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  • Title: Comparison of the utility of everyday memory test and the Alzheimer's Disease Assessment Scale-Cognitive part for evaluation of mild cognitive impairment and very mild Alzheimer's disease.
    Author: Adachi H, Shinagawa S, Komori K, Toyota Y, Mori T, Matsumoto T, Sonobe N, Kashibayashi T, Ishikawa T, Fukuhara R, Ikeda M.
    Journal: Psychiatry Clin Neurosci; 2013 Apr; 67(3):148-53. PubMed ID: 23581865.
    Abstract:
    AIM: The purpose of this study was to compare the utility of the Rivermead Behavioural Memory Test (RBMT) and the Alzheimer's Disease Assessment Scale-Cognitive part (ADAS-Cog) for the evaluation of mild cognitive impairment (MCI) or very mild Alzheimer's disease (AD). METHODS: The discriminative abilities of RBMT and ADAS-Cog were compared in the very early stage of AD or MCI patients. Furthermore, we evaluated the difference in both RBMT score and ADAS-Cog score between different severities. RESULTS: Evident superiority in the false negative rate was observed in RBMT over ADAS-Cog in MCI or very mild AD. In addition, 86.7% of the subjects overlooked by ADAS-Cog were correctly detected by RBMT profile score. However, the RBMT score falls in the very early stages and the range of the RBMT score is rather narrow. As a result, it is difficult to evaluate status and follow the progression in severer cases. In contrast to RBMT, the ADAS-Cog score has a wide range and can evaluate and follow the severity in more severe cases. CONCLUSION: RBMT is more useful than ADAS-Cog in evaluating patients with MCI or very mild AD.
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