Diagnosis accuracy of touchscreen-based testings for major neurocognitive disorders: a systematic review and meta-analysis.
Facing an increasing prevalence, diagnosis and management of dementia has become a global health challenge. While most cognitive assessments are based on paper tests, the current trend is to digitise them, using new technologies. We aimed to achieve a systematic review on touchscreen-based assessmen...
| Published in: | Age & Ageing Vol. 54; no. 7; pp. 1 - 10 |
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| Main Authors: | , , , , |
| Format: | Article |
| Published: |
Oxford University Press / USA
Jul2025
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=187169243&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 187169243 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jul2025 vid: 54 iid: 7 pid: 622 pub: Oxford University Press / USA artinfo: ui: 187169243 10.1093/ageing/afaf204 ppf: 1 ppct: 9 formats: tig: atl: Diagnosis accuracy of touchscreen-based testings for major neurocognitive disorders: a systematic review and meta-analysis. aug: au: Din, Nathavy Um Maronnat, Florian Zolnowski-Kolp, Victoria Otmane, Samir Belmin, Joël affil: Laboratoire de recherche en informatique pour la santé (LIMICS), Sorbonne Université, 15 rue de l'Ecole de Médecine, 75006 Paris, France LIMICS, Université Sorbonne Paris Nord, 93430 Villetaneuse, France Informatique, bioinformatique, systèmes complexes (IBISC), Université Paris-Saclay, 91000 Evry, France Hôpital Charles Foix, Hôpitaux universitaires Pitié-Salpêtrière-Charles Foix, AP-HP - Service de Gériatrie à orientation Cardiologique et Neurologique, 7 avenue de la République, 94200 Ivry-sur-Seine, France su: Cognition disorders diagnosis Medical information storage & retrieval systems Meta-analysis Descriptive statistics Systematic reviews MEDLINE Computer-aided diagnosis Computer input-output equipment Online information services Confidence intervals Sensitivity & specificity (Statistics) Evaluation sug: subj: Computer and peripheral equipment manufacturing Computer Terminal and Other Computer Peripheral Equipment Manufacturing Cognition disorders diagnosis Medical information storage & retrieval systems Meta-analysis Descriptive statistics Systematic reviews MEDLINE Computer-aided diagnosis Computer input-output equipment Online information services Confidence intervals Sensitivity & specificity (Statistics) Evaluation keyword: dementia diagnosis digital tools—systematic review major neurocognitive disorder older adults touchscreen dementia diagnosis digital tools—systematic review major neurocognitive disorder older adults touchscreen ab: Facing an increasing prevalence, diagnosis and management of dementia has become a global health challenge. While most cognitive assessments are based on paper tests, the current trend is to digitise them, using new technologies. We aimed to achieve a systematic review on touchscreen-based assessments for neurocognitive disorders. A search on four databases (PubMed, Embase, IEEE Xplore and Web of Science) was performed. Two investigators independently selected the articles and assessed their quality using the QUADAS-2 tool. We included articles whose participants were over 65 years, classified according to the presence/absence of major neurocognitive disorder (M-NCD) determined by conventional assessment of cognition, examined with a novel tool using a touchscreen device (tablet or smartphone). We finally retained 35 articles for the systematic review and 24 for the meta-analysis. Of the 35 articles included in the systematic review, participants had Alzheimer's disease, Parkinson's disease, vascular dementia, Lewy body disease or any type of dementia. Pooled sensitivity and specificity were 0.89 (95% CI: 0.86–0.91) and 0.88 (95% CI: 0.82–0.92), respectively. Performances of self-administered or brief assessment testings were similar to those of assessor-administered or longer duration testings. The major limitation of this review and meta-analysis is the multiplicity and diversity of methods (tools, cognition assessment and type of M-NCD), which make the comparison difficult. We conclude that brief and self-assessment touchscreen-based cognitive tests are appropriate and simple tools to screen major cognitive disorders that can be used in primary care. The study was registered in Prospero (CRD42022358725). pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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