Critical evaluation of COSMIN scores in scales for mild cognitive impairment and Alzheimer's disease: A comprehensive review.

IF 2.8 Q2 NEUROSCIENCES
Journal of Alzheimer's disease reports Pub Date : 2024-11-24 eCollection Date: 2024-01-01 DOI:10.1177/25424823241299023
Xia Peng, Run-Chen Li, Ting Liang, Shi-Fen Xu, Yan Cao
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Abstract

Background: Timely diagnosis and intervention of mild cognitive impairment (MCI) can delay the development of Alzheimer's disease (AD). Objective: The purpose of this study was to analyze assessment tools for cognitive function using the Consensus Criteria for Selection of Health Measurement Instruments (COSMIN) method. Comparing the validity, reliability, and practicality of these assessment tools helps clinicians select appropriate assessment tools for patients, thereby improving diagnostic accuracy. Methods:We followed the updated Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and used the COSMIN checklist to conduct a thorough methodological quality assessment of the studies. The measurement properties were evaluated and rated on a scale from excellent to poor, based on adapted criteria. We then synthesized the best evidence by combining the COSMIN outcomes with the quality of findings to ensure a precise and comprehensive analysis. Results: We identified a total of 156 publications, which included 19 different cognitive assessment instruments. Among these, the Telephone version of the Cantonese Mini-Mental State Examination (T-CMMSE), the Montreal Cognitive Assessment (MoCA), and the Hong Kong versions of the MoCA (HK-MoCA-A1 and A2) demonstrated distinguished qualities. The assessment of measurement properties included internal consistency, reliability, validity, and sensitivity and specificity. Notably, the T-CMMSE showed superior methodological quality based on our rigorous analysis. Conclusions: The T-CMMSE, MoCA, and HK-MoCA-A1 and A2 were found to be notable cognitive assessment tools for MCI and AD. Future research should aim to expand on these findings by exploring a wider range of tools and contexts.

轻度认知障碍和阿尔茨海默病量表中COSMIN评分的关键评价:一项综合综述
背景:轻度认知障碍(MCI)的及时诊断和干预可以延缓阿尔茨海默病(AD)的发展。目的:本研究的目的是分析使用健康测量工具选择共识标准(COSMIN)方法的认知功能评估工具。比较这些评估工具的效度、信度和实用性有助于临床医生为患者选择合适的评估工具,从而提高诊断的准确性。方法:我们遵循更新的系统评价和荟萃分析首选报告项目指南,并使用COSMIN清单对研究进行全面的方法学质量评估。测量性能的评估和评级从优秀到差,基于适应的标准。然后,我们通过将COSMIN结果与研究结果的质量相结合来综合最佳证据,以确保进行精确和全面的分析。结果:我们共确定了156份出版物,其中包括19种不同的认知评估工具。其中,电话版粤语精神状态测试、蒙特利尔认知能力测试及香港版粤语认知能力测试(HK-MoCA-A1及A2)表现优异。测量特性的评估包括内部一致性、信度、效度、敏感性和特异性。值得注意的是,基于我们严格的分析,T-CMMSE显示出优越的方法学质量。结论:T-CMMSE、MoCA、HK-MoCA-A1和A2是MCI和AD的重要认知评估工具。未来的研究应该旨在通过探索更广泛的工具和背景来扩展这些发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
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