What is the best dementia screening instrument for general practitioners to use?
What is the best dementia screening instrument for general practitioners to use?
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DOI：
10.1097/01.jgp.0000216181.20416.b2
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发表时间：
2006-05-01
期刊：
影响因子：
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通讯作者：
Burns, Kim
中科院分区：
文献类型：
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作者：
Brodaty, Henry;Low, Lee-Fay;Burns, Kim
目的：本研究的目的是审查现有的痴呆症筛查工具，以通知和推荐合适的工具，全科医生（GP）的基础上，他们的性能和实用性的一般practice.METHOD：一个系统的搜索前MEDLINE，MEDLINE，PsycINFO，和科克伦图书馆数据库进行。仅纳入可用的英文或英文版痴呆筛查工具的全文文章。使用翻译的英语语言工具的文章被排除，除非在一般的做法，社区，或人口sample.RESULTS验证：全科医生评估的认知（GPCOG），迷你Cog，记忆障碍屏幕（MIS）被选为最适合常规痴呆症筛查在一般的做法。GPCOG、Mini-Cog和MIS都在社区、人群或全科医学样本中得到了验证，易于管理，管理时间不超过5分钟。它们也具有阴性预测有效性和错误分类率，与Mini-Mental Status Examination没有显著差异。建议全科医生在筛查认知障碍或病例检测时考虑使用GPCOG、Mini-Cog或MIS。
OBJECTIVE: The objective of this study was to review existing dementia screening tools with a view to informing and recommending suitable instruments to general practitioners (GPs) based on their performance and practicability for general practice.METHOD: A systematic search of pre-MEDLINE, MEDLINE, PsycINFO, and the Cochrane Library Database was undertaken. Only available full-text articles about dementia screening instruments written in English or with an English version were included. Articles using a translation of an English language instrument were excluded unless validated in a general practice, community, or population sample.RESULTS: The General Practitioner Assessment of Cognition (GPCOG), Mini-Cog, and Memory Impairment Screen (MIS) were chosen as most suitable for routine dementia screening in general practice. The GPCOG, Mini-Cog, and MIS were all validated in community, population, or general practice samples, are easy to administer, and have administration times of 5 minutes or less. They also have negative predictive validity and misclassification rates, which do not differ significantly from those of the Mini-Mental Status Examination.CONCLUSIONS: It is recommended that GPs consider using the GPCOG, Mini-Cog, or MIS when screening for cognitive impairment or for case detection.