Table 4.
Positive and negative predictive values of memory complaints, global cognitive impairment with no dementia, and impairment on domain specific cognitive tests for Alzheimer's disease and dementia* at three year follow up with three step screening
Step 1: Tests in the general population
|
Step 2: Testing only people with memory complaints
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Step 3: Testing only people with both memory complaints and cognitive impairment
|
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---|---|---|---|---|---|---|---|---|
Positive predictive value (95% CI)
|
Negative predictive value (95% CI)
|
Positive predictive value (95% CI)
|
Negative predictive value (95% CI)
|
Positive predictive value (95% CI)
|
Negative predictive value (95% CI)
|
|||
Memory complaint | 0.25 (0.21 to 0.29) | 0.88 (0.86 to 0.90) | — | — | — | — | ||
Global cognitive impairment with no dementia | 0.35 (0.28 to 0.42) | 0.87 (0.85 to 0.89) | 0.45 (0.34 to 0.57) | 0.80 (0.75 to 0.84) | — | — | ||
Domain specific cognitive impairment: | ||||||||
Episodic/recall impairment | 0.37 (0.23 to 0.51) | 0.87 (0.83 to 0.91) | 0.41 (0.22 to 0.60) | 0.80 (0.71 to 0.88) | 0.75 (0.51 to 0.99) | 0.73 (0.56 to 0.89) | ||
Verbal fluency impairment | 0.34 (0.21 to 0.46) | 0.88 (0.84 to 0.91) | 0.44 (0.25 to 0.64) | 0.82 (0.74 to 0.90) | 0.85 (0.62 to 1) | 0.65 (0.47 to 0.82) | ||
Visuospatial impairment | 0.33 (0.20 to 0.45) | 0.87 (0.83 to 0.91) | 0.33 (0.15 to 0.50) | 0.79 (0.70 to 0.87) | 0.24 (0.01 to 0.47) | 0.49 (0.29 to 0.68) |
Progression to dementia versus remaining alive or dying without dementia.