Movement Disorders (revue)

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Addenbrooke's Cognitive Examination-Revised for Mild Cognitive Impairment in Parkinson's Disease

Identifieur interne : 001219 ( Main/Exploration ); précédent : 001218; suivant : 001220

Addenbrooke's Cognitive Examination-Revised for Mild Cognitive Impairment in Parkinson's Disease

Auteurs : Peter Mccolgan [Royaume-Uni] ; Jonathan R. Evans [Royaume-Uni] ; David P. Breen [Royaume-Uni] ; Sarah L. Mason [Royaume-Uni] ; Roger A. Barker [Royaume-Uni] ; Caroline H. Williams-Gray [Royaume-Uni]

Source :

RBID : Pascal:12-0339941

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English descriptors

Abstract

Introduction: Cognitive impairment is common in Parkinson's disease (PD), even in the early stages, and appropriate screening tools are needed. Methods: We investigated the utility of the Addenbrooke's Cognitive Examination-Revised for detecting mild cognitive impairment (MCI) in PD in an incident population-representative cohort (n = 132) and investigated the relationship between performance on this instrument and behavior and quality of life (n = 219). Results: Twenty-two percent met criteria for MCI. Receiver operating curve analysis revealed an area under the curve of 0.81. A cutoff <89 gave a sensitivity of 69% and specificity of 84%. Scores on this instrument were highly correlated with the Parkinson's Disease Cognitive Rating Scale, and there were significant correlations with the Cambridge Behavioral Inventory-Revised and Parkinson's Disease Questionnaire 39. Conclusion: This instrument is a useful screening tool for PD-MCI, and poor performance is significantly related to impaired behavior and quality of life.


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Le document en format XML

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<div type="abstract" xml:lang="en">Introduction: Cognitive impairment is common in Parkinson's disease (PD), even in the early stages, and appropriate screening tools are needed. Methods: We investigated the utility of the Addenbrooke's Cognitive Examination-Revised for detecting mild cognitive impairment (MCI) in PD in an incident population-representative cohort (n = 132) and investigated the relationship between performance on this instrument and behavior and quality of life (n = 219). Results: Twenty-two percent met criteria for MCI. Receiver operating curve analysis revealed an area under the curve of 0.81. A cutoff <89 gave a sensitivity of 69% and specificity of 84%. Scores on this instrument were highly correlated with the Parkinson's Disease Cognitive Rating Scale, and there were significant correlations with the Cambridge Behavioral Inventory-Revised and Parkinson's Disease Questionnaire 39. Conclusion: This instrument is a useful screening tool for PD-MCI, and poor performance is significantly related to impaired behavior and quality of life.</div>
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