Predicting Alzheimer's disease based on survival data and longitudinally measured performance on cognitive and functional scales.

Abstract:

:This study assessed how well longitudinally taken cognitive and functional scales from people with mild cognitive impairment (MCI) predict conversion to Alzheimer's disease (AD). Participants were individuals with baseline MCI from the Alzheimer's Disease Neuroimaging Initiative. Scales included the Alzheimer Disease Assessment Scale-Cognitive (ADAS-Cog) 11 and 13, the Mini Mental State Examination (MMSE), and the Functional Assessment Questionnaire (FAQ). A joint modelling approach compared performance on the four scales for dynamic prediction of risk for AD. The goodness of fit measures included log likelihood, the Akaike Information Criterion (AIC) and the Bayesian Information Criterion (BIC). The area under the curve (AUC) of the receiver operating characteristic assessed predictive accuracy. The parameter α in the ADAS-Cog11, ADAS-Cog13, MMSE, and FAQ joint models was statistically significant. Joint MMSE and FAQ models had better goodness of fit. FAQ had the best predictive accuracy. Cognitive and functional impairment assessment scales are strong screening predictors when repeated measures are available. They could be useful for predicting risk for AD in primary healthcare.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Wu Y,Zhang X,He Y,Cui J,Ge X,Han H,Luo Y,Liu L,Wang X,Yu H,Alzheimer's Disease Neuroimaging Initiative.

doi

10.1016/j.psychres.2020.113201

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

113201

eissn

0165-1781

issn

1872-7123

pii

S0165-1781(20)30515-1

journal_volume

291

pub_type

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