MovDisordV3, Main, Exploration, bibRecord, 002915

Cut‐off score of the Mattis Dementia Rating Scale for screening dementia in Parkinson's disease

Identifieur interne : 002915 ( Main/Exploration ); précédent : 002914; suivant : 002916

Cut‐off score of the Mattis Dementia Rating Scale for screening dementia in Parkinson's disease

Auteurs : Gisela Llebaria [Espagne] ; Javier Pagonabarraga [Espagne] ; Jaime Kulisevsky [Espagne] ; Carmen García-Sánchez [Espagne] ; Berta Pascual-Sedano [Espagne] ; Alexandre Gironell [Espagne] ; Mercè Martínez-Corral [Espagne]

Source :

Movement Disorders [ 0885-3185 ] ; 2008-08-15.

RBID : ISTEX:29C35407AF29E6ADE89EBA816E35A45623C0F9E0

Descripteurs français

Pascal (Inist)
- Dementia Rating Scale Mattis, Démence, Dépistage, Maladie de Parkinson, Pathologie du système nerveux.

English descriptors

KwdEn :
- Adult, Aged, Aged, 80 and over, Dementia, Dementia (complications), Dementia (diagnosis), Dementia (epidemiology), Dementia Rating Scale Mattis, Female, Humans, Male, Mass Screening (methods), Mattis Dementia Rating Scale, Medical screening, Middle Aged, Nervous system diseases, Neuropsychological Tests, Parkinson Disease (complications), Parkinson Disease (epidemiology), Parkinson disease, Parkinson's disease, Psychiatric Status Rating Scales, ROC Curve, Regression Analysis, Reproducibility of Results, dementia, screening.
MESH :
- complications : Dementia, Parkinson Disease.
- diagnosis : Dementia.
- epidemiology : Dementia, Parkinson Disease.
- methods : Mass Screening.
- Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Psychiatric Status Rating Scales, ROC Curve, Regression Analysis, Reproducibility of Results.

Abstract

The prevalence of dementia in Parkinson's disease (PD) is close to 30%, and its incidence is 4 to 6 times higher than in age‐matched general population. PD with dementia (PDD) is mainly characterized by a predominant and progressive frontal‐subcortical impairment. The Mattis Dementia Rating Scale (MDRS) is a commonly used screening test that sensitively measures the degree of frontal‐subcortical defects. Although the MDRS has been validated as a screening test of cognitive dysfunction in nondemented PD patients (PD‐ND), its utility for screening dementia in PD is unknown. In order to validate the MDRS for diagnosis of PDD it was prospectively administered to 92 PD patients (57 PD‐ND, 35 PDD) fulfilling UK‐PDSBB criteria. Dementia was diagnosed according to DSM‐IV‐TR and a Clinical Dementia Rating (CDR) scale score ≥1. Univariate, logistic regression, and ROC curve analysis were carried out to measure the discriminative power of MDRS in PDD. Regression analysis showed MDRS total scores to independently differentiate PD‐ND from PDD (P < 0.001). Age and education did not predict the presence of dementia. ROC curve analysis showed a cut‐off score of ≤123 on the MDRS total scores to yield high sensitivity (92.65%), specificity (91.4%), positive and negative predictive values (PPV 83.3%, NPV 96.4%). A brief version of the MDRS obtained by the addition of the memory, initiation/perseveration, and conceptualization subscores yielded similar discriminant properties. The MDRS has an excellent discriminant ability to diagnose dementia in PD and provides an objective measure to distinguish PD‐ND from PDD. © 2008 Movement Disorder Society

Url:

https://api.istex.fr/document/29C35407AF29E6ADE89EBA816E35A45623C0F9E0/fulltext/pdf

DOI: 10.1002/mds.22173

Affiliations:

Le document en format XML

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<author><name sortKey="Garcia Nchez, Carmen" sort="Garcia Nchez, Carmen" uniqKey="Garcia Nchez C" first="Carmen" last="García-Sánchez">Carmen García-Sánchez</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Dementia</term>
<term>Dementia (complications)</term>
<term>Dementia (diagnosis)</term>
<term>Dementia (epidemiology)</term>
<term>Dementia Rating Scale Mattis</term>
<term>Female</term>
<term>Humans</term>
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<term>Mass Screening (methods)</term>
<term>Mattis Dementia Rating Scale</term>
<term>Medical screening</term>
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<term>Parkinson Disease (epidemiology)</term>
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<term>dementia</term>
<term>screening</term>
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<front><div type="abstract" xml:lang="en">The prevalence of dementia in Parkinson's disease (PD) is close to 30%, and its incidence is 4 to 6 times higher than in age‐matched general population. PD with dementia (PDD) is mainly characterized by a predominant and progressive frontal‐subcortical impairment. The Mattis Dementia Rating Scale (MDRS) is a commonly used screening test that sensitively measures the degree of frontal‐subcortical defects. Although the MDRS has been validated as a screening test of cognitive dysfunction in nondemented PD patients (PD‐ND), its utility for screening dementia in PD is unknown. In order to validate the MDRS for diagnosis of PDD it was prospectively administered to 92 PD patients (57 PD‐ND, 35 PDD) fulfilling UK‐PDSBB criteria. Dementia was diagnosed according to DSM‐IV‐TR and a Clinical Dementia Rating (CDR) scale score ≥1. Univariate, logistic regression, and ROC curve analysis were carried out to measure the discriminative power of MDRS in PDD. Regression analysis showed MDRS total scores to independently differentiate PD‐ND from PDD (P < 0.001). Age and education did not predict the presence of dementia. ROC curve analysis showed a cut‐off score of ≤123 on the MDRS total scores to yield high sensitivity (92.65%), specificity (91.4%), positive and negative predictive values (PPV 83.3%, NPV 96.4%). A brief version of the MDRS obtained by the addition of the memory, initiation/perseveration, and conceptualization subscores yielded similar discriminant properties. The MDRS has an excellent discriminant ability to diagnose dementia in PD and provides an objective measure to distinguish PD‐ND from PDD. © 2008 Movement Disorder Society</div>
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<name sortKey="Kulisevsky, Jaime" sort="Kulisevsky, Jaime" uniqKey="Kulisevsky J" first="Jaime" last="Kulisevsky">Jaime Kulisevsky</name>
<name sortKey="Martinez Orral, Merce" sort="Martinez Orral, Merce" uniqKey="Martinez Orral M" first="Mercè" last="Martínez-Corral">Mercè Martínez-Corral</name>
<name sortKey="Pagonabarraga, Javier" sort="Pagonabarraga, Javier" uniqKey="Pagonabarraga J" first="Javier" last="Pagonabarraga">Javier Pagonabarraga</name>
<name sortKey="Pascual Edano, Berta" sort="Pascual Edano, Berta" uniqKey="Pascual Edano B" first="Berta" last="Pascual-Sedano">Berta Pascual-Sedano</name>
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Movement Disorders (revue)

Cut‐off score of the Mattis Dementia Rating Scale for screening dementia in Parkinson's disease

Cut‐off score of the Mattis Dementia Rating Scale for screening dementia in Parkinson's disease

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

	Movement Disorders (revue)
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