0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Differentiating Dementia From Normal

Roland J. Branconnier, MA
JAMA. 1985;254(17):2407. doi:10.1001/jama.1985.03360170047008.
Text Size: A A A
Published online

To the Editor.—  I read with interest the article by Drs Eslinger et al1 entitled "Neuropsychological Detection of Abnormal Mental Decline in Older Persons." The article described a brief neuropsychological test battery that correctly classified 87% of normal controls and dementias in a validation study, and 89% in a subsequent cross-validation study.The method the authors used to discriminate between the normals and dementias was a stepwise linear discriminant-function analysis that used scores from eight neuropsychological tests as potential predictors. This statistical method maximizes the identification of true-positive and true-negative cases, with a minimum number of predictors, and thus optimizes for a parameter called "test efficiency."2,3 However, my colleagues and I have questioned the value of test efficiency as the appropriate characteristic to be maximized in diagnostic screening tests for dementia.4Galen and Gambino3 stress that high test efficiency is desirable when a disease is serious

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();