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Centre for Policy on Ageing | |
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| Standardization of the clinical diagnosis of the dementia syndrome and its subtypes in a cross-national study: the Ni-Hon-Sea experience | | Author(s) | Eric B Larson, Susan M McCurry, Amy B Graves |
| Journal title | The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, vol 53A, no 4, July 1998 |
| Pages | pp M313-M319 |
| Keywords | Dementia ; Evaluation ; Diagnosis ; Cross national surveys ; Japan ; United States of America. |
| Annotation | Exercises were conducted to evaluate the inter-observer agreement on clinical diagnoses of dementia and dementia subtypes in a cross-national study of dementia prevalence and incidence rates in the United States (US) and Japan. Fifteen clinicians from four participating sites assessed the diagnosis of 85 patients based on standardised summaries of clinical and diagnostic test data on each patient. Diagnostic guidelines and conventions were adopted on the basis of group consensus during standardisation exercises. Using DSM-III-R criteria, generally good levels of agreement for all dementia diagnostic categories occurred in both years. For most measures of diagnostic agreement, improvements were observed between the 1995 and 1996 standardisation sessions. Inter-rated agreement was highest for discrimination between dementia and non-dementia. The authors concluded that clinicians from different cultures and medical traditions can reliably use the DSM-II-R criteria to classify dementia cases in cross-national research. (AKM). |
| Accession Number | CPA-981026419 A |
| Classmark | EA: 4C: LK7: 3K: 7DT: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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