A Diagnostic Test Accuracy Study Investigating General Practitioner Clinical Impression and Brief Cognitive Assessments for Dementia in Primary Care, Compared to Specialized Assessment.

ABSTRACT:

Background

Many health systems are interested in increasing the number of uncomplicated and typical dementia diagnoses that are made in primary care, but the comparative accuracy of tests is unknown.

Objective

Calculate diagnostic accuracy of brief cognitive tests in primary care.

Methods

We did a diagnostic test accuracy study in general practice, in people over 70 years who had consulted their GP with cognitive symptoms but had no prior diagnosis of dementia. The reference standard was specialist assessment, adjudicated for difficult cases, according to ICD-10. We assessed 16 index tests at a research clinic, and additionally analyzed referring GPs clinical judgement.

Results

240 participants had a median age of 80 years, of whom 126 were men and 132 had deme

SUBMITTER: Creavin ST 

PROVIDER: S-EPMC7615275 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature