Evidence map›Paper›PMID 40660785›Full record

ArticleInternational journal of geriatric psychiatry2025

A Prototype Rapid Tool to Enhance Detection of Dementia for Aboriginal and Torres Strait Islander Peoples in Primary Care.

Huong X T Nguyen, Zoë Hyde, Kate Smith, Roslyn Malay, Leon Flicker, Rosie Watson, Kylie Radford, Sarah Russell, Rachel Quigley, Betty Sagigi and 11 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of geriatric psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

21 authors.

Huong X T NguyenDepartment of Medicine - Royal Melbourne Hospital, The University of Melbourne, Melbourne, Australia.ORCID https://orcid.org/0000-0002-0538-5857
Zoë HydeDepartment of Medicine - Royal Melbourne Hospital, The University of Melbourne, Melbourne, Australia.
Kate SmithCentre for Aboriginal Medical and Dental Health, Medical School, University of Western Australia, Perth, Australia.
Roslyn MalayCentre for Aboriginal Medical and Dental Health, Medical School, University of Western Australia, Perth, Australia.
Leon FlickerWestern Australian Centre for Health and Ageing, Medical School, University of Western Australia, Perth, Australia.
Rosie WatsonDepartment of Medicine - Royal Melbourne Hospital, The University of Melbourne, Melbourne, Australia.
Kylie RadfordNeuroscience Research Australia, Sydney, Australia.
Sarah RussellCollege of Medicine and Dentistry, James Cook University, Cairns, Australia.
Rachel QuigleyCollege of Medicine and Dentistry, James Cook University, Cairns, Australia.
Betty SagigiCollege of Medicine and Dentistry, James Cook University, Cairns, Australia.
Edward StrivensCollege of Medicine and Dentistry, James Cook University, Cairns, Australia.
Adrienne WithallSchool of Psychology, University of New South Wales, Sydney, Australia.
Alison TimberyNeuroscience Research Australia, Sydney, Australia.
Terrence DonovanNeuroscience Research Australia, Sydney, Australia.
Brian DraperDiscipline of Psychiatry and Mental Health, University of New South Wales, Sydney, Australia.ORCID https://orcid.org/0000-0003-1405-7932
Kim DelbaereFalls, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, Australia.
Louise LavrencicNeuroscience Research Australia, Sydney, Australia.
Robert CummingSchool of Public Health, University of Sydney, Sydney, Australia.
Jo-Anne HughsonDepartment of Medicine - Royal Melbourne Hospital, The University of Melbourne, Melbourne, Australia.
Bridgette J McNamaraCentre for Epidemiology and Biostatistics, University of Melbourne, Melbourne, Australia.
Dina LoGiudiceDepartment of Medicine - Royal Melbourne Hospital, The University of Melbourne, Melbourne, Australia.

Funding

National Health and Medical Research Council 1137425National Health and Medical Research Council 1150337National Health and Medical Research Council 2006797
6 · The paper itself

Abstract

introductionDementia is prevalent within Aboriginal and Torres Strait Islander communities but clients attending primary care often remain undiagnosed. This project aimed to develop a rapid dementia screen for primary care.

methodsLogistic regression was used to identify candidate items from the Kimberley Indigenous Cognitive Assessment (KICA-Cog). The psychometric properties of different scales were assessed using receiver operating characteristic curve analysis and validated in a separate cohort.

resultsFour items in the KICA-Cog demonstrated high sensitivity (82.6%), specificity (83.2%) and area under the curve (AUC = 0.90; 95% CI: 0.87-0.94) for dementia at a cut-off point of 7/8 out of 10. This scale has favourable psychometrics (sensitivity 87.5%, specificity 80.9%, AUC = 0.92; 95% CI: 0.85-0.98) when validated in separate cohort. DISCUSSION: The proposed prototype tool, ready for community piloting and validation, may be useful in primary care to enable rapid cognitive screening as part of routine health care.

Indexed as

Australian Aboriginal and Torres Strait Islander PeoplesDementiaMental Status and Dementia TestsAgedAged, 80 and overAustraliaFemaleHumansLogistic ModelsMaleMass ScreeningMiddle AgedPrimary Health CarePsychometricsReproducibility of ResultsROC Curveaboriginal and torres strait islander peoplescase detectioncognitive assessmentdementiascreening

Identifiers

PMID40660785
PMCPMC12260483

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Registered trials

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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.