Evaluation of Digital Drawing Tests and Paper-and-Pencil Drawing Tests for the Screening of Mild Cognitive Impairment and Dementia: A Systematic Review and Meta-analysis of Diagnostic Studies.

Autor: Chan JYC; Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China., Bat BKK; Stanley Ho Big Data Decision Analytics Research Centre, The Chinese University of Hong Kong, Hong Kong, China., Wong A; Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China., Chan TK; JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China., Huo Z; JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China., Yip BHK; JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China., Kowk TCY; Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China., Tsoi KKF; Stanley Ho Big Data Decision Analytics Research Centre, The Chinese University of Hong Kong, Hong Kong, China. kelvintsoi@cuhk.edu.hk.; JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China. kelvintsoi@cuhk.edu.hk.
Jazyk: angličtina
Zdroj: Neuropsychology review [Neuropsychol Rev] 2022 Sep; Vol. 32 (3), pp. 566-576. Date of Electronic Publication: 2021 Oct 16.
DOI: 10.1007/s11065-021-09523-2
Abstrakt: Digital drawing tests have been proposed for cognitive screening over the past decade. However, the diagnostic performance is still to clarify. The objective of this study was to evaluate the diagnostic performance among different types of digital and paper-and-pencil drawing tests in the screening of mild cognitive impairment (MCI) and dementia. Diagnostic studies evaluating digital or paper-and-pencil drawing tests for the screening of MCI or dementia were identified from OVID databases, included Embase, MEDLINE, CINAHL, and PsycINFO. Studies evaluated any type of drawing tests for the screening of MCI or dementia and compared with healthy controls. This study was performed according to PRISMA and the guidelines proposed by the Cochrane Diagnostic Test Accuracy Working Group. A bivariate random-effects model was used to compare the diagnostic performance of these drawing tests and presented with a summary receiver-operating characteristic curve. The primary outcome was the diagnostic performance of clock drawing test (CDT). Other types of drawing tests were the secondary outcomes. A total of 90 studies with 22,567 participants were included. In the screening of MCI, the pooled sensitivity and specificity of the digital CDT was 0.86 (95% CI = 0.75 to 0.92) and 0.92 (95% CI = 0.69 to 0.98), respectively. For the paper-and-pencil CDT, the pooled sensitivity and specificity of brief scoring method was 0.63 (95% CI = 0.49 to 0.75) and 0.77 (95% CI = 0.68 to 0.84), and detailed scoring method was 0.63 (95% CI = 0.56 to 0.71) and 0.72 (95% CI = 0.65 to 0.78). In the screening of dementia, the pooled sensitivity and specificity of the digital CDT was 0.83 (95% CI = 0.72 to 0.90) and 0.87 (95% CI = 0.79 to 0.92). The performances of the digital and paper-and-pencil pentagon drawing tests were comparable in the screening of dementia. The digital CDT demonstrated better diagnostic performance than paper-and-pencil CDT for MCI. Other types of digital drawing tests showed comparable performance with paper-and-pencil formats. Therefore, digital drawing tests can be used as an alternative tool for the screening of MCI and dementia.
(© 2021. The Author(s).)
Databáze: MEDLINE
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