Computerizing the conversation: A codified approach to consensus diagnosis

 
   Lead Investigator:    Shanna Burke
   Institution      :    Florida International University
   E-Mail           :    sburke@fiu.edu
   Proposal ID      :    1062


   Publications:


1  Bukes S, Barnes C, Hanson K, Hu T, Duara R, Loewenstein D
   Computerizing the conversation: A codified approach to consensus diagnosis
   2018   Abstract  Florida Health Alzheimer's Disease Research and Awareness Symposium , 

   ACCEPTED



2  Burke S, Barnes C, Hanson K, Hu T, Duara R, Loewenstein D
   Computerizing the conversation: A codified approach to consensus diagnosis
   Abstract  Innov Aging,2:818,2018,

   PUBLISHED





   Proposal Description:
   Determining an individual's level of cognitive impairment is a consensus process requiring two or more clinicians integrating their individual perspectives of each case. The process is subject to influences of individual personalities and biases, time and labor intensive, and varies by site.    To ensure high inter-rater reliability and validity, we codified an algorithm integrating the Clinical Dementia Rating Scale Sum of Boxes and neuropsychological diagnoses. We determined the optimal cut-offs of CDRsb scores and neuropsychological diagnoses to distinguish between cognitive categories: normal, impaired not MCI, MCI, and dementia, while maximizing the sensitivity and specificity of the receiver operating characteristic curve.