MovDisordV3, PascalFrancis, Curation, bibRecord, 002107

PDD-Short Screen: A Brief Cognitive Test for Screening Dementia in Parkinson's Disease

Identifieur interne : 002107 ( PascalFrancis/Curation ); précédent : 002106; suivant : 002108

PDD-Short Screen: A Brief Cognitive Test for Screening Dementia in Parkinson's Disease

Auteurs : Javier Pagonabarraga [Espagne] ; Jaime Kulisevsky [Espagne] ; Gisela Llebaria [Espagne] ; Carmen Garcia-Sanchez [Espagne] ; Berta Pascual-Sedano [Espagne] ; Mercè Martinez-Corral [Espagne] ; Alexandre Gironell [Espagne]

Source :

Movement disorders [ 0885-3185 ] ; 2010.

RBID : Pascal:10-0178217

Descripteurs français

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

English descriptors

KwdEn :
- Dementia, Medical screening, Nervous system diseases, Parkinson disease.

Abstract

The diagnosis of Parkinson's disease with dementia (PDD) is currently based on clinical criteria (DSM-IV, MDS-Task Force). In daily practice and research studies, these criteria still depend on the subjective impression of the examiner. Brief screening tests (BST) are helpful in identifying patients with PD with dementia, which can be difficult in patients with advanced PD. We aimed to develop a BST for PD, the PDD-Short Screen (PDD-SS), to accurately and quickly screen for PDD. In this prospective study, 70 patients with nondemented (age 73.8 ± 4.4) and 32 demented (age 73.8 ± 4.4) PD regularly attending a Movement Disorders Clinic were included. Diagnosis of dementia was based on DSM-IV criteria, CDR score ≥1, and PD-CRS total score <64. The PDD-SS, Mattis Dementia Rating Scale (MDRS), and Mini-Mental State Examination (MMSE) were administered to all participants. Validity, reliability, and discriminative power of the PDD-SS were examined. The final version of the scale included the items immediate and delayed verbal memory, clock drawing, alternating verbal fluency, and a questionnaire covering cognitive and psychiatric (hallucinations, apathy) symptoms common in PDD. A cutoff score ≤11 on the PDD-SS yielded high sensitivity (89.8%) and specificity (88.5%) for diagnosing PDD. The MDRS displayed similar accuracy, but the PDD-SS administration time was significantly shorter (4.8-6.9 vs. 17.5-25.2 minutes). Diagnosis of dementia using the PDD-SS was not influenced by age, education, or motor function. The PDD-SS appears as the first BST for diagnosing PDD, displays an excellent diagnostic accuracy, and takes 5 to 7 minutes to be administered.

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C01	`01`		`ENG`	@0 The diagnosis of Parkinson's disease with dementia (PDD) is currently based on clinical criteria (DSM-IV, MDS-Task Force). In daily practice and research studies, these criteria still depend on the subjective impression of the examiner. Brief screening tests (BST) are helpful in identifying patients with PD with dementia, which can be difficult in patients with advanced PD. We aimed to develop a BST for PD, the PDD-Short Screen (PDD-SS), to accurately and quickly screen for PDD. In this prospective study, 70 patients with nondemented (age 73.8 ± 4.4) and 32 demented (age 73.8 ± 4.4) PD regularly attending a Movement Disorders Clinic were included. Diagnosis of dementia was based on DSM-IV criteria, CDR score ≥1, and PD-CRS total score <64. The PDD-SS, Mattis Dementia Rating Scale (MDRS), and Mini-Mental State Examination (MMSE) were administered to all participants. Validity, reliability, and discriminative power of the PDD-SS were examined. The final version of the scale included the items immediate and delayed verbal memory, clock drawing, alternating verbal fluency, and a questionnaire covering cognitive and psychiatric (hallucinations, apathy) symptoms common in PDD. A cutoff score ≤11 on the PDD-SS yielded high sensitivity (89.8%) and specificity (88.5%) for diagnosing PDD. The MDRS displayed similar accuracy, but the PDD-SS administration time was significantly shorter (4.8-6.9 vs. 17.5-25.2 minutes). Diagnosis of dementia using the PDD-SS was not influenced by age, education, or motor function. The PDD-SS appears as the first BST for diagnosing PDD, displays an excellent diagnostic accuracy, and takes 5 to 7 minutes to be administered.
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Pascal:10-0178217

Le document en format XML

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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">PDD-Short Screen: A Brief Cognitive Test for Screening Dementia in Parkinson's Disease</title>
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<author><name sortKey="Llebaria, Gisela" sort="Llebaria, Gisela" uniqKey="Llebaria G" first="Gisela" last="Llebaria">Gisela Llebaria</name>
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<author><name sortKey="Garcia Sanchez, Carmen" sort="Garcia Sanchez, Carmen" uniqKey="Garcia Sanchez C" first="Carmen" last="Garcia-Sanchez">Carmen Garcia-Sanchez</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Movement Disorders Unit, Neurology Department, Sant Pau Hospital, Autonomous University of Barcelona</s1>
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<author><name sortKey="Pascual Sedano, Berta" sort="Pascual Sedano, Berta" uniqKey="Pascual Sedano B" first="Berta" last="Pascual-Sedano">Berta Pascual-Sedano</name>
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<author><name sortKey="Martinez Corral, Merce" sort="Martinez Corral, Merce" uniqKey="Martinez Corral M" first="Mercè" last="Martinez-Corral">Mercè Martinez-Corral</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Movement Disorders Unit, Neurology Department, Sant Pau Hospital, Autonomous University of Barcelona</s1>
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<author><name sortKey="Gironell, Alexandre" sort="Gironell, Alexandre" uniqKey="Gironell A" first="Alexandre" last="Gironell">Alexandre Gironell</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Movement Disorders Unit, Neurology Department, Sant Pau Hospital, Autonomous University of Barcelona</s1>
<s2>Barcelona</s2>
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<country>Espagne</country>
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<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas (CIBERNED)</s1>
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<country>Espagne</country>
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<series><title level="j" type="main">Movement disorders</title>
<title level="j" type="abbreviated">Mov. disord.</title>
<idno type="ISSN">0885-3185</idno>
<imprint><date when="2010">2010</date>
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<seriesStmt><title level="j" type="main">Movement disorders</title>
<title level="j" type="abbreviated">Mov. disord.</title>
<idno type="ISSN">0885-3185</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Dementia</term>
<term>Medical screening</term>
<term>Nervous system diseases</term>
<term>Parkinson disease</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Démence</term>
<term>Maladie de Parkinson</term>
<term>Pathologie du   système nerveux</term>
<term>Dépistage</term>
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<front><div type="abstract" xml:lang="en">The diagnosis of Parkinson's disease with dementia (PDD) is currently based on clinical criteria (DSM-IV, MDS-Task Force). In daily practice and research studies, these criteria still depend on the subjective impression of the examiner. Brief screening tests (BST) are helpful in identifying patients with PD with dementia, which can be difficult in patients with advanced PD. We aimed to develop a BST for PD, the PDD-Short Screen (PDD-SS), to accurately and quickly screen for PDD. In this prospective study, 70 patients with nondemented (age 73.8 ± 4.4) and 32 demented (age 73.8 ± 4.4) PD regularly attending a Movement Disorders Clinic were included. Diagnosis of dementia was based on DSM-IV criteria, CDR score ≥1, and PD-CRS total score <64. The PDD-SS, Mattis Dementia Rating Scale (MDRS), and Mini-Mental State Examination (MMSE) were administered to all participants. Validity, reliability, and discriminative power of the PDD-SS were examined. The final version of the scale included the items immediate and delayed verbal memory, clock drawing, alternating verbal fluency, and a questionnaire covering cognitive and psychiatric (hallucinations, apathy) symptoms common in PDD. A cutoff score ≤11 on the PDD-SS yielded high sensitivity (89.8%) and specificity (88.5%) for diagnosing PDD. The MDRS displayed similar accuracy, but the PDD-SS administration time was significantly shorter (4.8-6.9 vs. 17.5-25.2 minutes). Diagnosis of dementia using the PDD-SS was not influenced by age, education, or motor function. The PDD-SS appears as the first BST for diagnosing PDD, displays an excellent diagnostic accuracy, and takes 5 to 7 minutes to be administered.</div>
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<fA11 i1="01" i2="1"><s1>PAGONABARRAGA (Javier)</s1>
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<fA11 i1="02" i2="1"><s1>KULISEVSKY (Jaime)</s1>
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<fC01 i1="01" l="ENG"><s0>The diagnosis of Parkinson's disease with dementia (PDD) is currently based on clinical criteria (DSM-IV, MDS-Task Force). In daily practice and research studies, these criteria still depend on the subjective impression of the examiner. Brief screening tests (BST) are helpful in identifying patients with PD with dementia, which can be difficult in patients with advanced PD. We aimed to develop a BST for PD, the PDD-Short Screen (PDD-SS), to accurately and quickly screen for PDD. In this prospective study, 70 patients with nondemented (age 73.8 ± 4.4) and 32 demented (age 73.8 ± 4.4) PD regularly attending a Movement Disorders Clinic were included. Diagnosis of dementia was based on DSM-IV criteria, CDR score ≥1, and PD-CRS total score <64. The PDD-SS, Mattis Dementia Rating Scale (MDRS), and Mini-Mental State Examination (MMSE) were administered to all participants. Validity, reliability, and discriminative power of the PDD-SS were examined. The final version of the scale included the items immediate and delayed verbal memory, clock drawing, alternating verbal fluency, and a questionnaire covering cognitive and psychiatric (hallucinations, apathy) symptoms common in PDD. A cutoff score ≤11 on the PDD-SS yielded high sensitivity (89.8%) and specificity (88.5%) for diagnosing PDD. The MDRS displayed similar accuracy, but the PDD-SS administration time was significantly shorter (4.8-6.9 vs. 17.5-25.2 minutes). Diagnosis of dementia using the PDD-SS was not influenced by age, education, or motor function. The PDD-SS appears as the first BST for diagnosing PDD, displays an excellent diagnostic accuracy, and takes 5 to 7 minutes to be administered.</s0>
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	Movement Disorders (revue)
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Movement Disorders (revue)

PDD-Short Screen: A Brief Cognitive Test for Screening Dementia in Parkinson's Disease

PDD-Short Screen: A Brief Cognitive Test for Screening Dementia in Parkinson's Disease

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