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. 2017 Mar 14;14(3):e1002250. doi: 10.1371/journal.pmed.1002250

Table 7. Discriminative validity of the b- and i-ADL indices between HC, MCI, and AD.

HC versus MCI
AUC (S.E.) 95% CI p-valuea Optimal Cutoff Sensitivity Specificity
Lawton & Brody Scale (Total) 0.797 (0.03) 0.726–0.868 22.5 67.6% 79.5%
i-ADL-DI 0.858 (0.03) 0.793–0.922 0.042 17.2% 80.8% 84.8%
i-ADL-CDI 0.895 (0.02) 0.840–0.950 0.002 3.8% 80.8% 91.1%
i-ADL-PDI 0.724 (0.04) 0.642–0.805 0.038 7.7% 65.8% 67.1%
Katz Index (Total) 0.709 (0.04) 0.629–0.796 6.5 52.7% 87.3%
b-ADL-DI 0.736 (0.04) 0.655–0.818 0.255 6.2% 53.4% 89.6%
b-ADL-CDI 0.568 (0.04) 0.477–0.660 <0.001 2.1% 13.7% 100%
b-ADL-PDI 0.711 (0.04) 0.628–0.795 0.945 2.1% 58.9% 77.2%
MCI versus AD
AUC (S.E.) 95% CI p-valuea Optimal Cutoff Sensitivity Specificity
Lawton & Brody Scale (Total) 0.719 (0.04) 0.633–0.799 18.5 64.8% 69.3%
i-ADL-DI 0.736 (0.04) 0.654–0.818 0.349 44.1% 70.4% 74.3%
i-ADL-CDI 0.805 (0.03) 0.734–0.876 0.010 23.6% 74.6% 70.3%
i-ADL-PDI 0.546 (0.04) 0.452–0.641 <0.001 8.8% 66.2% 41.1%
Katz Index (Total) 0.593 (0.04) 0.499–0.649 8.5 32.4% 78.1%
b-ADL-DI 0.631 (0.04) 0.539–0.722 0.099 18.3% 46.5% 80.8%
b-ADL-CDI 0.648 (0.04) 0.558–0.739 0.210 6.2% 36.6% 87.7%
b-ADL-PDI 0.555 (0.04) 0.460–0.649 0.197 10.4% 45.1% 64.4%
HC versus AD
AUC (S.E.) 95% CI p-valuea Optimal Cutoff Sensitivity Specificity
Lawton & Brody Scale (Total) 0.932 (0.01) 0.895–0.970 20.5 77.5% 88.5%
i-ADL-DI 0.968 (0.01) 0.938–0.998 0.010 30.5% 90.1% 96.2%
i-ADL-CDI 0.990 (0.00) 0.978–1.000 <0.001 10.5% 93.0% 97.5%
i-ADL-PDI 0.774 (0.03) 0.698–0.849 <0.001 7.7% 71.8% 67.1%
Katz Index (Total) 0.787 (0.03) 0.711–0.864 7.5 53.5% 94.9%
b-ADL-DI 0.828 (0.03) 0.759–0.897 0.039 10.4% 60.6% 93.7%
b-ADL-CDI 0.718 (0.04) 0.633–0.803 0.054 2.1% 43.7% 100%
b-ADL-PDI 0.748 (0.04) 0.668–0.829 0.155 10.4% 45.1% 94.0%

b-ADL-DI: basic Activities of Daily Living—Disability Index; b-ADL-CDI: basic Activities of Daily Living—Cognitive Disability Index; b-ADL-PDI: basic Activities of Daily Living—Physical Disability Index; i-ADL-DI: instrumental Activities of Daily Living—Disability Index; i-ADL-CDI: instrumental Activities of Daily Living—Cognitive Disability Index; i-ADL-PDI: instrumental Activities of Daily Living—Physical Disability Index.

ap-values indicate the significant difference between the indices and the total scores of the Katz Index and Lawton Scale. Differences were calculated by comparing ROC curves with the method of DeLong et al. (1988) [89].