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Cross-National Interrater Agreement on the Clinical Diagnostic Criteria for Dementia Neurol 44:239-242, Baldereschi,M.,et al, 1994 See this aricle in Pubmed Article Abstract We assessed the interobserver agreement on the clinical diagnosis of dementia syndrome and dementia subtypes as part of a cross-national project on the prevalence of dementia.The interrater reproducibility of the diagnosis of vascular dementia was 0.66 in terms of kappa index;the diagnoses of other dementing disorders as a whole reached a kappa value of 0.40.This study suggests that clinicians from different cultures and medical traditions can use the DSM-III-R and the ICD-10 criteria for dementia effectively and thus reliably identify dementia cases in cross- national research.The interrater agreement on the diagnosis of dementia might be improved if clear-cut guidelines in the definition of cognitive impairment are provided.To improve the reliability of AD diagnosis in epidemiologic studies,we suggest that the NINCDS-ADRDA"probable"and" possible"categories be merged.

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(click to filter results - removes previous filter) Alzheimer's disease Alzheimer's disease,diagnosis of dementia dementia,clinical diagnosis interobserver agreement

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