Ascertaining dementia by expert panel in epidemiologic studies of nursing home residents

Jay Magaziner; Sheryl Itkin Zimmerman; Pearl S. German; Kris Kuhn; Conrad May; Frank Hooper; Donna Cox; J. Richard Hebel; Steven Kittner; Lynda Burton; Paul Fishman; Bruce Kaup; Joana Rosario; Mary Cody

doi:10.1016/S1047-2797(96)00065-8

Ascertaining dementia by expert panel in epidemiologic studies of nursing home residents

Jay Magaziner, Sheryl Itkin Zimmerman, Pearl S. German, Kris Kuhn, Conrad May, Frank Hooper, Donna Cox, J. Richard Hebel, Steven Kittner, Lynda Burton, Paul Fishman, Bruce Kaup, Joana Rosario, Mary Cody

Research output: Contribution to journal › Article › peer-review

27 Scopus citations

Abstract

A new method for ascertaining dementia in epidemiologic research and the results of a study to evaluate it are described. The method relies on an expert panel of clinicians reviewing clinically relevant information collected by lay evaluators to arrive at a diagnosis based on DSM-III-R criteria. The approach was developed to study dementia in a statewide sample of over 2400 new admissions to 59 nursing homes in Maryland. Expert panel ascertainment of dementia was compared to that obtained by direct clinical evaluation for 100 nursing home residents. Agreement between the panel and direct assessment was 76% (kappa = 0.59) using a three-category classification of dementia, no dementia, and indeterminate. This ascertainment strategy provides an alternative to methods currently in use and is particularly well-suited for populations with a high prevalence, in those dispersed over large geographic areas, and when timely, cost-effective evaluations are required.

Original language	English (US)
Pages (from-to)	431-437
Number of pages	7
Journal	Annals of epidemiology
Volume	6
Issue number	5
DOIs	https://doi.org/10.1016/S1047-2797(96)00065-8
State	Published - Sep 1996
Externally published	Yes

Keywords

Dementia
aging
assessment
epidemiologic methods
methodology
nursing home

ASJC Scopus subject areas

Epidemiology

Access to Document

10.1016/S1047-2797(96)00065-8

Cite this

@article{3cc49a281098434585ac3f9392ab726b,

title = "Ascertaining dementia by expert panel in epidemiologic studies of nursing home residents",

abstract = "A new method for ascertaining dementia in epidemiologic research and the results of a study to evaluate it are described. The method relies on an expert panel of clinicians reviewing clinically relevant information collected by lay evaluators to arrive at a diagnosis based on DSM-III-R criteria. The approach was developed to study dementia in a statewide sample of over 2400 new admissions to 59 nursing homes in Maryland. Expert panel ascertainment of dementia was compared to that obtained by direct clinical evaluation for 100 nursing home residents. Agreement between the panel and direct assessment was 76% (kappa = 0.59) using a three-category classification of dementia, no dementia, and indeterminate. This ascertainment strategy provides an alternative to methods currently in use and is particularly well-suited for populations with a high prevalence, in those dispersed over large geographic areas, and when timely, cost-effective evaluations are required.",

keywords = "Dementia, aging, assessment, epidemiologic methods, methodology, nursing home",

author = "Jay Magaziner and Zimmerman, {Sheryl Itkin} and German, {Pearl S.} and Kris Kuhn and Conrad May and Frank Hooper and Donna Cox and Hebel, {J. Richard} and Steven Kittner and Lynda Burton and Paul Fishman and Bruce Kaup and Joana Rosario and Mary Cody",

note = "Funding Information: This research was supported by a grant from the National Institute on Aging (ROl AG8211). We acknowledge the cooperation of the facilities, residents, and families participating in the University of Maryland Long-Term Care Project; Mary Gang&, MD (University of Pittsburgh), Albert Heyman, MD (Duke University), Dana Hilt, MD (Amgen Pharmaceutical, Inc.), Peter Rabins, MD, (The Johns Hopkins University), and Barry Rovner, MD (Wills Eye Hospital, Philadelphia) for their advice in designing the panel methodology; and Anna Sykes and Suzanne Miller for their expert typing.",

year = "1996",

month = sep,

doi = "10.1016/S1047-2797(96)00065-8",

language = "English (US)",

volume = "6",

pages = "431--437",

journal = "Annals of epidemiology",

issn = "1047-2797",

publisher = "Elsevier Inc.",

number = "5",

}

TY - JOUR

T1 - Ascertaining dementia by expert panel in epidemiologic studies of nursing home residents

AU - Magaziner, Jay

AU - Zimmerman, Sheryl Itkin

AU - German, Pearl S.

AU - Kuhn, Kris

AU - May, Conrad

AU - Hooper, Frank

AU - Cox, Donna

AU - Hebel, J. Richard

AU - Kittner, Steven

AU - Burton, Lynda

AU - Fishman, Paul

AU - Kaup, Bruce

AU - Rosario, Joana

AU - Cody, Mary

N1 - Funding Information: This research was supported by a grant from the National Institute on Aging (ROl AG8211). We acknowledge the cooperation of the facilities, residents, and families participating in the University of Maryland Long-Term Care Project; Mary Gang&, MD (University of Pittsburgh), Albert Heyman, MD (Duke University), Dana Hilt, MD (Amgen Pharmaceutical, Inc.), Peter Rabins, MD, (The Johns Hopkins University), and Barry Rovner, MD (Wills Eye Hospital, Philadelphia) for their advice in designing the panel methodology; and Anna Sykes and Suzanne Miller for their expert typing.

PY - 1996/9

Y1 - 1996/9

N2 - A new method for ascertaining dementia in epidemiologic research and the results of a study to evaluate it are described. The method relies on an expert panel of clinicians reviewing clinically relevant information collected by lay evaluators to arrive at a diagnosis based on DSM-III-R criteria. The approach was developed to study dementia in a statewide sample of over 2400 new admissions to 59 nursing homes in Maryland. Expert panel ascertainment of dementia was compared to that obtained by direct clinical evaluation for 100 nursing home residents. Agreement between the panel and direct assessment was 76% (kappa = 0.59) using a three-category classification of dementia, no dementia, and indeterminate. This ascertainment strategy provides an alternative to methods currently in use and is particularly well-suited for populations with a high prevalence, in those dispersed over large geographic areas, and when timely, cost-effective evaluations are required.

AB - A new method for ascertaining dementia in epidemiologic research and the results of a study to evaluate it are described. The method relies on an expert panel of clinicians reviewing clinically relevant information collected by lay evaluators to arrive at a diagnosis based on DSM-III-R criteria. The approach was developed to study dementia in a statewide sample of over 2400 new admissions to 59 nursing homes in Maryland. Expert panel ascertainment of dementia was compared to that obtained by direct clinical evaluation for 100 nursing home residents. Agreement between the panel and direct assessment was 76% (kappa = 0.59) using a three-category classification of dementia, no dementia, and indeterminate. This ascertainment strategy provides an alternative to methods currently in use and is particularly well-suited for populations with a high prevalence, in those dispersed over large geographic areas, and when timely, cost-effective evaluations are required.

KW - Dementia

KW - aging

KW - assessment

KW - epidemiologic methods

KW - methodology

KW - nursing home

UR - http://www.scopus.com/inward/record.url?scp=0030248898&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030248898&partnerID=8YFLogxK

U2 - 10.1016/S1047-2797(96)00065-8

DO - 10.1016/S1047-2797(96)00065-8

M3 - Article

C2 - 8915474

AN - SCOPUS:0030248898

SN - 1047-2797

VL - 6

SP - 431

EP - 437

JO - Annals of epidemiology

JF - Annals of epidemiology

IS - 5

ER -

Ascertaining dementia by expert panel in epidemiologic studies of nursing home residents

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this