Online Clinical Consensus Diagnosis of Dementia: Development and Validation.
Clinical Dementia Rating
Harmonized Cognitive Assessment Protocol
Longitudinal Aging Study in India
clinical judgment
population-based research
Journal
Journal of the American Geriatrics Society
ISSN: 1532-5415
Titre abrégé: J Am Geriatr Soc
Pays: United States
ID NLM: 7503062
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
24
09
2019
revised:
19
12
2019
accepted:
23
01
2020
entrez:
21
8
2020
pubmed:
21
8
2020
medline:
22
6
2021
Statut:
ppublish
Résumé
To introduce cost-effective expert clinical diagnoses of dementia into population-based research using an online platform and to demonstrate their validity against in-person clinical assessment and diagnosis. The online platform provides standardized data necessary for clinicians to rate participants on the Clinical Dementia Rating (CDR All India Institute of Medical Sciences (AIIMS), Delhi, and National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India. Thirty patients each at AIIMS and NIMHANS with equal numbers of patients previously independently rated in person by experts as CDR is 0 (cognitively normal), CDR is 0.5 (mild cognitive impairment), and CDR is 1 or greater (dementia). Multiple clinicians independently rate each participant on each CDR domain using standardized data and expert clinical judgment. The overall summary CDR is calculated by algorithm. When there are discrepancies among clinician ratings, clinicians discuss the case through a virtual consensus conference and arrive at a consensus overall rating. Online clinical consensus diagnosis based on standardized interview data provides consistent clinical diagnosis with in-person clinical assessment and consensus diagnosis (κ coefficient = 0.76). A web-based clinical consensus platform built on the Harmonized Diagnostic Assessment of Dementia for the Longitudinal Aging Study in India interview data is a cost-effective way to obtain reliable expert clinical judgments. A similar approach can be used for other epidemiological studies of dementia. J Am Geriatr Soc 68:S54-S59, 2020.
Identifiants
pubmed: 32815604
doi: 10.1111/jgs.16736
pmc: PMC7513553
mid: NIHMS1625590
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Validation Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
S54-S59Subventions
Organisme : NIA NIH HHS
ID : R01 AG051125
Pays : United States
Organisme : NIA NIH HHS
ID : R56 AG056117
Pays : United States
Organisme : NIA NIH HHS
ID : RF1 AG055273
Pays : United States
Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2020 The American Geriatrics Society.
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