Article Text

PDF
Research paper
Models for predicting risk of dementia: a systematic review
  1. Xiao-He Hou1,
  2. Lei Feng2,
  3. Can Zhang3,
  4. Xi-Peng Cao4,
  5. Lan Tan1,
  6. Jin-Tai Yu1,4
  1. 1 Department of Neurology, Qingdao Municipal Hospital, Qingdao University, Qingdao, China
  2. 2 Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
  3. 3 Genetics and Aging Research Unit, Mass General Institute for Neurodegenerative Disease (MIND), Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
  4. 4 Clinical Research Center, Qingdao Municipal Hospital, Qingdao University, Qingdao, China
  1. Correspondence to Dr Jin-Tai Yu, Department of Neurology, Qingdao Municipal Hospital, Qingdao University, Qingdao 266071, China; yu-jintai{at}163.com

Abstract

Background Information from well-established dementia risk models can guide targeted intervention to prevent dementia, in addition to the main purpose of quantifying the probability of developing dementia in the future.

Methods We conducted a systematic review of published studies on existing dementia risk models. The models were assessed by sensitivity, specificity and area under the curve (AUC) from receiver operating characteristic analysis.

Results Of 8462 studies reviewed, 61 articles describing dementia risk models were identified, with the majority of the articles modelling late life risk (n=39), followed by those modelling prediction of mild cognitive impairment to Alzheimer’s disease (n=15), mid-life risk (n=4) and patients with diabetes (n=3). Age, sex, education, Mini Mental State Examination, the Consortium to Establish a Registry for Alzheimer’s Disease neuropsychological assessment battery, Alzheimer’s Disease Assessment Scale-cognitive subscale, body mass index, alcohol intake and genetic variables are the most common predictors included in the models. Most risk models had moderate-to-high predictive ability (AUC>0.70). The highest AUC value (0.932) was produced from a risk model developed for patients with mild cognitive impairment.

Conclusion The predictive ability of existing dementia risk models is acceptable. Population-specific dementia risk models are necessary for populations and subpopulations with different characteristics.

  • dementia
  • alzheimer’s disease
  • risk model
  • prediction
  • systematic review

Statistics from Altmetric.com

Footnotes

  • Contributors LT, J-TY and LF conceived the study. X-HH, X-PC and LF selected reports and extracted the data. X-HH and CZ analysed and interpreted the data. X-HH and J-TY wrote the first draft of the manuscript. All the authors critically revised the manuscript for intellectual content and approved the final version. LT and J-TY are guarantors.

  • Funding This work was supported by grants from the National Key R&D Program of China (2016YFC1305803), the National Natural Science Foundation of China (81471309), Taishan Scholars Program of Shandong Province (ts201511109 and tsqn20161079), Qingdao Key Health Discipline Development Fund, Qingdao Outstanding Health Professional Development Fund, and Shandong Provincial Collaborative Innovation Center for Neurodegenerative Disorders. 

  • Competing interests None declared.

  • Patient consent Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.