Clock-Drawing Test as a Screening Tool for Cognitive Impairment Associated With Fecal Immunochemical Test Collection Errors

The purposes of this study were to determine if (1) certain demographic characteristics (potential predictors) of participants, and (2) clock-drawing test results (as a screening test for cognitive impairment) were associated with fecal immunochemical test (FIT) sample collection errors. Patients sc...

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Bibliographic Details
Published in:Annals of family medicine 2022-09, Vol.20 (5), p.452-459
Main Authors: Daly, Jeanette M, Xu, Yinghui, Crockett, Seth D, Schmidt, Megan E, Kim, Peter, Levy, Barcey T
Format: Article
Language:English
Subjects:
Causes of
Cognition disorders
Cognitive Dysfunction - diagnosis
Colonoscopy
Colorectal cancer
Colorectal Neoplasms - diagnosis
Demographic aspects
Diagnosis
Diagnostic errors
Early Detection of Cancer
Feces
Female
Humans
Male
Mass Screening - methods
Mental health screening
Methods
Middle Aged
Neuropsychological Tests
Original Research
Citations: Items that cite this one
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Summary:The purposes of this study were to determine if (1) certain demographic characteristics (potential predictors) of participants, and (2) clock-drawing test results (as a screening test for cognitive impairment) were associated with fecal immunochemical test (FIT) sample collection errors. Patients scheduled for an upcoming colonoscopy were asked to collect stool samples using 5 different FITs. Patients completed a questionnaire that included the clock-drawing test. Errors included mistakes or omissions in recording the stool collection date and errors in stool collection. Each clock drawing was scored by 2 reviewers using 2 established methods. Of the 1,448 participants with a clock drawing, 63% were female with a mean age of 63 years. In this population there were 83% White, 6% Black, and 24% Hispanic persons. Cognitive impairment was found in 292 patients by the Mendes-Santos method. Kappa coefficient for the 2 clock-drawing scores was 0.79 (
ISSN:1544-1709
1544-1717
DOI:10.1370/afm.2855