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- W2897286771 abstract "Early identification of memory complaints is important both in clinical trial recruitment, and for clinical practice, where identifying deficits, or conversely, reassurance, aids care planning and management. CANTAB Mobile is a CE-marked, FDA-cleared and TGA-approved medical device combining a sensitive iPad-based memory test with a depression screen for ages 50–90. Specifically designed for primary care, it has been used more than 28,000 times since 2012. Here we report<use in 13 UK National Health Service primary care clinics, describing reasons for seeking testing, results and post-test routes to referral. CANTAB Mobile was used to administer the CANTAB Paired Associates Learning (PAL) test, an adaptive test of visuospatial memory and two optional questionnaires, the Geriatric Depression Scale (GDS-15) and a 13-item questionnaire of activities of daily living. Scores on PAL are automatically compared to a large normative database and adjusted for age, education and gender. On the basis of this comparison, patients are categorized as having a clinically-relevant memory deficit (Z <-1.5), being in the borderline range or having memory in the normal range (Z >-1). Data were collated from retrospective case note review and included reasons for testing, results, and post-test referral. Data were obtained from 913 patients, tested between 2012-2017. Reason for testing was obtained for 714 patients. The most common reason was patient concerns (n=334), followed by family, partner or carer concerns (n=112), and healthcare professional concerns (n=59). An additional 117 had reported memory or cognitive problems, without specifying the informant, while 79 were offered assessment as part of a checkup or screening process without a statement of concern. Data on memory outcomes were obtained for n=865. Significant memory problems were found in 440 patients, 409 screened negative for memory deficits and 46 were borderline. Outcomes from follow-up were provided for n=405, including primary care monitoring, secondary care referral and patient refusal of further investigation. These data are the first to illustrate the use of this digital medical device for memory assessment, in primary care. It illustrates patient demand for objective memory triage and the diverse routes to referral following such assessment." @default.
- W2897286771 created "2018-10-26" @default.
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- W2897286771 date "2018-07-01" @default.
- W2897286771 modified "2023-10-16" @default.
- W2897286771 title "P1‐504: CANTAB MOBILE: EXPERIENCE OF USE OF A DIGITAL MEMORY ASSESSMENT TOOL IN UK PRIMARY CARE" @default.
- W2897286771 doi "https://doi.org/10.1016/j.jalz.2018.06.515" @default.
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