Three screening methods for cognitive dysfunction using the Mini-Mental State Examination and Korean Dementia Screening Questionnaire

Seong Hye Choi, Moon Ho Park

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Aim: To screen for and determine cognitive dysfunction, cognitive tests and/or informant reports are commonly used. However, these cognitive tests and informant reports are not always available. The present study investigated three screening methods using the Mini-Mental State Examination (MMSE) as the cognitive test, and the Korean dementia screening questionnaire (KDSQ) as the informant report. Methods: Participants were recruited from the Korea Clinical Research Center for Dementia of South Korea, and included 2861 patients with Alzheimer's disease (dementia), 3519 patients with mild cognitive impairment and 1375 controls with no cognitive dysfunction. Three screening methods were tested: (i) MMSE alone (MMSEcut-off); (ii) a conventional combination of MMSE and KDSQ (MMSE+KDSQcut-off); and (iii) a decision tree with MMSE and KDSQ (MMSE+KDSQdecision tree). Results: For discriminating any cognitive dysfunction from controls, MMSE+KDSQcut-off had the highest area under the receiver operating characteristic curve (0.784). For discriminating dementia from controls, MMSE+KDSQcut-off had the highest area under the receiver operating characteristic curve (0.899). For discriminating mild cognitive impairment from controls, MMSEcut-off had the highest area under the receiver operating characteristic curve (0.683). MMSE+KDSQdecision tree showed the highest sensitivity for all discriminations. For overall classification accuracy, MMSE+KDSQdecision tree had the highest value (70.0%). Conclusions: These three methods had different advantageous properties for screening and staging cognitive dysfunction. As there might be different availability across clinical settings, these three methods can be selected and used according to situational needs. Geriatr Gerontol Int 2016; 16: 252-258.

Original languageEnglish
Pages (from-to)252-258
Number of pages7
JournalGeriatrics and Gerontology International
Volume16
Issue number2
DOIs
Publication statusPublished - 2016 Feb 1

Fingerprint

dementia
Dementia
examination
questionnaire
ROC Curve
Alzheimer Disease
recipient
Decision Trees
Republic of Korea
Korea
Cognitive Dysfunction
Surveys and Questionnaires
staging
South Korea
Research
discrimination

Keywords

  • Cognitive dysfunction
  • Korean dementia screening questionnaire
  • Mini-Mental State Examination
  • Screening

ASJC Scopus subject areas

  • Health(social science)
  • Gerontology
  • Geriatrics and Gerontology

Cite this

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title = "Three screening methods for cognitive dysfunction using the Mini-Mental State Examination and Korean Dementia Screening Questionnaire",
abstract = "Aim: To screen for and determine cognitive dysfunction, cognitive tests and/or informant reports are commonly used. However, these cognitive tests and informant reports are not always available. The present study investigated three screening methods using the Mini-Mental State Examination (MMSE) as the cognitive test, and the Korean dementia screening questionnaire (KDSQ) as the informant report. Methods: Participants were recruited from the Korea Clinical Research Center for Dementia of South Korea, and included 2861 patients with Alzheimer's disease (dementia), 3519 patients with mild cognitive impairment and 1375 controls with no cognitive dysfunction. Three screening methods were tested: (i) MMSE alone (MMSEcut-off); (ii) a conventional combination of MMSE and KDSQ (MMSE+KDSQcut-off); and (iii) a decision tree with MMSE and KDSQ (MMSE+KDSQdecision tree). Results: For discriminating any cognitive dysfunction from controls, MMSE+KDSQcut-off had the highest area under the receiver operating characteristic curve (0.784). For discriminating dementia from controls, MMSE+KDSQcut-off had the highest area under the receiver operating characteristic curve (0.899). For discriminating mild cognitive impairment from controls, MMSEcut-off had the highest area under the receiver operating characteristic curve (0.683). MMSE+KDSQdecision tree showed the highest sensitivity for all discriminations. For overall classification accuracy, MMSE+KDSQdecision tree had the highest value (70.0{\%}). Conclusions: These three methods had different advantageous properties for screening and staging cognitive dysfunction. As there might be different availability across clinical settings, these three methods can be selected and used according to situational needs. Geriatr Gerontol Int 2016; 16: 252-258.",
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N2 - Aim: To screen for and determine cognitive dysfunction, cognitive tests and/or informant reports are commonly used. However, these cognitive tests and informant reports are not always available. The present study investigated three screening methods using the Mini-Mental State Examination (MMSE) as the cognitive test, and the Korean dementia screening questionnaire (KDSQ) as the informant report. Methods: Participants were recruited from the Korea Clinical Research Center for Dementia of South Korea, and included 2861 patients with Alzheimer's disease (dementia), 3519 patients with mild cognitive impairment and 1375 controls with no cognitive dysfunction. Three screening methods were tested: (i) MMSE alone (MMSEcut-off); (ii) a conventional combination of MMSE and KDSQ (MMSE+KDSQcut-off); and (iii) a decision tree with MMSE and KDSQ (MMSE+KDSQdecision tree). Results: For discriminating any cognitive dysfunction from controls, MMSE+KDSQcut-off had the highest area under the receiver operating characteristic curve (0.784). For discriminating dementia from controls, MMSE+KDSQcut-off had the highest area under the receiver operating characteristic curve (0.899). For discriminating mild cognitive impairment from controls, MMSEcut-off had the highest area under the receiver operating characteristic curve (0.683). MMSE+KDSQdecision tree showed the highest sensitivity for all discriminations. For overall classification accuracy, MMSE+KDSQdecision tree had the highest value (70.0%). Conclusions: These three methods had different advantageous properties for screening and staging cognitive dysfunction. As there might be different availability across clinical settings, these three methods can be selected and used according to situational needs. Geriatr Gerontol Int 2016; 16: 252-258.

AB - Aim: To screen for and determine cognitive dysfunction, cognitive tests and/or informant reports are commonly used. However, these cognitive tests and informant reports are not always available. The present study investigated three screening methods using the Mini-Mental State Examination (MMSE) as the cognitive test, and the Korean dementia screening questionnaire (KDSQ) as the informant report. Methods: Participants were recruited from the Korea Clinical Research Center for Dementia of South Korea, and included 2861 patients with Alzheimer's disease (dementia), 3519 patients with mild cognitive impairment and 1375 controls with no cognitive dysfunction. Three screening methods were tested: (i) MMSE alone (MMSEcut-off); (ii) a conventional combination of MMSE and KDSQ (MMSE+KDSQcut-off); and (iii) a decision tree with MMSE and KDSQ (MMSE+KDSQdecision tree). Results: For discriminating any cognitive dysfunction from controls, MMSE+KDSQcut-off had the highest area under the receiver operating characteristic curve (0.784). For discriminating dementia from controls, MMSE+KDSQcut-off had the highest area under the receiver operating characteristic curve (0.899). For discriminating mild cognitive impairment from controls, MMSEcut-off had the highest area under the receiver operating characteristic curve (0.683). MMSE+KDSQdecision tree showed the highest sensitivity for all discriminations. For overall classification accuracy, MMSE+KDSQdecision tree had the highest value (70.0%). Conclusions: These three methods had different advantageous properties for screening and staging cognitive dysfunction. As there might be different availability across clinical settings, these three methods can be selected and used according to situational needs. Geriatr Gerontol Int 2016; 16: 252-258.

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