%0 Journal Article
%T Neurologists¡¯ diagnostic accuracy of depression and cognitive problems in patients with parkinsonism
%A Angela E.P. Bouwmans
%A Wim E.J. Weber
%J BMC Neurology
%D 2012
%I BioMed Central
%R 10.1186/1471-2377-12-37
%X Two experienced neurologists took the history and examined 104 patients with a recent-onset parkinsonian disorder, and assessed the presence of depression and cognitive impairment. On the same day, all patients underwent a Hamilton Depression Rating Scale test, and a Scales for Outcomes in Parkinson¡¯s Disease-Cognition-test (SCOPA-COG).The sensitivity of the neurologists for the topic depression was poor: 33.3%. However, the specificity varied from 90.8 to 94.7%. The patients¡¯ sensitivity was higher, although the specificity was lower. On the topic CI, the sensitivity of the neurologists was again low, in a range from 30.4 up to 34.8%: however the specificity was high, with 92.9%. The patients¡¯ sensitivity and specificity were both lower, compared to the number of the neurologists.Neurologists¡¯ intuition and clinical judgment alone are not accurate for detection of depression or cognitive impairment in patients with recent-onset parkinsonian symptoms because of low sensitivity despite of high specificity.(ITRSCC)NCT0036819.
%K Mood disorder
%K Dementia
%K Non-motor
%K Parkinson¡¯s disease
%U http://www.biomedcentral.com/1471-2377/12/37/abstract