A recommended scale for cognitive screening in clinical trials of Parkinson's disease

Cognitive impairment is common in Parkinson's disease (PD). There is a critical need for a brief, standard cognitive screening measure for use in PD trials whose primary focus is not on cognition. The Parkinson Study Group (PSG) Cognitive/Psychiatric Working Group formed a Task Force to make re...

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Veröffentlicht in:Movement disorders 2010-11, Vol.25 (15), p.2501-2507
Hauptverfasser: Chou, Kelvin L., Amick, Melissa M., Brandt, Jason, Camicioli, Richard, Frei, Karen, Gitelman, Darren, Goldman, Jennifer, Growdon, John, Hurtig, Howard I., Levin, Bonnie, Litvan, Irene, Marsh, Laura, Simuni, Tanya, Tröster, Alexander I., Uc, Ergun Y.
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container_end_page 2507
container_issue 15
container_start_page 2501
container_title Movement disorders
container_volume 25
creator Chou, Kelvin L.
Amick, Melissa M.
Brandt, Jason
Camicioli, Richard
Frei, Karen
Gitelman, Darren
Goldman, Jennifer
Growdon, John
Hurtig, Howard I.
Levin, Bonnie
Litvan, Irene
Marsh, Laura
Simuni, Tanya
Tröster, Alexander I.
Uc, Ergun Y.
description Cognitive impairment is common in Parkinson's disease (PD). There is a critical need for a brief, standard cognitive screening measure for use in PD trials whose primary focus is not on cognition. The Parkinson Study Group (PSG) Cognitive/Psychiatric Working Group formed a Task Force to make recommendations for a cognitive scale that could screen for dementia and mild cognitive impairment in clinical trials of PD where cognition is not the primary outcome. This Task Force conducted a systematic literature search for cognitive assessments previously used in a PD population. Scales were then evaluated for their appropriateness to screen for cognitive deficits in clinical trials, including brief administration time (
doi_str_mv 10.1002/mds.23362
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There is a critical need for a brief, standard cognitive screening measure for use in PD trials whose primary focus is not on cognition. The Parkinson Study Group (PSG) Cognitive/Psychiatric Working Group formed a Task Force to make recommendations for a cognitive scale that could screen for dementia and mild cognitive impairment in clinical trials of PD where cognition is not the primary outcome. This Task Force conducted a systematic literature search for cognitive assessments previously used in a PD population. Scales were then evaluated for their appropriateness to screen for cognitive deficits in clinical trials, including brief administration time (&lt;15 minutes), assessment of the major cognitive domains, and potential to detect subtle cognitive impairment in PD. Five scales of global cognition met the predetermined screening criteria and were considered for review. Based on the Task Force's evaluation criteria the Montreal Cognitive Assessment (MoCA), appeared to be the most suitable measure. This Task Force recommends consideration of the MoCA as a minimum cognitive screening measure in clinical trials of PD where cognitive performance is not the primary outcome measure. The MoCA still requires further study of its diagnostic utility in PD populations but appears to be the most appropriate measure among the currently available brief cognitive assessments. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Biological and medical sciences
Clinical Trials as Topic
Cognition
Cognition Disorders - complications
Cognition Disorders - diagnosis
Cognition Disorders - psychology
cognitive impairment
cognitive screening
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Humans
Medical sciences
Movement disorders
Neurology
Neuropsychological Tests
Parkinson Disease - complications
Parkinson Disease - psychology
Parkinson's disease
Psychometrics
Surveys and Questionnaires
title A recommended scale for cognitive screening in clinical trials of Parkinson's disease
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