Accuracy of Telephone-Based Cognitive Screening Tests: Systematic Review and Meta-Analysis

doi:10.2174/1567205017999200626201121

摘要

背景:就测试负担、经济成本和机会成本而言，基于电话的认知评估可能比当面测试更可取。目的:我们试图确定以基于电话筛查识别痴呆或轻度认知障碍(MCI)的准确性。方法:检索5个多学科数据库。两名研究人员独立筛选文章并提取数据。纳入的研究中比较了任何基于电话的多领域认知评估和面对面的诊断评估。在数据允许的情况下，我们使用双变量方法合并测试精度指标。结果:从11,732个题目中，纳入34篇论文，描述15种不同的测试。纳入研究的测试分数和质量存在差异。痴呆准确性的汇总分析:认知状态电话访谈(TICS) (<31/41) 敏感性：0.92，特异性：0.66(6项研究)；TICS-modified (<28/50) 敏感性：0.91，特异性：0.91(3项研究)。MCI：TICS-modified (<33/50) 敏感性：0.82，特异性：0.87(3项研究)；Telephone-Montreal认知评估(<18/22) 敏感性：0.98，特异性：0.69(2项研究)。结论:许多基于电话的认知筛选存在的诊断准确性证据是有限的。TICS和TICS-m有最好的支持证据；这些测试的准确性档案使其适合作为初始的认知筛选，而这在面对面评估中是不适合的。

关键词: 认知障碍，痴呆，电话评估，敏感性，特异性，认知筛查，诊断准确性。

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DOI https://dx.doi.org/10.2174/1567205017999200626201121	Print ISSN 1567-2050
Publisher Name Bentham Science Publisher	Online ISSN 1875-5828

当代阿耳茨海默病研究

基于电话的认知筛选测试的准确性:系统回顾和综合分析

摘要

当代阿耳茨海默病研究

基于电话的认知筛选测试的准确性:系统回顾和综合分析

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