Liebermann-Jordanidis, Hannah, Roheger, Mandy, Boosfeld, Lukas, Franklin, Jeremy and Kalbe, Elke (2022). Which Test Is the Best to Assess Visuo-Cognitive Impairment in Patients with Parkinson's Disease with Mild Cognitive Impairment and Dementia? A Systematic Review and Meta-Analysis. J. Parkinsons Dis., 12 (6). S. 1749 - 1783. AMSTERDAM: IOS PRESS. ISSN 1877-718X

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Abstract

Background: Visuo-cognitive impairment is common in patients with Parkinson's disease with mild cognitive impairment (PD-MCI) and constitutes a prognostic factor for the conversion to Parkinson's disease dementia (PDD). However, systematic analyses on which neuropsychological tests are most suitable to assess visuo-cognition in PD-MCI and PDD and to differentiate these cognitive stages are lacking. Objective: To review neuropsychological tests used to assess visuo-cognition including visuo-perceptual and visuo-spatial processing, visuo-constructive copying and drawing on command abilities; and to identify the visuo-cognitive subdomain as well as tests most suitable to discriminate between PD-MCI and PDD. Methods: MEDLINE, PsycINFO, Web of Science Core Collection, and CENTRAL were systematically searched for relevant studies assessing visuo-cognitive outcomes in patients with PD-MCI and PDD. Risk of bias was assessed using a customized form based on well-established tools. Random-effect meta-analyses were conducted. Results: 33 studies were included in the systematic review. Data of 19 studies were entered in meta-analyses. Considerable heterogeneity regarding applied tests, test versions, and scoring systems exists. Data indicate that visuo-constructive command tasks are the subdomain best suited to discriminate between PD-MCI and PDD. Furthermore, they indicate that the ReyOsterrieth-Complex-Figure Test (ROCF), Corsi Block-Tapping Test, Judgment of Line Orientation (JLO), and Clock Drawing Test (CDT) are tests able to differentiate between the two stages. Conclusion: We provide suggestions for suitable visuo-cognitive tests (Corsi Block-Tapping Test, or JLO, ROCF, CDT) to improve diagnostic accuracy. Methodological challenges (e.g., heterogeneity of definitions, tests) are discussed and suggestions for future research are provided.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Liebermann-Jordanidis, HannahUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Roheger, MandyUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Boosfeld, LukasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Franklin, JeremyUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kalbe, ElkeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-671562
DOI: 10.3233/JPD-223238
Journal or Publication Title: J. Parkinsons Dis.
Volume: 12
Number: 6
Page Range: S. 1749 - 1783
Date: 2022
Publisher: IOS PRESS
Place of Publication: AMSTERDAM
ISSN: 1877-718X
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
LINE ORIENTATION TEST; QUALITY-OF-LIFE; VISUOSPATIAL ABILITIES; DIAGNOSTIC-CRITERIA; ASSESSMENT PANDA; RATING-SCALE; LEWY BODIES; EARLY-STAGE; SHORT-FORM; JUDGMENTMultiple languages
NeurosciencesMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/67156

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