Table 3.
Independent effects of baseline predictors for the prediction of time of dementia onset over 12 years (multivariable mixed-effects Cox regression, n = 3201)
| Baseline predictors | Model with GP+SCD+MMSE | Model with GP+MMSE | Model with SCD+MMSE | Model with GP+SCD | |||||
|---|---|---|---|---|---|---|---|---|---|
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| HR (95% CI) | P-value | HR (95% CI) | P-value | HR (95% CI) | P-value | HR (95% CI) | P-value | ||
| Age (per 1 year older) | 1.10 (1.08 to 1.12) | <0.001 | 1.10 (1.08 to 1.12) | <0.001 | 1.11 (1.09 to 1.14) | <0.001 | 1.12 (1.09 to 1.14) | <0.001 | |
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| Female (ref. male) | 1.07 (0.90 to 1.27) | 0.45 | 1.10 (0.93 to 1.30) | 0.27 | 1.06 (0.89 to 1.25) | 0.51 | 1.09 (0.92 to 1.29) | 0.32 | |
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| Education (ref. low) | Intermediate | 1.01 (0.85 to 1.21) | 0.91 | 1.02 (0.86 to 1.22) | 0.80 | 0.98 (0.82 to 1.17) | 0.80 | 0.84 (0.71 to 1.01) | 0.056 |
| High | 1.15 (0.89 to 1.51) | 0.29 | 1.18 (0.90 to 1.54) | 0.22 | 1.12 (0.86 to 1.46) | 0.39 | 0.85 (0.65 to 1.10) | 0.21 | |
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| GP judgement (ref. GDS 1) | GDS 2 | 1.58 (1.29 to 1.92) | <0.001 | 1.65 (1.36 to 2.01) | <0.001 | — | — | 1.63 (1.34 to 1.98) | <0.001 |
| GDS 3 | 1.98 (1.58 to 2.49) | <0.001 | 2.15 (1.71 to 2.69) | <0.001 | — | — | 2.32 (1.85 to 2.90) | <0.001 | |
| GDS ≥4 | 3.45 (2.59 to 4.59) | <0.001 | 3.73 (2.81 to 4.95) | <0.001 | — | — | 4.19 (3.16 to 5.55) | <0.001 | |
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| SCD (ref. no SCD) | − Worry | 1.24 (1.03 to 1.48) | 0.020 | — | — | 1.27 (1.07 to 1.52) | 0.007 | 1.26 (1.05 to 1.50) | 0.012 |
| + Worry | 2.11 (1.72 to 2.57) | <0.001 | — | — | 2.31 (1.89 to 2.81) | <0.001 | 2.15 (1.76 to 2.62) | <0.001 | |
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| MMSE (per 1 point less) | 1.31 (1.26 to 1.36) | <0.001 | 1.31 (1.26 to 1.37) | <0.001 | 1.33 (1.28 to 1.39) | <0.001 | — | — | |
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| Model fit (BIC)a | 5840.42 | 5873.17 | 5872.06 | 5960.15 | |||||
Lower values indicating better fit. BIC = Bayesian information criterion. GDS = Global Deterioration Scale (7-point scale from 1 to 7 indicating increasing cognitive impairment). HR = hazard ratio. MMSE = Mini-Mental State Examination. SCD = subjective cognitive decline.