Diagnostic performance of the six-item cognitive impairment test as first-step screening for dementia: a meta-analysis.

IF 0.4 3区文学 0 LITERATURE

ENGLISH Pub Date : 2023-09-01 Epub Date: 2022-09-06 DOI:10.1017/BrImp.2022.22

Seong-Hi Park

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引用次数: 0

Abstract

Objective: Dementia, a slowly progressive disease, is poorly diagnosed. One reason is that it is difficult to use the screening tools. The six-item cognitive impairment test (6-CIT) is brief, with six items, and has a confirmed scoring system that can easily be used by an average individual. This review aimed to analyze the predictive validity of the 6-CIT including comparisons with other tools such as the Mini-Mental State Examination (MMSE).

Methods: Literature searches were performed on the MEDLINE, EMBASE, CINAHL, and PsycArticles using the dementia and 6-CITas keywords. The Quality Assessment of Diagnostic Accuracy Studies-2 was applied to assess the risk of bias.

Results: Seven studies with 6,831 participants that met the selection criteria were included. The pooled sensitivity of the 6-CIT analyzed in seven studies was 0.82 (95% CI 0.73-0.89), the pooled specificity was 0.87, and the summary receiver operating characteristic (sROC) curve was 0.90 (SE = 0.04). The diagnostic performance of the 6-CIT and MMSE was compared in three studies. The pooled sensitivity of the 6-CIT was 0.85, the pooled specificity was 0.91, and the sROC curve was 0.91, whereas the MMSE values were 0.70, 0.93, and 0.68, respectively.

Conclusion: This review presents evidence that the 6-CIT has excellent dementia screening performance and could be used as a potential alternative to the MMSE. The 6-CIT may provide an opportunity for early detection of dementia.

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六项认知障碍测试作为痴呆症第一步筛查的诊断性能：一项荟萃分析。

目的：痴呆症是一种缓慢进展的疾病，诊断率很低。原因之一是难以使用筛查工具。六项认知功能障碍测试（6-CIT）简明扼要，共有六个项目，并有一套成熟的评分系统，普通人也能轻松使用。本综述旨在分析 6-CIT 的预测有效性，包括与迷你精神状态检查（MMSE）等其他工具的比较：方法：使用痴呆和 6-CIT 作为关键词在 MEDLINE、EMBASE、CINAHL 和 PsycArticles 上进行文献检索。采用诊断准确性研究质量评估-2 评估偏倚风险：结果：共纳入了 7 项研究，6831 名参与者符合筛选标准。7项研究中分析的6-CIT汇总灵敏度为0.82（95% CI 0.73-0.89），汇总特异度为0.87，汇总接收者操作特征（sROC）曲线为0.90（SE = 0.04）。三项研究比较了 6-CIT 和 MMSE 的诊断性能。6-CIT 的汇总灵敏度为 0.85，汇总特异度为 0.91，sROC 曲线为 0.91，而 MMSE 的值分别为 0.70、0.93 和 0.68：本综述提供的证据表明，6-CIT 具有出色的痴呆症筛查性能，可作为 MMSE 的潜在替代方法。6-CIT 可为早期发现痴呆症提供机会。

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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来源期刊

ENGLISH LITERATURE-

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： English is an internationally known journal of literary criticism, published on behalf of The English Association. Each issue contains essays on major works of English literature or on topics of general literary interest, aimed at readers within universities and colleges and presented in a lively and engaging style. There is a substantial review section, in which reviewers have space to situate a book within the context of recent developments in its field, and present a detailed argument. English is unusual among academic journals in publishing original poetry. This policy embodies the view that the critical and creative functions, often so widely separated in the teaching of English, can co-exist and cross-fertilise each other.