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

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 prima...

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Autores principales: Yokomizo, Juliana Emy, Seeher, Katrin, de Oliveira, Glaucia Martins, Silva, Laís dos Santos Vinholi e, Saran, Laura, Brodaty, Henry, Aprahamian, Ivan, Yassuda, Monica Sanches, Bottino, Cássio Machado de Campos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade de Saúde Pública da Universidade de São Paulo 2018
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280619/
https://www.ncbi.nlm.nih.gov/pubmed/30484482
http://dx.doi.org/10.11606/S1518-8787.2018052000462
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author Yokomizo, Juliana Emy
Seeher, Katrin
de Oliveira, Glaucia Martins
Silva, Laís dos Santos Vinholi e
Saran, Laura
Brodaty, Henry
Aprahamian, Ivan
Yassuda, Monica Sanches
Bottino, Cássio Machado de Campos
author_facet Yokomizo, Juliana Emy
Seeher, Katrin
de Oliveira, Glaucia Martins
Silva, Laís dos Santos Vinholi e
Saran, Laura
Brodaty, Henry
Aprahamian, Ivan
Yassuda, Monica Sanches
Bottino, Cássio Machado de Campos
author_sort Yokomizo, Juliana Emy
collection PubMed
description 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 pubmed-62806192018-12-06 Cognitive screening test in primary care: cut points for low education Yokomizo, Juliana Emy Seeher, Katrin de Oliveira, Glaucia Martins Silva, Laís dos Santos Vinholi e Saran, Laura Brodaty, Henry Aprahamian, Ivan Yassuda, Monica Sanches Bottino, Cássio Machado de Campos Rev Saude Publica Original Article 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 Paulo 2018-11-14 /pmc/articles/PMC6280619/ /pubmed/30484482 http://dx.doi.org/10.11606/S1518-8787.2018052000462 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Yokomizo, Juliana Emy
Seeher, Katrin
de Oliveira, Glaucia Martins
Silva, Laís dos Santos Vinholi e
Saran, Laura
Brodaty, Henry
Aprahamian, Ivan
Yassuda, Monica Sanches
Bottino, Cássio Machado de Campos
Cognitive screening test in primary care: cut points for low education
title 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_short Cognitive screening test in primary care: cut points for low education
title_sort cognitive screening test in primary care: cut points for low education
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280619/
https://www.ncbi.nlm.nih.gov/pubmed/30484482
http://dx.doi.org/10.11606/S1518-8787.2018052000462
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