• Medientyp: E-Artikel
  • Titel: Diagnosis of Alzheimer’s Disease in Developed and Developing Countries: Systematic Review and Meta-Analysis of Diagnostic Test Accuracy
  • Beteiligte: Chávez-Fumagalli, Miguel A.; Shrivastava, Pallavi; Aguilar-Pineda, Jorge A.; Nieto-Montesinos, Rita; Del-Carpio, Gonzalo Davila; Peralta-Mestas, Antero; Caracela-Zeballos, Claudia; Valdez-Lazo, Guillermo; Fernandez-Macedo, Victor; Pino-Figueroa, Alejandro; Vera-Lopez, Karin J.; Lino Cardenas, Christian L.
  • Erschienen: IOS Press, 2021
  • Erschienen in: Journal of Alzheimer's Disease Reports, 5 (2021) 1, Seite 15-30
  • Sprache: Nicht zu entscheiden
  • DOI: 10.3233/adr-200263
  • ISSN: 2542-4823
  • Schlagwörter: Psychiatry and Mental health ; Geriatrics and Gerontology ; Clinical Psychology ; General Neuroscience
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  • Beschreibung: <jats:p>Background: The present systematic review and meta-analysis of diagnostic test accuracy summarizes the last three decades in advances on diagnosis of Alzheimer’s disease (AD) in developed and developing countries. Objective: To determine the accuracy of biomarkers in diagnostic tools in AD, for example, cerebrospinal fluid, positron emission tomography (PET), and magnetic resonance imaging (MRI), etc. Methods: The authors searched PubMed for published studies from 1990 to April 2020 on AD diagnostic biomarkers. 84 published studies were pooled and analyzed in this meta-analysis and diagnostic accuracy was compared by summary receiver operating characteristic statistics. Results: Overall, 84 studies met the criteria and were included in a meta-analysis. For EEG, the sensitivity ranged from 67 to 98%, with a median of 80%, 95% CI [75, 91], tau-PET diagnosis sensitivity ranged from 76 to 97%, with a median of 94%, 95% CI [76, 97]; and MRI sensitivity ranged from 41 to 99%, with a median of 84%, 95% CI [81, 87]. Our results showed that tau-PET diagnosis had higher performance as compared to other diagnostic methods in this meta-analysis. Conclusion: Our findings showed an important discrepancy in diagnostic data for AD between developed and developing countries, which can impact global prevalence estimation and management of AD. Also, our analysis found a better performance for the tau-PET diagnostic over other methods to diagnose AD patients, but the expense of tau-PET scan seems to be the limiting factor in the diagnosis of AD in developing countries such as those found in Asia, Africa, and Latin America.</jats:p>
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