Evaluation of the National Task Group‐Early Detection Screen for Dementia: Sensitivity to ‘mild cognitive impairment’ in adults with Down syndrome

• Published in: Journal of applied research in intellectual disabilities 2021-05, Vol.34 (3), p.905-915
• Main Authors: Silverman, Wayne, Krinsky‐McHale, Sharon J., Lai, Florence, Diana Rosas, H., Hom, Christy, Doran, Eric, Pulsifer, Margaret, Lott, Ira, Schupf, Nicole
• Format: Article
• Language: English
• Subjects: Accuracy; Adult; Adults; Alzheimer Disease; Alzheimer's disease; Cognitive ability; Cognitive Dysfunction - diagnosis; Dementia; Disease Progression; Down Syndrome; Down Syndrome - diagnosis; Humans; Identification; Intellectual Disability; Medical diagnosis; Medical screening; mild cognitive impairment; Mild Intellectual Disability; Neuropsychological Tests; NTG‐EDSD; Screening Tests
• ISSN: 1360-2322; 1468-3148
• DOI: 10.1111/jar.12849

Background The accuracy of the National Task Group‐Early Detection Screen for Dementia (NTG‐EDSD) was evaluated in a sample of 185 adults with Down syndrome (DS), emphasizing ‘mild cognitive impairment (MCI‐DS)’. Method Knowledgeable informants were interviewed with the NTG‐EDSD, and findings were compared to an independent dementia status rating based on consensus review of detailed assessments of cognition, functional abilities and health status (including physician examination). Results Results indicated that sections of the NTG‐EDSD were sensitive to MCI‐DS, with one or more concerns within the ‘Memory’ or ‘Language and Communication’ domains being most informative. Conclusions The NTG‐EDSD is a useful tool for evaluating dementia status, including MCI‐DS. However, estimates of sensitivity and specificity, even for detecting frank dementia, indicated that NTG‐EDSD findings need to be supplemented by additional sources of relevant information to achieve an acceptable level of diagnostic/screening accuracy.