Abstract：
:Background: The ageing Arctic populations raise the need for work-up of cognitive function that reflects language and cultural understandings.Aim: To translate and evaluate tools for work-up of cognitive impairment in Greenland.Methods: Step A: An expert panel was established to select tools suitable for the work-up of cognitive impairment at three different settings in Greenland. Step B: Tools were translated in a multiple-step process of independent translations with back-translation and adaptations by two independent translators and two Greenlandic physicians. Step C: a testing and validation process of the tools at three locations: the national hospital in the capital city; regional hospital in a town; health care centre in a small town.Results: Tools selected were Mini-Cog and RUDAS. Participants for testing of tools were 43 of 61 invited, of which six had dementia. RUDAS and Mini-Cog scores were associated (p < 0.001). The smoothed AUC was 0.87 (95%-CI, 0.65-0.95) for Mini-Cog and 0.90 (95%-CI, 0.76-0.97) for RUDAS. The sensitivity of Mini-Cog with a cut-off at ≤3 was 83.3%, and specificity was 62.2%. For RUDAS with a cut-off at ≤23, these were 100% and 75.7%, respectively.Conclusion: Requested tools have been translated for assessing cognitive function in the native Arctic setting. Small town residents with a Mini-Cog score of 3 or lower should be referred to a regional hospital for RUDAS, and a score of 23 or less should cause referral to the national hospital for a full work-up of cognitive function.
journal_name
Int J Circumpolar Healthjournal_title
International journal of circumpolar healthauthors
Kleist I,Noahsen P,Gredal O,Riis J,Andersen Sdoi
10.1080/22423982.2021.1948247keywords:
["Dementia","Inuit","RUDAS","cognitive function","mini-cog","validation"]subject
Has Abstractpub_date
2021-12-01 00:00:00pages
1948247issue
1eissn
1239-9736issn
2242-3982journal_volume
80pub_type
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journal_title：International journal of circumpolar health
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journal_title：International journal of circumpolar health
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journal_title：International journal of circumpolar health
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journal_title：International journal of circumpolar health
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journal_title：International journal of circumpolar health
pub_type： 杂志文章
doi：
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更新日期：1998-01-01 00:00:00
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journal_title：International journal of circumpolar health
pub_type： 杂志文章
doi：
更新日期：1998-01-01 00:00:00
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journal_title：International journal of circumpolar health
pub_type： 杂志文章
doi：
更新日期：1998-01-01 00:00:00
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journal_title：International journal of circumpolar health
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更新日期：2000-10-01 00:00:00
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更新日期：2000-10-01 00:00:00
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