Screening for Dementia in Primary Care: A Comparison of the GPCOG and the MMSE

被引：37

作者：

Brodaty, Henry ^{[1
,2
]}

Connors, Michael H. ^{[1
,2
]}

Loy, Clement ^{[3
]}

Teixeira-Pinto, Armando ^{[3
]}

Stocks, Nigel ^{[4
]}

Gunn, Jane ^{[5
]}

Mate, Karen E. ^{[6
]}

Pond, C. Dimity ^{[7
]}

机构：

[1] UNSW Australia, Dementia Collaborat Res Ctr, Sch Psychiat, Sydney, NSW, Australia

[2] UNSW Australia, Ctr Hlth Brain Ageing, Sch Psychiat, Sydney, NSW, Australia

[3] Univ Sydney, Sydney Sch Publ Hlth, Sydney, NSW, Australia

[4] Univ Adelaide, Discipline Gen Practice, Sch Med, Adelaide, SA, Australia

[5] Univ Melbourne, Gen Practice & Primary Hlth Care Acad Ctr, Melbourne Med Sch, Melbourne, Vic, Australia

[6] Univ Newcastle, Sch Biomed Sci & Pharm, Callaghan, NSW, Australia

[7] Univ Newcastle, Sch Med & Populat Hlth, Discipline Gen Practice, Callaghan, NSW, Australia

来源：

DEMENTIA AND GERIATRIC COGNITIVE DISORDERS | 2016年 / 42卷 / 5-6期

基金：

英国医学研究理事会;

关键词：

Alzheimer's disease; Assessment; Cognitive test; Dementia; General practice; General Practitioner Assessment of Cognition; Mini-Mental State Examination; Primary care; GENERAL-PRACTICE; COGNITIVE IMPAIRMENT; VALIDATION; INSTRUMENTS; VERSION; CURVES;

D O I：

10.1159/000450992

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Background/Aims: The General Practitioner Assessment of Cognition (GPCOG) is a brief cognitive test. This study compared the GPCOG to the Mini-Mental State Examination (MMSE), the most widely used test, in terms of their ability to detect likely dementia in primary care. Methods: General practitioners across three states in Australia recruited 2,028 elderly patients from the community. A research nurse administered the GPCOG and the MMSE, as well as the Cambridge Examination for Mental Disorders of the Elderly Cognitive Scale-Revised that we used to define likely dementia. Results: Overall, the GPCOG and the MMSE were similarly effective at detecting likely dementia. The GPCOG, however, had a higher sensitivity than the MMSE when using published cutpoints. Conclusion: The GPCOG is an effective screening tool for dementia in primary care. It appears to be a viable alternative to the MMSE, whilst also requiring less time to administer. (C) 2016 S. Karger AG, Basel.

引用

页码：323 / 330

页数：8

共 23 条

[1]

[Anonymous], 2012, DEM AUSTR

[2] Missed and Delayed Diagnosis of Dementia in Primary Care Prevalence and Contributing Factors [J].

Bradford, Andrea ;

Kunik, Mark E. ;

Schulz, Paul ;

Williams, Susan P. ;

Singh, Hardeep .

ALZHEIMER DISEASE & ASSOCIATED DISORDERS, 2009, 23 (04) :306-314

[3] Characteristics of the GPCOG, a screening tool for cognitive impairment [J].

Brodaty, H ;

Kemp, NM ;

Low, LF .

INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 2004, 19 (09) :870-874

[4] The GPCOG: A new screening test for dementia designed for general practice [J].

Brodaty, H ;

Pond, D ;

Kemp, NM ;

Luscombe, G ;

Harding, L ;

Berman, K ;

Huppert, FA .

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2002, 50 (03) :530-534

[5]

Brodaty H., 2013, MED TODAY, V14, P18

[6]

Brodaty H., 2013, MED TODAY, V14, P29

[7] What is the best dementia screening instrument for general practitioners to use? [J].

Brodaty, H ;

Low, LF ;

Gibson, L ;

Burns, K .

AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 2006, 14 (05) :391-400

[8]

Creavin ST, 2016, COCHRANE DB SYST REV, V1

[9] COMPARING THE AREAS UNDER 2 OR MORE CORRELATED RECEIVER OPERATING CHARACTERISTIC CURVES - A NONPARAMETRIC APPROACH [J].

DELONG, ER ;

DELONG, DM ;

CLARKEPEARSON, DI .

BIOMETRICS, 1988, 44 (03) :837-845

[10]

Ebell MH, 2009, AM FAM PHYSICIAN, V79, P497

← 1 2 3 →