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Validity, reliability, and feasibility of clinical staging scales in dementia : a systematic review

Rikkert, Marcel G. M. Olde and Tona, Klodiana Daphne and Janssen, Lieneke and Burns, Alistair and Lobo, Anatonio and Robert, Philippe and Sartorius, Norman and Stoppe, Gabriela and Waldemar, Gunhild. (2011) Validity, reliability, and feasibility of clinical staging scales in dementia : a systematic review. American journal of Alzheimer's disease and other dementias, Vol. 26, no. 5. pp. 357-365.

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Official URL: http://edoc.unibas.ch/dok/A6007680

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Abstract

New staging systems of dementia require adaptation of disease management programs and adequate staging instruments. Therefore, we systematically reviewed the literature on validity and reliability of clinically applicable, multidomain, and dementia staging instruments. A total of 23 articles describing 12 staging instruments were identified (N = 6109 participants, age 65-87). Reliability was studied in most (91%) of the articles and was judged moderate to good. Approximately 78% of the articles evaluated concurrent validity, which was good to very good, while discriminant validity was assessed in only 25%. The scales can be applied in ±15 minutes. Clinical Dementia Rating (CDR), Global Deterioration scale (GDS), and Functional Assessment Staging (FAST) have been monitored on reliability and validity, and the CDR currently is the best-evidenced scale, also studied in international perspective, and is available in 14 languages. Taking into account the increasing differentiation of Alzheimer's disease in preclinical and predementia stages, there is an urgent need for global rating scales to be refined as well.
Faculties and Departments:03 Faculty of Medicine > Bereich Psychiatrie (Klinik) > Erwachsenenpsychiatrie UPK > Erwachsenenpsychiatrie (Lang)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Psychiatrie (Klinik) > Erwachsenenpsychiatrie UPK > Erwachsenenpsychiatrie (Lang)
UniBasel Contributors:Stoppe, Gabriela
Item Type:Article, refereed
Article Subtype:Further Journal Contribution
Bibsysno:Link to catalogue
Publisher:Sage
Note:Publication type according to Uni Basel Research Database: Journal item
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Last Modified:21 Jun 2013 12:29
Deposited On:21 Jun 2013 12:28

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