Evidence map›Paper›PMID 34219737›Full record

ArticleJournal of Alzheimer's disease : JAD2021

Classifying Non-Dementia and Alzheimer's Disease/Vascular Dementia Patients Using Kinematic, Time-Based, and Visuospatial Parameters: The Digital Clock Drawing Test.

Anis Davoudi, Catherine Dion, Shawna Amini, Patrick J Tighe, Catherine C Price, David J Libon, Parisa Rashidi

Abstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–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

32 citing papers in PubMed.

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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

7 authors.

Anis DavoudiDepartment of Biomedical Engineering, University of Florida, Gainesville, FL, USA.
Catherine DionClinical and Health Psychology, University of Florida, Gainesville, FL, USA.
Shawna AminiClinical and Health Psychology, University of Florida, Gainesville, FL, USA.
Patrick J TigheDepartment of Psychology, Rowan University, Glassboro, NJ, USA.
Catherine C PriceClinical and Health Psychology, University of Florida, Gainesville, FL, USA.
David J LibonDepartment of Geriatrics and Gerontology, New Jersey Institute for Successful Aging, School of Osteopathic Medicine, and the Department of Psychology, Rowan University, Glassboro, NJ, USA.
Parisa RashidiDepartment of Biomedical Engineering, University of Florida, Gainesville, FL, USA.

Funding

PRECEDE: PREsurgical Cognitive Evaluation via Digital clockfacEdrawingR01AG055337 · NIA · UNIVERSITY OF FLORIDA · PI CATHERINE E PRICE, Parisa Rashidi · 2017 to 2026
$3.2M
White Matter Connectivity and PD Cognitive PhenotypesR01NS082386 · NINDS · UNIVERSITY OF FLORIDA · PI PRICE, CATHERINE E · 2013 to 2017
$2.3M
Neuroimaging Biomarkers for Post-Operative Cognitive Decline in Older AdultsR01NR014181 · NINR · UNIVERSITY OF FLORIDA · PI PRICE, CATHERINE E · 2012 to 2016
$2.3M
Perioperative Cognitive Anesthesia Network (PeCAN) Program for Alzheimer’s Disease and Related DementiasK07AG066813 · NIA · UNIVERSITY OF FLORIDA · PI PRICE, CATHERINE E · 2020 to 2024
$810k
White Matter and Cognition in Parkinson's DiseaseK23NS060660 · NINDS · UNIVERSITY OF FLORIDA · PI PRICE, CATHERINE E · 2007 to 2011
$619k
Autonomous Pain Recognition in Non-Verbal and Critically Ill PatientsR21EB027344 · NIBIB · UNIVERSITY OF FLORIDA · PI RASHIDI, PARISA · 2019 to 2022
$577k
NIA NIH HHS K07 AG066813NIA NIH HHS R01 AG055337NIBIB NIH HHS R21 EB027344NINDS NIH HHS K23 NS060660NINDS NIH HHS R01 NS082386NINR NIH HHS R01 NR014181
6 · The paper itself

Abstract

backgroundAdvantages of digital clock drawing metrics for dementia subtype classification needs examination.

objectiveTo assess how well kinematic, time-based, and visuospatial features extracted from the digital Clock Drawing Test (dCDT) can classify a combined group of Alzheimer's disease/Vascular Dementia patients versus healthy controls (HC), and classify dementia patients with Alzheimer's disease (AD) versus vascular dementia (VaD).

methodsHealthy, community-dwelling control participants (n = 175), patients diagnosed clinically with Alzheimer's disease (n = 29), and vascular dementia (n = 27) completed the dCDT to command and copy clock drawing conditions. Thirty-seven dCDT command and 37 copy dCDT features were extracted and used with Random Forest classification models.

resultsWhen HC participants were compared to participants with dementia, optimal area under the curve was achieved using models that combined both command and copy dCDT features (AUC = 91.52%). Similarly, when AD versus VaD participants were compared, optimal area under the curve was, achieved with models that combined both command and copy features (AUC = 76.94%). Subsequent follow-up analyses of a corpus of 10 variables of interest determined using a Gini Index found that groups could be dissociated based on kinematic, time-based, and visuospatial features.

conclusionThe dCDT is able to operationally define graphomotor output that cannot be measured using traditional paper and pencil test administration in older health controls and participants with dementia. These data suggest that kinematic, time-based, and visuospatial behavior obtained using the dCDT may provide additional neurocognitive biomarkers that may be able to identify and tract dementia syndromes.

Indexed as

Digital TechnologyNeuropsychological TestsVisual PerceptionAgedAlzheimer DiseaseBiomechanical PhenomenaCognitive DysfunctionDementia, VascularFemaleHumansMaleMiddle AgedAlzheimer’s diseaseAlzheimer’s disease/vascular spectrum dementiadigital clock drawing testexecutive controlkinematicsvascular dementia

Identifiers

PMID34219737
PMCPMC8283934

What OpenQuestion holds

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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.