Evidence map›Paper›PMID 33215873›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2021

Item response theory analysis of the Clinical Dementia Rating.

Yan Li, Chengjie Xiong, Andrew J Aschenbrenner, Chih-Hung Chang, Michael W Weiner, Rachel L Nosheny, Dan Mungas, Randall J Bateman, Jason Hassenstab, Krista L Moulder and 1 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
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  5. Review
  6. Article
  7. Observational
  8. Article
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  13. Brain health registry updates: An online longitudinal neuroscience platform.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Article
  14. Early Alzheimer's Disease Screening Approach Using Plasma Biomarkers.International journal of molecular sciences · 2023
    Article
  15. Observational
  16. Outcome measures for Alzheimer's disease: A global inter-societal Delphi consensus.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Article
  17. Article
  18. Article
  19. Review
  20. 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

11 authors.

Yan LiDepartment of Neurology, Washington University School of Medicine, St. Louis, Missouri, USA.
Chengjie XiongDivision of Biostatistics, Washington University School of Medicine, St. Louis, Missouri, USA.
Andrew J AschenbrennerDepartment of Neurology, Washington University School of Medicine, St. Louis, Missouri, USA.
Chih-Hung ChangProgram in Occupational Therapy, Washington University School of Medicine, St. Louis, Missouri, USA.
Michael W WeinerDepartment of Radiology & Biomedical Imaging, University of California, San Francisco, San Francisco, California, USA.
Rachel L NoshenyDepartment of Radiology & Biomedical Imaging, University of California, San Francisco, San Francisco, California, USA.
Dan MungasDepartment of Neurology, University of California, Davis, Davis, California, USA.
Randall J BatemanDepartment of Neurology, Washington University School of Medicine, St. Louis, Missouri, USA.
Jason HassenstabDepartment of Neurology, Washington University School of Medicine, St. Louis, Missouri, USA.
Krista L MoulderDepartment of Neurology, Washington University School of Medicine, St. Louis, Missouri, USA.
John C MorrisDepartment of Neurology, Washington University School of Medicine, St. Louis, Missouri, USA.

Funding

Smartphone-Based "Burst" Cognitive AssessmentsP01AG003991 · NIA · WASHINGTON UNIVERSITY · PI JOHN MORRIS · 1985 to 2026
$69.5M
Imaging CoreU19AG032438 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2010 to 2025
$53.9M
WASHINGTON UNIVERSITY ALZHEIMERS DISEASE RESEARCH CENTERP50AG005681 · NIA · WASHINGTON UNIVERSITY · PI FAGAN, ANNE · 1985 to 2019
$52.1M
The natural history of AB accumulation in preclinical ADP01AG026276 · NIA · WASHINGTON UNIVERSITY · PI MORRIS, JOHN · 2005 to 2025
$49.5M
Research Education ComponentP30AG066444 · NIA · WASHINGTON UNIVERSITY · PI DAVID M. HOLTZMAN · 2020 to 2026
$28.7M
Validation of Online Methods to Predict and Monitor Cognitive DeclineRF1AG059009 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI NOSHENY, RACHEL LAUREN · 2018 to 2018
$6.2M
NIA NIH HHS P01 AG003991NIA NIH HHS P01 AG026276NIA NIH HHS P30 AG066444NIA NIH HHS P50 AG005681NIA NIH HHS RF1 AG059009NIA NIH HHS U19 AG032438
6 · The paper itself

Abstract

introductionThe Clinical Dementia Rating (CDR) is widely used in Alzheimer's disease research studies and has well established reliability and validity. To facilitate the development of an online, electronic CDR (eCDR) for more efficient clinical applications, this study aims to produce a shortened version of the CDR, and to develop the statistical model for automatic scoring.

methodsItem response theory (IRT) was used for item evaluation and model development. An automatic scoring algorithm was validated using existing CDR global and domain box scores as the reference standard.

resultsMost CDR items discriminate well at mild and very mild levels of cognitive impairment. The bi-factor IRT model fits best and the shortened CDR still demonstrates very high classification accuracy (81%∼92%). DISCUSSION: The shortened version of the CDR and the automatic scoring algorithm has established a good foundation for developing an eCDR and will ultimately improve the efficiency of cognitive assessment.

Indexed as

Mental Status and Dementia TestsAgedAlgorithmsAlzheimer DiseaseCognitive DysfunctionFemaleHumansMalePsychiatric Status Rating ScalesAlzheimer's diseasebi-factor modelClinical Dementia Ratingcognitive assessmentdementia severityitem response theory

Identifiers

PMID33215873
PMCPMC8016711

What OpenQuestion holds

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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.