RT Journal Article
T1 Diagnostic accuracy of the Eurotest for dementia: a naturalistic, multicenter phase II study
A1 Carnero-Pardo, Cristobal
A1 Gurpegui, Manuel
A1 Sanchez-Cantalejo, Emilio
A1 Frank, Ana
A1 Mola, Santiago
A1 Barquero, M Sagrario
A1 Montoro-Rios, M Teresa
K1 Anciano
K1 Anciano de 80 o más Años
K1 Estudios Transversales
K1 Demencia
K1 Escolaridad
K1 Europa (Continente)
K1 Femenino
K1 Administración Financiera
K1 Humanos
K1 Modelos Logísticos
K1 Masculino
K1 Mediana Edad
K1 Pruebas Psicológicas
K1 Curva ROC
K1 Reproducibilidad de Resultados
K1 Sensibilidad y Especificidad
AB BACKGROUNDAvailable screening tests for dementia are of limited usefulness because they are influenced by the patient's culture and educational level. The Eurotest, an instrument based on the knowledge and handling of money, was designed to overcome these limitations. The objective of this study was to evaluate the diagnostic accuracy of the Eurotest in identifying dementia in customary clinical practice.METHODSA cross-sectional, multi-center, naturalistic phase II study was conducted. The Eurotest was administered to consecutive patients, older than 60 years, in general neurology clinics. The patients' condition was classified as dementia or no dementia according to DSM-IV diagnostic criteria. We calculated sensitivity (Sn), specificity (Sp) and area under the ROC curves (aROC) with 95% confidence intervals. The influence of social and educational factors on scores was evaluated with multiple linear regression analysis, and the influence of these factors on diagnostic accuracy was evaluated with logistic regression.RESULTSSixteen neurologists recruited a total of 516 participants: 101 with dementia, 380 without dementia, and 35 who were excluded. Of the 481 participants who took the Eurotest, 38.7% were totally or functionally illiterate and 45.5% had received no formal education. Mean time needed to administer the test was 8.2+/-2.0 minutes. The best cut-off point was 20/21, with Sn = 0.91 (0.84-0.96), Sp = 0.82 (0.77-0.85), and aROC = 0.93 (0.91-0.95). Neither the scores on the Eurotest nor its diagnostic accuracy were influenced by social or educational factors.CONCLUSIONThis naturalistic and pragmatic study shows that the Eurotest is a rapid, simple and useful screening instrument, which is free from educational influences, and has appropriate internal and external validity.
PB BioMed Central
YR 2006
FD 2006-04-10
LK http://hdl.handle.net/10668/655
UL http://hdl.handle.net/10668/655
LA en
NO Carnero-Pardo C, Gurpegui M, Sanchez-Cantalejo E, Frank A, Mola S, Barquero NS et al. Diagnostic accuracy of the Eurotest for dementia: a naturalistic, multicenter phase II study. BMC Neurol. 2006 Apr 10;6:15.
NO Clinical Trial, Phase II; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't; Validation Studies;
DS RISalud
RD Apr 8, 2025