@article{6e62d31ba410407ba801e2151a4fe3c7,
title = "Differentiating among stages of cognitive impairment in aging: Version 3 of the Uniform Data Set (UDS) neuropsychological test battery and MoCA index scores",
abstract = "Introduction: Federally funded Alzheimer{\textquoteright}s Disease Centers in the United States have been using a standardized neuropsychological test battery as part of the National Alzheimer{\textquoteright}s Coordinating Center Uniform Data Set (UDS) since 2005. Version 3 (V3) of the UDS replaced the previous version (V2) in 2015.We compared V2 and V3 neuropsychological tests with respect to their ability to distinguish among the Clinical Dementia Rating (CDR) global scores of 0, 0.5, and 1. Methods: First, we matched participants receiving V2 tests (V2 cohort) and V3 tests (V3 cohort) in their cognitive functions using tests common to both versions. Then, we compared receiver-operating characteristic (ROC) area under the curve in differentiating CDRs for the remaining tests. Results: Some V3 tests performed better thanV2 tests in differentiating betweenCDR 0.5 and 0, but the improvement was limited to Caucasian participants. Discussion: Further efforts to improve the ability for early identification of cognitive decline among diverse racial groups are required.",
keywords = "National Alzheimer{\textquoteright}s Coordinating Center Uniform Data Set (NACC UDS), differentiating CDR, optimal cut-point, racial differences, receiver-operating characteristic area under the curve (ROC-AUC), validity",
author = "Dodge, {Hiroko H.} and Goldstein, {Felicia C.} and Wakim, {Nicole I.} and Tamar Gefen and Merilee Teylan and Chan, {Kwun C.G.} and Kukull, {Walter A.} and Barnes, {Lisa L.} and Bruno Giordani and Hughes, {Timothy M.} and Kramer, {Joel H.} and Loewenstein, {David A.} and Marson, {Daniel C.} and Mungas, {Dan M.} and Nora Mattek and Sachs, {Bonnie C.} and Salmon, {David P.} and Monica Willis-Parker and Welsh-Bohmer, {Kathleen A.} and Wild, {Katherine V.} and Morris, {John C.} and Sandra Weintraub",
note = "Funding Information: Hiroko H Dodge, Felicia C. Goldstein, Nicole I Wakim, Tamar Gefen, Merilee Teylan, Kwun CG Chan, Walter A. Kukull, Lisa L. Barnes, Bruno Giordani, Timothy M. Hughes, Joel H. Kramer, David A. Loewenstein, Daniel C Marson, Dan M Mungas, Bonnie C. Sachs, Monica Willis-Parker, Katherine V Wild, John C. Morris, and Sandra Weintraub have no conflicts of interest to declare. David Salmon is a paid consultant for Aptinyx, Inc. and Biogen, Inc. Kathleen Welsh-Bohmer received funding from Verasci as a contract through Duke University and funding from Takeda over the last 5 years (until May 2019) as part of a contract with Duke. Funding Information: The NACC database is funded by NIA/NIH Grant U01 AG016976. NACC data are contributed by the NIA-funded ADCs: P30 AG019610 (PI Eric Reiman, MD), P30 AG013846 (PI Neil Kowall, MD), P50 AG008702 (PI Scott Small, MD), P50 AG025688 (PI Allan Levey, MD, PhD), P50 AG047266 (PI Todd Golde, MD, PhD), P30 AG010133 (PI Andrew Saykin, PsyD), P50 AG005146 (PI Marilyn Albert, PhD), P50 AG005134 (PI Bradley Hyman, MD, PhD), P50 AG016574 (PI Ronald Petersen, MD, PhD), P50 AG005138 (PI Mary Sano, PhD), P30 AG008051 (PI Thomas Wisniewski, MD), P30 AG013854 (PI M. Marsel Mesulam, MD), P30 AG008017 (PI Jeffrey Kaye, MD), P30 AG010161 (PI David Bennett, MD), P50 AG047366 (PI Victor Henderson, MD, MS), P30 AG010129 (PI Charles DeCarli, MD), P50 AG016573 (PI Frank LaFerla, PhD), P50 AG005131 (PI James Brewer, MD, PhD), P50 AG023501 (PI Bruce Miller, MD), P30 AG035982 (PI Russell Swerd-low, MD), P30 AG028383 (PI Linda Van Eldik, PhD), P30 AG053760 (PI Henry Paulson, MD, PhD), P30 AG010124 (PI John Trojanowski, MD, PhD), P50 AG005133 (PI Oscar Lopez, MD), P50 AG005142 (PI Helena Chui, MD), P30 AG012300 (PI Roger Rosenberg, MD), P30 AG049638 (PI Suzanne Craft, PhD), P50 AG005136 (PI Thomas Grabowski, MD), P50 AG033514 (PI Sanjay Asthana, MD, FRCP), P50 AG005681 (PI John Morris, MD), P50 AG047270 (PI Stephen Strittmatter, MD, PhD), and P30 AG053760 (PI Henry Paulson, MD). The Uniform Data Set Neuropsychology Work Group also wishes to thank the following individuals for giving their permission to include tests they created in the UDSNB 3.0: Zaid Nasreddine, M.D. (MoCA); Suzanne Craft, PhD (“Craft Story” and scoring method); Andrew Saykin, PhD for providing data on the equivalence of forms of the Craft Story to Logical Memory; Tamar Gollan, PhD for the Multilingual Naming Test (MINT); Joel Kramer for providing alternate number strings for the Number Span test; and Kate Possin and Joel Kramer for the Benson Complex Figure Test. Funding Information: The NACC database is funded by NIA/NIH Grant U01 AG016976. NACC data are contributed by the NIA-funded ADCs: P30 AG019610 (PI Eric Reiman, MD), P30 AG013846 (PI Neil Kowall, MD), P50 AG008702 (PI Scott Small, MD), P50 AG025688 (PI Allan Levey, MD, PhD), P50 AG047266 (PI Todd Golde, MD, PhD), P30 AG010133 (PI Andrew Saykin, PsyD), P50 AG005146 (PI Marilyn Albert, PhD), P50 AG005134 (PI Bradley Hyman, MD, PhD), P50 AG016574 (PI Ronald Petersen, MD, PhD), P50 AG005138 (PI Mary Sano, PhD), P30 AG008051 (PI Thomas Wisniewski, MD), P30 AG013854 (PI M. Marsel Mesulam, MD), P30 AG008017 (PI Jeffrey Kaye, MD), P30 AG010161 (PI David Bennett, MD), P50 AG047366 (PI Victor Henderson, MD, Publisher Copyright: {\textcopyright} 2020 The Authors.",
year = "2020",
doi = "10.1002/trc2.12103",
language = "English (US)",
volume = "6",
journal = "Alzheimer's and Dementia: Translational Research and Clinical Interventions",
issn = "2352-8737",
publisher = "Elsevier Inc.",
number = "1",
}