clinically relevant cases. The 10/66 dementia diagnosis defines a broader category that may be more sensitive, identifying genuine cases beyond those defined by our DSM-IV algorithm, with relevance to the estimation of the population burden of this disorder.
ACCESSION #
51485367

 

Related Articles

  • AN EFFICIENT OPTIMIZATION BASED LUNG CANCER PRE-DIAGNOSIS SYSTEM WITH AID OF FEED FORWARD BACK PROPAGATION NEURAL NETWORK (FFBNN). BALACHANDRAN, K.; ANITHA, R. // Journal of Theoretical & Applied Information Technology;10/20/2013, Vol. 56 Issue 2, p263 

    World Health Organization (WHO) reports that worldwide 7.6 million deaths are caused by cancer each year. Uncontrollable cell development in the tissues of the lung is called as lung cancer. These uncontrollable cells restrict the growth of healthy lung tissues. If not treated, this growth can...

  • Translation from research to clinical practice: Fostering improved patient care through microscopicobservation drug susceptibility for tuberculosis diagnosis in Nigeria. Collier, Dami; Ochang, Ernest; Bode-Sojobi, Ibidunni; Oduyebo, Oyin // Annals of African Medicine;Sep2014, Vol. 13 Issue 3, p142 

    A letter to the editor is presented on the use microscopic observation drug susceptibility (MODS) assay, which is recommended by the World Health Organization (WHO), for tuberculosis diagnosis in Nigeria.

  • Cholera, West Africa.  // Weekly Epidemiological Record;9/21/2001, Vol. 76 Issue 38, p300 

    Reports cholera outbreaks from the World Health Organization. Confirmation of Vibrio cholerae in Burkina Faso; Establishment of special health care facilities to receive patients in Cote d'Ivoire; Assessment of the control measures of deaths in Niger.

  • WHO Endorses New TB Test for India.  // India -- West;12/31/2010, Vol. 36 Issue 6, pB4 

    The article reports on the endorsement of the new fully automated nucleic acid amplification test (NAAT) by the World Health Organization (WHO) for India which uses DNA technology for the early diagnosis of tuberculosis (TB) as well as multidrug-resisitant TB (MDR-TB).

  • A growing concern. McCarthy, Nicola // Nature Reviews Cancer;Mar2014, Vol. 14 Issue 3, p154 

    The article presents the prediction of the World Health Organization (WHO) on the number of diagnosed cancer in 2035.

  • Congenital Syphilis Estimates.  // JAMA: Journal of the American Medical Association;4/17/2013, Vol. 309 Issue 15, p1578 

    The article offers information on a research report issued by the U.S. World Health Organization (WHO) regarding the increasing rate of women infections with Congenital Syphilis despite the availability of medical screening and treatments.

  • Should We Revise Anemia Parameters for the Elderly? Huffman, Grace Brooke // American Family Physician;10/1/1999, Vol. 60 Issue 5, p1545 

    Outlines a study that evaluated whether the World Health Organization criteria for anemia were appropriate for persons who were at least 85 years old. Methodology; Results; Conclusions; Implications.

  • Journal of Visualized Experiments: A better tool to diagnose tuberculosis.  // Biomedical Market Newsletter;4/14/2012, Vol. 21, p1 

    The article informs that the World Health Organization has endorsed a better tool for the diagnosis of tuberculosis.

  • Effects of the WHO 1985 criteria and the proposed new diagnostic criteria on the prevalence of diabetes in an elderly population. Hiltunen, Liisa A.; Keinänen-Kiukaanniemi, Sirkka M. // Scandinavian Journal of Public Health;Oct2000, Vol. 28 Issue 4, p266 

    Population data suggest that a fasting blood glucose level of ≥6.1 mmol/l corresponds best to a two-hour blood glucose level of ≥11.1 mmol/l, which is associated with an increased risk of developing microvascular complications. The proposed new criteria, and the WHO 1985 criteria for...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics