Diagnosing dementia in the Arctic: translating tools and developing and validating an algorithm for assessment of impaired cognitive function in Greenland Inuit
Background: The ageing Arctic populations raise the need for work-up of cognitive function that reflects language and cultural understandings. Aim: To translate and evaluate tools for work-up of cognitive impairment in Greenland. Methods: Step A: An expert panel was established to select tools suita...
Published in: | International Journal of Circumpolar Health |
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Taylor & Francis Group
2021
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Online Access: | https://doi.org/10.1080/22423982.2021.1948247 https://doaj.org/article/900a2d7117ca4ef3af37c0c96d64a1e5 |
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ftdoajarticles:oai:doaj.org/article:900a2d7117ca4ef3af37c0c96d64a1e5 2023-05-15T14:51:59+02:00 Diagnosing dementia in the Arctic: translating tools and developing and validating an algorithm for assessment of impaired cognitive function in Greenland Inuit Inaluk Kleist Paneeraq Noahsen Ole Gredal Johannes Riis Stig Andersen 2021-01-01T00:00:00Z https://doi.org/10.1080/22423982.2021.1948247 https://doaj.org/article/900a2d7117ca4ef3af37c0c96d64a1e5 EN eng Taylor & Francis Group http://dx.doi.org/10.1080/22423982.2021.1948247 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2021.1948247 https://doaj.org/article/900a2d7117ca4ef3af37c0c96d64a1e5 International Journal of Circumpolar Health, Vol 80, Iss 1 (2021) dementia cognitive function mini-cog rudas validation inuit Arctic medicine. Tropical medicine RC955-962 article 2021 ftdoajarticles https://doi.org/10.1080/22423982.2021.1948247 2022-12-31T15:14:03Z Background: The ageing Arctic populations raise the need for work-up of cognitive function that reflects language and cultural understandings. Aim: To translate and evaluate tools for work-up of cognitive impairment in Greenland. Methods: Step A: An expert panel was established to select tools suitable for the work-up of cognitive impairment at three different settings in Greenland. Step B: Tools were translated in a multiple-step process of independent translations with back-translation and adaptations by two independent translators and two Greenlandic physicians. Step C: a testing and validation process of the tools at three locations: the national hospital in the capital city; regional hospital in a town; health care centre in a small town. Results: Tools selected were Mini-Cog and RUDAS. Participants for testing of tools were 43 of 61 invited, of which six had dementia. RUDAS and Mini-Cog scores were associated (p < 0.001). The smoothed AUC was 0.87 (95%-CI, 0.65–0.95) for Mini-Cog and 0.90 (95%-CI, 0.76–0.97) for RUDAS. The sensitivity of Mini-Cog with a cut-off at ≤3 was 83.3%, and specificity was 62.2%. For RUDAS with a cut-off at ≤23, these were 100% and 75.7%, respectively. Conclusion: Requested tools have been translated for assessing cognitive function in the native Arctic setting. Small town residents with a Mini-Cog score of 3 or lower should be referred to a regional hospital for RUDAS, and a score of 23 or less should cause referral to the national hospital for a full work-up of cognitive function. Article in Journal/Newspaper Arctic Circumpolar Health Greenland greenlandic International Journal of Circumpolar Health inuit Directory of Open Access Journals: DOAJ Articles Arctic Greenland International Journal of Circumpolar Health 80 1 1948247 |
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Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
dementia cognitive function mini-cog rudas validation inuit Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
dementia cognitive function mini-cog rudas validation inuit Arctic medicine. Tropical medicine RC955-962 Inaluk Kleist Paneeraq Noahsen Ole Gredal Johannes Riis Stig Andersen Diagnosing dementia in the Arctic: translating tools and developing and validating an algorithm for assessment of impaired cognitive function in Greenland Inuit |
topic_facet |
dementia cognitive function mini-cog rudas validation inuit Arctic medicine. Tropical medicine RC955-962 |
description |
Background: The ageing Arctic populations raise the need for work-up of cognitive function that reflects language and cultural understandings. Aim: To translate and evaluate tools for work-up of cognitive impairment in Greenland. Methods: Step A: An expert panel was established to select tools suitable for the work-up of cognitive impairment at three different settings in Greenland. Step B: Tools were translated in a multiple-step process of independent translations with back-translation and adaptations by two independent translators and two Greenlandic physicians. Step C: a testing and validation process of the tools at three locations: the national hospital in the capital city; regional hospital in a town; health care centre in a small town. Results: Tools selected were Mini-Cog and RUDAS. Participants for testing of tools were 43 of 61 invited, of which six had dementia. RUDAS and Mini-Cog scores were associated (p < 0.001). The smoothed AUC was 0.87 (95%-CI, 0.65–0.95) for Mini-Cog and 0.90 (95%-CI, 0.76–0.97) for RUDAS. The sensitivity of Mini-Cog with a cut-off at ≤3 was 83.3%, and specificity was 62.2%. For RUDAS with a cut-off at ≤23, these were 100% and 75.7%, respectively. Conclusion: Requested tools have been translated for assessing cognitive function in the native Arctic setting. Small town residents with a Mini-Cog score of 3 or lower should be referred to a regional hospital for RUDAS, and a score of 23 or less should cause referral to the national hospital for a full work-up of cognitive function. |
format |
Article in Journal/Newspaper |
author |
Inaluk Kleist Paneeraq Noahsen Ole Gredal Johannes Riis Stig Andersen |
author_facet |
Inaluk Kleist Paneeraq Noahsen Ole Gredal Johannes Riis Stig Andersen |
author_sort |
Inaluk Kleist |
title |
Diagnosing dementia in the Arctic: translating tools and developing and validating an algorithm for assessment of impaired cognitive function in Greenland Inuit |
title_short |
Diagnosing dementia in the Arctic: translating tools and developing and validating an algorithm for assessment of impaired cognitive function in Greenland Inuit |
title_full |
Diagnosing dementia in the Arctic: translating tools and developing and validating an algorithm for assessment of impaired cognitive function in Greenland Inuit |
title_fullStr |
Diagnosing dementia in the Arctic: translating tools and developing and validating an algorithm for assessment of impaired cognitive function in Greenland Inuit |
title_full_unstemmed |
Diagnosing dementia in the Arctic: translating tools and developing and validating an algorithm for assessment of impaired cognitive function in Greenland Inuit |
title_sort |
diagnosing dementia in the arctic: translating tools and developing and validating an algorithm for assessment of impaired cognitive function in greenland inuit |
publisher |
Taylor & Francis Group |
publishDate |
2021 |
url |
https://doi.org/10.1080/22423982.2021.1948247 https://doaj.org/article/900a2d7117ca4ef3af37c0c96d64a1e5 |
geographic |
Arctic Greenland |
geographic_facet |
Arctic Greenland |
genre |
Arctic Circumpolar Health Greenland greenlandic International Journal of Circumpolar Health inuit |
genre_facet |
Arctic Circumpolar Health Greenland greenlandic International Journal of Circumpolar Health inuit |
op_source |
International Journal of Circumpolar Health, Vol 80, Iss 1 (2021) |
op_relation |
http://dx.doi.org/10.1080/22423982.2021.1948247 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2021.1948247 https://doaj.org/article/900a2d7117ca4ef3af37c0c96d64a1e5 |
op_doi |
https://doi.org/10.1080/22423982.2021.1948247 |
container_title |
International Journal of Circumpolar Health |
container_volume |
80 |
container_issue |
1 |
container_start_page |
1948247 |
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1766323113742565376 |