Differentiating among stages of cognitive impairment in aging: Version 3 of the Uniform Data Set (UDS) neuropsychological test battery and MoCA index scores
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Introduction: Federally funded Alzheimer's Disease Centers in the United States have been using a standardized neuropsychological test battery as part of the National Alzheimer's Coordinating Center Uniform Data Set (UDS) since 2005. Version 3 (V3) of the UDS replaced the previous version (V2) in 2015. We compared V2 and V3 neuropsychological tests with respect to their ability to distinguish among the Clinical Dementia Rating (CDR) global scores of 0, 0.5, and 1. Methods: First, we matched participants receiving V2 tests (V2 cohort) and V3 tests (V3 cohort) in their cognitive functions using tests common to both versions. Then, we compared receiver‐operating characteristic (ROC) area under the curve in differentiating CDRs for the remaining tests. Results: Some V3 tests performed better than V2 tests in differentiating between CDR 0.5 and 0, but the improvement was limited to Caucasian participants. Discussion: Further efforts to improve the ability for early identification of cognitive decline among diverse racial groups are required.
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A thorough cognitive assessment with validated neuropsychological tests was administered at baseline, M6, and M12 using the National Alzheimer's Coordinating Center Uniform Data Set version 3.
“A thorough cognitive assessment with validated neuropsychological tests was administered at baseline, M6 (endpoint of induction) and M12 (endpoint of maintenance), using the National Alzheimer’s Coordinating Center (NACC; https://naccdata.org/) Uniform Data Set version 3 (UDS V3; Dodge et al., 2020; Sachs et al., 2020; Weintraub et al., 2018).”
From Internet-Based Conversational Engagement Randomized Controlled Clinical Trial (I-CONECT) Among Socially Isolated Adults 75+ Years Old With Normal Cognition or Mild Cognitive Impairment: Topline Results (2024) · cites this paper as Dodge et al., 2020
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Dodge, H. H., Yu, K., Wu, C.-Y., Pruitt, P. J., Asgari, M., Kaye, J. A., Hampstead, B. M., Struble, L., Potempa, K., Lichtenberg, P., et al. (2024) · The Gerontologist · doi:10.1093/geront/gnad147 · Cited by 56 · see citing works
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- Authors
- Dodge, H. H., Goldstein, F. C., Wakim, N. I., Gefen, T., Teylan, M., Chan, K. C. G., Kukull, W. A., Barnes, L. L., Giordani, B., Hughes, T. M., Kramer, J. H., Loewenstein, D. A., Marson, D. C., Mungas, D. M., Mattek, N., Sachs, B. C., Salmon, D. P., Willis‐Parker, M., Welsh‐Bohmer, K. A., Wild, K. V., Morris, J. C., Weintraub, S., & National Alzheimer's Coordinating Center (NACC)
- Affiliations
- Oregon Health & Science University (US)
- Emory University (US)
- University of Michigan (US)
- Northwestern University (US)
- University of Washington (US)
- Rush University Medical Center (US)
- Wake Forest University Health Sciences (US)
- University of California, San Francisco (US)
- University of Miami (US)
- University of Alabama at Birmingham (US)
- University of California, Davis (US)
- University of California San Diego (US)
- Alzheimer's Disease Research Center Duke University Durham North Carolina USA
- Washington University in St. Louis (US)
- The Mesulam Center for Cognitive Neurology and Alzheimer's Disease, Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University Chicago Illinois USA
- Corresponding author
- Dodge, Hiroko H.
- ORCID
- Venue
- Alzheimer's & Dementia: Translational Research & Clinical Interventions
- Publisher
- Wiley
- Published
- 2020-01
- Volume
- 6
- Issue
- 1
- Pages
- e12103-e12103
- ISSN
- 2352-8737 (ISSN-L)
- PMC
- PMC7683960
- OpenAlex
- W3108183223
- Cited by
- 54
- References
- 3
- Citations by year
- 2026: 8 · 2025: 15 · 2024: 11 · 2023: 11 · 2022: 4 · 2021: 5
- FWCI
- 3.63
- Type
- journal article
- Language
- en
- Update notices
- erratum (2021-02-14)
- Open access
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- doi.org
- Licence
- Locations
- Alzheimer s & Dementia Translational Research & Clinical Interventions (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by-nc-nd)
- Digital Commons@Becker (Washington University School of Medicine) (submittedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institutes of Health (AG016976, AG019610, AG013846)
- National Institute on Aging (AG 016976, P30AG053760, P30AG010129, P30AG010133, P30AG049638, P30AG028383, P30AG012300, P50AG005133, U01AG016976, P50AG005131, P50AG005138, AG019610, P30AG010124, P50AG016573, P50AG047366, P30AG008017, P30AG010161, P30AG008051, P50AG008702, P50AG033514, P30AG035982, AG013846, P50AG005681, P50AG005142, P50AG047270, P30AG019610, P50AG005146, R01AG062566, P30AG013846, P50AG005136, P50AG005134, P30AG013854, P50AG025688, P50AG047266, P30AG062429, P30AG066518, P30AG072976, U24AG072122, P30AG066511, P50AG023501, P50AG016574)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Keywords
- neuropsychological test battery, Montreal Cognitive Assessment, Clinical Dementia Rating, age-related cognitive decline, Alzheimer's disease, test version comparison, early detection of cognitive decline, racial differences, older adults
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