Clinical judgement by primary care physicians for the diagnosis of all-cause dementia or cognitive impairment in symptomatic people: a Cochrane Review

The target conditions were dementia and cognitive impairment (mild cognitive impairment and dementia) and we included studies with any appropriate reference standard such as the Diagnostic and Statistical Manual of Mental Disorders (DSM), International Classification of Diseases (ICD), aetiological...

Full description

Saved in:
Bibliographic Details
Published in:BJPsych advances 2023-11, Vol.29 (6), p.368-368
Main Authors: Creavin, Samuel T., Noel-Storr, Anna H, Langdon, Ryan J., Richard, Edo, Creavin, Alexandra L., Cullum, Sarah, Purdy, Sarah, Ben-Shlomo, Yoav
Format: Article
Language:English
Subjects:
Accuracy
Cochrane corner
Cognitive ability
Dementia
Primary care
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The target conditions were dementia and cognitive impairment (mild cognitive impairment and dementia) and we included studies with any appropriate reference standard such as the Diagnostic and Statistical Manual of Mental Disorders (DSM), International Classification of Diseases (ICD), aetiological definitions, or expert clinical diagnosis. Data collection and analysis Two review authors screened titles and abstracts for relevant articles and extracted data separately with differences resolved by consensus discussion. In the meta-analysis for dementia as the target condition, in eight studies in which a total of 826 of 2790 participants had dementia, the summary diagnostic accuracy of clinical judgement of general practitioners was sensitivity 58% (95% confidence interval (CI) 43 to 72%), specificity 89% (95% CI 79 to 95%), positive likelihood ratio 5.3 (95% CI 2.4 to 8.2), and negative likelihood ratio 0.47 (95% CI 0.33 to 0.61).
ISSN:2056-4678
2056-4686
DOI:10.1192/bja.2023.52