{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T08:11:39Z","timestamp":1791447099692,"version":"4.3.3"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,3,16]],"date-time":"2015-03-16T00:00:00Z","timestamp":1426464000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>A screening strategy composed of three\u2010item temporal orientation and three\u2010word recall has been increasingly used for detecting cognitive impairment. However, the intervening task administered between presentation and recall has varied. We evaluated six brief tasks that could be useful as intervening distractors and possibly provide incremental accuracy: serial subtraction, clock drawing, category fluency, letter fluency, timed visual detection, and digits backwards.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Older adults (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009230) consecutively referred for suspected cognitive impairment underwent a comprehensive assessment for gold\u2010standard diagnosis, of whom 56 (24%) presented cognitive impairment not dementia and 68 (30%) presented dementia. Among those with dementia, 87% presented very mild or mild stages (Clinical Dementia Rating 0.5 or 1). The incremental value of each candidate intervening task in a model already containing orientation and word recall was assessed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Category fluency (animal naming) presented the highest incremental value among the six candidate intervening tasks. Reclassification analyses revealed a net gain of 12% among cognitively impaired and 17% among normal participants. A four\u2010point scaled score of the animal naming task was added to three\u2010item temporal orientation and three\u2010word recall to compose the 10\u2010point Cognitive Screener. The education\u2010adjusted 10\u2010point Cognitive Screener outperformed the longer Mini\u2010Mental State Examination for detecting both cognitive impairment (area under the curve 0.85 vs 0.77;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.027) and dementia (area under the curve 0.90\n                      <jats:italic>vs<\/jats:italic>\n                      0.83;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Based on empirical data, we have developed a brief and easy\u2010to\u2010use screening strategy with higher accuracy and some practical advantages compared with commonly used tools. Copyright \u00a9 2015 John Wiley &amp; Sons, Ltd.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/gps.4282","type":"journal-article","created":{"date-parts":[[2015,3,16]],"date-time":"2015-03-16T20:17:58Z","timestamp":1426537078000},"page":"4-12","source":"Crossref","is-referenced-by-count":119,"title":["Using temporal orientation, category fluency, and word recall for detecting cognitive impairment: the 10\u2010point cognitive screener (10\u2010CS)"],"prefix":"10.1002","volume":"31","author":[{"given":"Daniel","family":"Apolinario","sequence":"first","affiliation":[{"name":"Division of Geriatrics, Department of Internal Medicine, Faculdade de Medicina Universidade de S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel Gomes","family":"Lichtenthaler","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Internal Medicine, Faculdade de Medicina Universidade de S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regina Miksian","family":"Magaldi","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Internal Medicine, Faculdade de Medicina Universidade de S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aline Thomaz","family":"Soares","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Internal Medicine, Faculdade de Medicina Universidade de S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre Leopold","family":"Busse","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Internal Medicine, Faculdade de Medicina Universidade de S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Renato","family":"das Gracas Amaral","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Internal Medicine, Faculdade de Medicina Universidade de S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilson","family":"Jacob\u2010Filho","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Internal Medicine, Faculdade de Medicina Universidade de S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia Maria Dozzi","family":"Brucki","sequence":"additional","affiliation":[{"name":"Division of Behavioral and Cognitive Neurology, Department of Neurology, Faculdade de Medicina Universidade de S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,3,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/WAD.0b013e3181665397"},{"key":"e_1_2_7_3_1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronj\/44.5.P139"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/1099-1166(200011)15:11<1021::AID-GPS234>3.0.CO;2-6"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.1470"},{"key":"e_1_2_7_7_1","unstructured":"Brazilian Association of Research Companies.2008.Brazilian Economic Classification Criterion. 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