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Details

Autor(en) / Beteiligte
Titel
Use of the CDR® plus NACC FTLD in mild FTLD: Data from the ARTFL/LEFFTDS consortium
Ist Teil von
  • Alzheimer's & dementia, 2020-01, Vol.16 (1), p.79-90
Ort / Verlag
United States: Elsevier Inc
Erscheinungsjahr
2020
Quelle
Wiley-Blackwell Journals
Beschreibungen/Notizen
  • Behavior/Comportment/Personality (BEHAV) and Language (LANG) domains were added to the Clinical Dementia Rating (CDR®) for improving evaluation of patients with frontotemporal lobar degeneration (FTLD) (CDR® plus NACC FTLD). We analyzed the CDR® plus NACC FTLD among participants from the baseline visit of the Advancing Research and Treatment for Frontotemporal Lobar Degeneration/Longitudinal Evaluation of Familial Frontotemporal Dementia Subjects Consortium. The CDR® plus NACC FTLD was able to detect early symptoms in the mildly impaired participants who were rated as CDR® sum of boxes (CDR®-SB) = 0. The CDR®-SB was not sensitive, particularly in participants with mild nonfluent/agrammatic primary progressive aphasia. Participants with familial and sporadic behavioral variant FTD exhibited similar CDR® plus NACC FTLD profiles except that language impairment was more frequent in participants with mild sporadic behavioral variant FTD. Adding the BEHAV and/or LANG domains to the CDR®-SB significantly enhanced discriminatory power in differentiating among the FTLD spectrum disorders. The BEHAV and LANG domains enable the CDR® plus NACC FTLD to capture early symptomatology of FTLD. •The CDR® plus NACC FTLD was completed at the baseline visit of the ARTFL/LEFFTDS Consortium.•The CDR® plus NACC FTLD captured early features of FTLD.•Sporadic and familial behavioral variant FTD were similar in most regards on the CDR® plus NACC FTLD.•Behavioral disturbance was often present in participants with semantic variant PPA.•Adding the Behavior and Language domains to the CDR® enhanced the discriminatory power.

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