A Systematic Review of Screening Tools for Predicting the Development of Dementia

Early detection of dementia is essential to guide front-line health care practitioners in further clinical evaluations and treatments. There is a paucity of literature assessing the effectiveness of screening tools to predict the development of dementia, thus we conducted a systematic review to fill...

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Bibliographic Details
Published in:Canadian journal on aging 2012-09, Vol.31 (3), p.295-311
Main Authors: Lischka, Andrea R, Mendelsohn, Marissa, Overend, Tom, Forbes, Dorothy
Format: Article
Language:English
Subjects:
Accuracy
Aged
Aged, 80 and over
Aging
Alzheimer Disease - diagnosis
Alzheimer's disease
Bias
Biological and medical sciences
Citation management software
Cognition
Cognitive ability
Cognitive Development
Cognitive Dysfunction - diagnosis
Dementia
Dementia - diagnosis
Female
Geriatric Assessment - methods
Health care
Health Care Services
Health services
Humans
Keywords
Male
Medical personnel
Medical sciences
Miscellaneous
Neuropsychological Tests - standards
Neuropsychology
Population
Prediction
Predictive Value of Tests
Prevention
Primary Health Care
Psychometrics
Public health. Hygiene
Public health. Hygiene-occupational medicine
Senility
Sensitivity and Specificity
Subject heading schemes
Systematic review
Tests
Treatment Methods
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Summary:Early detection of dementia is essential to guide front-line health care practitioners in further clinical evaluations and treatments. There is a paucity of literature assessing the effectiveness of screening tools to predict the development of dementia, thus we conducted a systematic review to fill this gap. The purpose of the systematic review was to make recommendations to health care practitioners on which screening tool best predicts the development of dementia and is most feasible in the primary care setting. Ten databases were searched for relevant articles, yielding 751 papers. Of these, 12 met relevance criteria for inclusion. Screening tools were assessed for test accuracy, cognitive domain coverage, predictive ability, and feasibility. Four screening tools were recommended. Addenbrooke's Cognitive Examination (ACE) was considered to be the ideal tool. A revised version of this tool is now used in clinical practice but the psychometric properties of the ACE-R remain to be established.
ISSN:0714-9808
1710-1107
DOI:10.1017/S0714980812000220