{Reference Type}: Journal Article
{Title}: Feasibility of an online consensus approach for the diagnosis of cognitive impairment and dementia in rural South Africa.
{Author}: Bassil DT;Farrell MT;Weerman A;Guo M;Wagner RG;Brickman AM;Glymour MM;Langa KM;Manly JJ;Tipping B;Butler I;Tollman S;Berkman LF;
{Journal}: Alzheimers Dement (Amst)
{Volume}: 15
{Issue}: 2
{Year}: Apr-Jun 2023
暂无{DOI}: 10.1002/dad2.12420
{Abstract}: <B>BACKGROUND: </B>We describe the development and feasibility of using an online consensus approach for diagnosing cognitive impairment and dementia in rural South Africa.<BR><B>METHODS: </B>Cognitive assessments, clinical evaluations, and informant interviews from Cognition and Dementia in the Health and Aging in Africa Longitudinal Study (HAALSI Dementia) were reviewed by an expert panel using a web-based platform to assign a diagnosis of cognitively normal, mild cognitive impairment (MCI), or dementia.<BR><B>RESULTS: </B>Six hundred thirty-five participants were assigned a final diagnostic category, with 298 requiring adjudication conference calls. Overall agreement between each rater's independent diagnosis and final diagnosis (via the portal or consensus conference) was 78.3%. A moderate level of agreement between raters' individual ratings and the final diagnostic outcomes was observed (average κ coefficient = 0.50).<BR><B>CONCLUSIONS: </B>Findings show initial feasibility in using an online consensus approach for the diagnosis of cognitive impairment and dementia in remote, rural, and low-resource settings.