{"title":"调整泰国版本的阿登布鲁克认知考试III教育筛查痴呆症。","authors":"Thammanard Charernboon","doi":"10.2217/nmt-2021-0001","DOIUrl":null,"url":null,"abstract":"<p><p><b>Aim:</b> To examine whether education adjusted cut-off points of the Thai version of the ACE-III improve diagnostic accuracy in the detection of mild cognitive impairment (MCI) and dementia. <b>Materials & methods:</b> There were 172 participants consisting of 70 normal controls, 49 people with MCI and 53 patients with dementia. <b>Results:</b> To screen for MCI, the adjusted for education method yielded greater accuracy for the area under the receiver operating characteristic curve (AuROC) than the unadjusted method (0.9-0.92 vs 0.86). For the detection of dementia, when applying the education correction, AuROC increased from 0.87 (unadjusted) to 0.91 for the education >6 group, but there was no improvement for education ≤6 group (AuROC 0.86). <b>Conclusion:</b> The use of adjusted cut-off score for education level could increase the diagnostic accuracy of the test.</p>","PeriodicalId":19114,"journal":{"name":"Neurodegenerative disease management","volume":"11 4","pages":"299-305"},"PeriodicalIF":2.3000,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Adjusting the Thai version of the Addenbrooke's Cognitive Examination III for education to screen for dementia.\",\"authors\":\"Thammanard Charernboon\",\"doi\":\"10.2217/nmt-2021-0001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Aim:</b> To examine whether education adjusted cut-off points of the Thai version of the ACE-III improve diagnostic accuracy in the detection of mild cognitive impairment (MCI) and dementia. <b>Materials & methods:</b> There were 172 participants consisting of 70 normal controls, 49 people with MCI and 53 patients with dementia. <b>Results:</b> To screen for MCI, the adjusted for education method yielded greater accuracy for the area under the receiver operating characteristic curve (AuROC) than the unadjusted method (0.9-0.92 vs 0.86). For the detection of dementia, when applying the education correction, AuROC increased from 0.87 (unadjusted) to 0.91 for the education >6 group, but there was no improvement for education ≤6 group (AuROC 0.86). <b>Conclusion:</b> The use of adjusted cut-off score for education level could increase the diagnostic accuracy of the test.</p>\",\"PeriodicalId\":19114,\"journal\":{\"name\":\"Neurodegenerative disease management\",\"volume\":\"11 4\",\"pages\":\"299-305\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2021-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Neurodegenerative disease management\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2217/nmt-2021-0001\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2021/7/7 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neurodegenerative disease management","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2217/nmt-2021-0001","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/7/7 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的:探讨泰国版ACE-III的教育调整截断点是否能提高轻度认知障碍(MCI)和痴呆的诊断准确性。材料与方法:172名参与者,其中70名正常对照,49名轻度认知障碍患者和53名痴呆患者。结果:为了筛查MCI,调整教育方法的受试者工作特征曲线下面积(AuROC)比未调整方法的准确度更高(0.9-0.92 vs 0.86)。对于痴呆的检测,应用教育矫正时,教育程度>6组的AuROC从0.87(未经调整)增加到0.91,而教育程度≤6组的AuROC无改善(AuROC为0.86)。结论:教育程度调整分界点可提高该测试的诊断准确性。
Adjusting the Thai version of the Addenbrooke's Cognitive Examination III for education to screen for dementia.
Aim: To examine whether education adjusted cut-off points of the Thai version of the ACE-III improve diagnostic accuracy in the detection of mild cognitive impairment (MCI) and dementia. Materials & methods: There were 172 participants consisting of 70 normal controls, 49 people with MCI and 53 patients with dementia. Results: To screen for MCI, the adjusted for education method yielded greater accuracy for the area under the receiver operating characteristic curve (AuROC) than the unadjusted method (0.9-0.92 vs 0.86). For the detection of dementia, when applying the education correction, AuROC increased from 0.87 (unadjusted) to 0.91 for the education >6 group, but there was no improvement for education ≤6 group (AuROC 0.86). Conclusion: The use of adjusted cut-off score for education level could increase the diagnostic accuracy of the test.