Evidence map›Paper›PMID 23345074›Full record

ArticleJournal of neurovirology2013

The Alzheimer's disease-8 and Montreal Cognitive Assessment as screening tools for neurocognitive impairment in HIV-infected persons.

Edgar Turner Overton, Tej D Azad, Neva Parker, Debra Demarco Shaw, Judy Frain, Teresa Spitz, Elizabeth Westerhaus, Robert Paul, David B Clifford, Beau M Ances

Abstract read
In one paragraph

Article in Journal of neurovirology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. AD-8 for detection of dementia across a variety of healthcare settings.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Primary Care of the Person Living with HIV.Pathogens (Basel, Switzerland) · 2022
    Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Temporal processsing demands in the HIV-1 transgenic rat: Amodal gating and implications for diagnostics.International journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience · 2017
    Article
  20. Topographies of Cortical and Subcortical Volume Loss in HIV and Aging in the cART Era.Journal of acquired immune deficiency syndromes (1999) · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Edgar Turner OvertonDepartment of Medicine, University of Alabama Birmingham, CCB Rm 325, 908 20th St South, Birmingham, AL 35294, USA. toverton@uab.edu
Tej D Azad
Neva Parker
Debra Demarco Shaw
Judy Frain
Teresa Spitz
Elizabeth Westerhaus
Robert Paul
David B Clifford
Beau M Ances
Washington University in St. Louis · USUniversity of Alabama at Birmingham · USUniversity of Missouri–St. Louis · US

Funding

Frailty and Brain Integrity in Older HIV-infected IndividualsR01NR014449 · NINR · WASHINGTON UNIVERSITY · PI ANCES, BEAU M · 2013 to 2017
$2.4M
NEUROIMAGING AND NEUROBEHAVIORAL BASIS OF RISKY DECISION-MAKING IN ADOLESCENTSR01NR012907 · NINR · WASHINGTON UNIVERSITY · PI ANCES, BEAU M · 2011 to 2015
$1.9M
THE EFFECTS OF AGE AND HIGHLY ACTIVE ANTIRETROVIRAL THERAPY ON BRAIN FUNCTIONR01NR012657 · NINR · WASHINGTON UNIVERSITY · PI ANCES, BEAU M · 2010 to 2014
$1.9M
Calibrated BOLD fMRI of HIV Associated Neurocognitive Impairment (HNCI)K23MH081786 · NIMH · WASHINGTON UNIVERSITY · PI ANCES, BEAU M · 2007 to 2012
$820k
NIMH NIH HHS K23 MH081786NIMH NIH HHS K23MH081786NINR NIH HHS R01 NR012657NINR NIH HHS R01NR012657NINR NIH HHS R01 NR012907NINR NIH HHS R01NR012907NINR NIH HHS R01 NR014449
6 · The paper itself

Abstract

The diagnosis of human immunodeficiency virus (HIV)-associated neurocognitive impairment is time-intensive and often omitted in busy outpatient settings. Brief screening tools are needed. The Montreal Cognitive Assessment (MoCA) and the Alzheimer's disease (AD)-8 have been used in neurodegenerative disorders. We evaluated the sensitivity and specificity of these brief screening tools in HIV-infected persons. The AD-8, MoCA, and formal neuropsychological testing were administered to 200 HIV-infected patients who were followed at a single institution. Normalized scores on formal neuropsychological testing were used to define neurocognitive impairment. The sensitivity and specificity of the MoCA and AD-8 were assessed to diagnose the impairment. Neurocognitive impairment was highly prevalent in this cohort: 127 persons (64 %) were diagnosed with neurocognitive impairment based on formal testing. Using the AD-8 and MoCA, 113 (57 %) and 101 (51 %) persons were identified with neurocognitive impairment, respectively. The sensitivity and specificity of MoCA were 63 % and 71 %, respectively. The sensitivity and specificity of AD-8 were 61 % and 51 %, respectively. Our findings highlight that brief screening tools correlate with formal neuropsychological testing. However, the sensitivities of these screening tools are lower than desired. Nevertheless, given their ease in administration, these tools could assist as a first line for identifying individuals who may subsequently require formal neuropsychological testing.

Indexed as

Neuropsychological TestsAdolescentAdultAgedAIDS Dementia ComplexFemaleHIV InfectionsHumansMaleMiddle AgedROC CurveSensitivity and SpecificityYoung Adult

Identifiers

PMID23345074
PMCPMC3655767
OpenAlexW1994597738

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.