Cognitive dysfunction in Sjögren’s syndrome using the Montreal Cognitive Assessment Questionnaire and the Automated Neuropsychological Assessment Metrics: A cross‐sectional study
| Autor: | Cassandra Michele Skinner-Taylor, Raymundo Vera-Pineda, Mayra Judith Garza-Martinez, Dionicio Ángel Galarza-Delgado, Patricia Rodriguez-de la Garza, Jesus Alberto Cardenas-de la Garza, Mario Alberto Treviño-Castro, I. D. J. Hernandez-Galarza, Janett Riega-Torres |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Cross-sectional study Severity of Illness Index Executive Function 03 medical and health sciences Cognition 0302 clinical medicine Rheumatology Predictive Value of Tests Prevalence medicine Humans Cognitive Dysfunction 030212 general & internal medicine Neuropsychological assessment Mexico Aged 030203 arthritis & rheumatology Cognitive evaluation theory medicine.diagnostic_test business.industry Montreal Cognitive Assessment Middle Aged Mental Status and Dementia Tests medicine.disease eye diseases SSS stomatognathic diseases Cross-Sectional Studies Sjogren's Syndrome Case-Control Studies Cohort Physical therapy Female business Rheumatism |
| Zdroj: | International Journal of Rheumatic Diseases. 23:1019-1023 |
| ISSN: | 1756-185X 1756-1841 |
| Popis: | Aim To describe the prevalence of cognitive impairment and the most affected cognitive domains, employing the Montreal Cognitive Assessment (MoCA) and the Automated Neuropsychological Assessment Metrics (ANAM) of a Latin American primary Sjogren's syndrome (pSS) cohort, and compare these patients to secondary Sjogren's syndrome (sSS) subjects and controls. Methods This was a comparative cross-sectional study of patients with a diagnosis of pSS who fulfilled the American-European Consensus Group 2002 criteria and/or American College of Rheumatology/European League Against Rheumatism 2016 criteria; clinical information was evaluated prior to cognitive evaluation, which consisted of a single session in which the MoCA and ANAM were applied. Results A total of 122 subjects were included in the analysis (51 pSS, 20 sSS and 51 controls); mean age of pSS was 56 years (SD 10.4), of which 47 (92.15%) were women. Moderate-severe cognitive impairment by MoCA was 17% in pSS, 5% in sSS, and 15% in controls, and by ANAM were 29% in pSS and 10% in sSS (P > .05). Visuospatial/executive subdomain in the MoCA was different between the pSS and the control group (P = .005). We encountered a statistically significant difference between pSS patients and control scores from the program in 6 of the 7 domains tested by the ANAM. Conclusion No difference was found in the prevalence of cognitive impairment between pSS subjects and controls by MoCA. Several subdomain scores differed between groups in both scales. Evaluation of cognitive disorders in patients with SS, even in early stages of the disease, seems advisable but the best strategy is yet to be elucidated. |
| Databáze: | OpenAIRE |
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