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    Evidenced Based Learning: Tugas

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    Deo Rafael
    This document appears to be a student assignment on evidenced based learning. It summarizes a study comparing the Mini-Cog test to the Mini Mental State Examination (MMSE) in detecting Alzheimer's disease or dementia. The critical appraisal evaluates the validity and importance of the study results. It finds the study has some validity but the samples were not randomized and not representative. The results suggest the Mini-Cog is as accurate as the MMSE in detecting cognitive impairment, with a CER of 0.810 and EER of 0.840. The results are applicable to help evaluate patients concerned about dementia.

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    Evidenced Based Learning: Tugas

    Uploaded by

    Deo Rafael
    24 views5 pages
    This document appears to be a student assignment on evidenced based learning. It summarizes a study comparing the Mini-Cog test to the Mini Mental State Examination (MMSE) in detecting Alzheimer's disease or dementia. The critical appraisal evaluates the validity and importance of the study results. It finds the study has some validity but the samples were not randomized and not representative. The results suggest the Mini-Cog is as accurate as the MMSE in detecting cognitive impairment, with a CER of 0.810 and EER of 0.840. The results are applicable to help evaluate patients concerned about dementia.

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    This document appears to be a student assignment on evidenced based learning. It summarizes a study comparing the Mini-Cog test to the Mini Mental State Examination (MMSE) in detecting Alzheimer's disease or dementia. The critical appraisal evaluates the validity and importance of the study results. It finds the study has some validity but the samples were not randomized and not representative. The results suggest the Mini-Cog is as accurate as the MMSE in detecting cognitive impairment, with a CER of 0.810 and EER of 0.840. The results are applicable to help evaluate patients concerned about dementia.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    24 views5 pages

    Evidenced Based Learning: Tugas

    Uploaded by

    Deo Rafael
    This document appears to be a student assignment on evidenced based learning. It summarizes a study comparing the Mini-Cog test to the Mini Mental State Examination (MMSE) in detecting Alzheimer's disease or dementia. The critical appraisal evaluates the validity and importance of the study results. It finds the study has some validity but the samples were not randomized and not representative. The results suggest the Mini-Cog is as accurate as the MMSE in detecting cognitive impairment, with a CER of 0.810 and EER of 0.840. The results are applicable to help evaluate patients concerned about dementia.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 5

    Tugas

    EVIDENCED BASED LEARNING

    Oleh:

    Deo Rafael Asnawie, S.Ked 04084821820035

    M. Ananda Triansyah Putra. S.Ked 04084841820002

    M Andika Ginting 04084841820006

    Pembimbing:

    dr. Achmad Ridwan, MO, M.Sc

    BAGIAN ILMU KESEHATAN MASYARAKAT

    ILMU KEDOKTERAN KOMUNITAS

    FAKULTAS KEDOKTERAN UNIVERSITAS SRIWIJAYA

    2019
    Scenario
    You are a general practitioner working in a primary health care team who
    frequently sees older patients reporting memory loss and concerned about the onset
    of dementia. You routinely use the Mini Mental State Examination (MMSE)
    screening tool with these patients to evaluate their cognitive function as you know
    this tool to be sensitive, valid and reliable. Recently, you have heard of a tool called
    the Mini-Cog which is considered quicker to administer and better for patients who
    are older, less educated, or from culturally and linguistically diverse (CALD)
    communities. You wish to find out if the Mini-Cog test is as accurate as the MMSE
    in detecting Alzheimer’s disease or dementia.

    A. Clinical Problem
    1) Population
    Older patients reporting memory loss and concerned about the onset of
    dementia.
    2) Intervention
    Using MMSE and Mini-Cog to evaluate cognitive functions.
    3) Comparison
    Mini-Cog test compared to MMSE in detecting Alzheimer’s disease or
    dementia.
    4) Outcome
    Mini-Cog is as accurate as MMSE in detecting Alzheimer’s disease or
    dementia.

    B. Answerable Question
    Is Mini-Cog as accurate as MMSE in detecting Alzheimer’s disease or
    dementia?

    C. Search Key
    (Mini-Cog vs MMSE) AND (detecting Alzheimer’s disease or dementia) AND
    (cognitive impairment).
    D. Abstract Article

    E. Critical Appraisal
    CRITICAL APPRAISAL THERAPY STUDY (Randomized Controlled Trial)
    VALIDITY: Are the results of the trial valid? (Internal Validity)
    Yang dinilai FRISBEC
    F: Patient Follow-Up Ya
     Were all patients who entered
    the trial properly accounted
    for at its conclusion? Losses to
    follow-up should be less than
    20% and reasons for drop-out
    given.
     Was follow-up long enough?

    R: Randomization Tidak
     Were the recruited patients
    representative of the target
    population?
     Was the allocation
    (assignment) of patients to
    treatment randomized and
    concealed?
    I: Intention to Treat Analysis Ya
     Were patients analyzed in the
    groups to which they were
    randomized?
     Were all randomized patient
    data analyzed? If not, was a
    sensitivity or “worst case
    scenario” analysis done?
    S: Similar Baseline Characteristics of Ya
    Patients
     Were groups similar at the
    start of the trial?
    B: Blinding Monoblinding
     Were patients, health
    workers, and study personnel
    “blind” to treatment?
     If blinding was impossible,
    were blinded
    raters and/or objective
    outcome measures used?
    E: Equal Treatment Ya
     Aside from the experimental
    intervention, were the groups
    treated equally?
    Conflict of Interest Tidak
     Are the sources of support
    and other potential conflicts
    of interest acknowledged and
    addressed?
    Summary of Article’s Validity Penelitian ini valid, namun sampel
     Notable study strengths or tidak random dan tidak representatif.
    weaknesses or concerns?
     How serious are the threats to
    validity and in what direction
    could they bias the study
    outcomes?
    IMPORTANCY (What were the results?)
    Yang dinilai/dihitung
    CER 0,810
    EER 0,840
    RR 1,037
    RRR/RRI 0,0374
    ARR/ARI 0,0303
    NNT 33
    C. APPLICABILIITY
    Will the results help me in caring for my patient? (External Validity/
    Applicability)
    Is my patient so different to those in Tidak
    the study that the result cannot
    apply?
    Is the treatment feasible in my Ya
    setting?
    Will the potential benefits of Ya
    treatment outweigh the potential
    harms of treatment for my patient?

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