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. 2021 Jun 30;11(7):881. doi: 10.3390/brainsci11070881

Table 2.

Diagnostic DSST’s classification between the groups of SCD and aMCI, and aMCI and ADD stratified by age and education.

DSST Cutoff AUC Sensitivity Specificity PPV NPV p
SCD-MCI
LEL
50–65 --- 0.333 --- --- --- --- 0.439
66–75 <24 0.761 85.7 65.2 0.59 0.92 0.039
76–85 --- 0.700 --- --- --- --- 0.157
MEL
50–65 --- 0.606 --- --- --- --- 0.379
66–75 <38.5 0.825 85.7 84.1 0.67 0.97 <0.001
76–85 --- 0.450 --- --- --- --- 0.800
HEL
50–65 --- 0.651 --- --- --- --- 0.141
66–75 <46.5 0.800 0.71 0.78 0.67 0.92 0.001
76–85 --- 0.556 --- --- --- --- 0.814
MCI-ADD
LEL
50–65 <19.5 0.969 0.83 1.00 0.88 1.00 0.004
66–75 <13.5 0.768 0.74 0.68 0.65 .88 <0.001
76–85 <13.5 0.820 0.75 0.87 0.61 1.00 0.034
MEL
50–65 <25.5 0.922 1.00 0.80 0.77 1.00 <0.001
66–75 <24 0.836 0.75 0.81 0.73 0.93 <0.001
76–85 <21.5 0.823 70 0.82 0.65 0.99 0.002
HEL
50–65 <25.5 1.000 0.97 1.00 1.00 1.00 0.005
66–75 <24 0.767 0.94 0.65 0.60 0.92 0.004
76–85 19.5 0.830 0.89 0.76 0.65 1.00 0.006
SCD-ADD
LEL
50–65 <20 1.000 1.00 1.00 1.00 1.00 0.014
66–75 <20 0.983 1.00 0.91 0.95 1.00 <0.001
76–85 <18 0.962 1.00 0.94 0.91 1.00 0.117
MEL
50–65 <30 0.944 1.00 1.00 0.90 1.00 0.002
66–75 <27.5 0.913 0.92 0.87 0.77 1.00 <0.001
76–85 <19 0.890 1.00 0.71 0.75 1.00 0.026
HEL
50–65 <33.5 1.000 0.91 1.00 1.00 1.00 0.010
66–75 <30.5 0.934 1.00 0.78 0.82 1.00 <0.001
76–85 <24 0.941 1.00 0.88 0.83 1.00 0.046

Abbreviations: DSST: Digit Symbol Substitution Test; SCD: subjective cognitive decline; MCI: mild cognitive impairment; LEL: low educational level; MEL: middle educational level; HEL: high educational level; AUC: Area under the curve; PPV: positive predictive value; NPV: negative predictive value. Note: sensitivity and specificity values are expressed in percentage.