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Table 1 Characteristics, scoring and prevalence of dementia/AD in studies carried out in Italy

From: A systematic review of the quality of studies on dementia prevalence in Italy

First author and year of publication

Year of survey

Area of investigation

Type of dementia(s)

Age (years)

Sample size Score

Design Score

Response Proportion Score

Diagnostic assessment Score

Total score

Prevalence of dementia

Diagnostic criteria tools

Rocca, 1990 [9]

1987

Appignano (Macerata)

D (AD + MID + MD)

>59

778 Score: 1

Two-phase design with negative screen Score: 1

96 % Score: 3

AMT + MMSE + Blessed-Roth + CE + IN Score: 3

8

6.2 % (2.6 % AD)

NINCDS-ADRDA HIS

ILSA, 1997 [10]

1992–1993

8 municipalities

Any type

65–84

5632/5462 (total/eligible) Score: 2

Two-phase design with negative screen Score: 1

84-64 %a Score: 3

IN + CE (MMSE/ADL/IADL) Score: 3

9

7.2 % F

DSM-III-R

5.3 % M

NINCDS-ADRDA

ICD-10

Prencipe, 1996 [11]

1992–1993

Aquila Province

D (AD + VaD + ODD)

>64

1147 Score: 1

Two-phase design with negative screen Score: 1

84.4 % Score: 3

MMSE/MSQ + CE + IN + disability assessment Score: 4

9

8.0 % (5.2 % AD)

NINCDS-ADRDA

NINDS-AIREN

HIS

De Ronchi, 1998 [12]

1991

Granarolo (Ravenna)

AD + VaD + MD

≥61

557 (481 completers) Score: 1

Two-phase design with no negative Score: 0

86.4 % Score: 3

MMSE/GDS + CE + IN + ADL Score: 2

6

11.1 %

DSM III R

Benedetti, 2002 [13]

1996

Buttapietra (Verona)

AD + VaD

>74

238 Score: 0.5

One-phase design Score: 2

93.3 % Score: 3

MMSE + CE + IN + ADL Score: 3

8.5

15.8 % (6.7 % AD)

HIS

NINCDS-ADRDA

DSM-III-R

Ferini-Strambi, 1997 [14]

1991

Vescovato (Cremona)

AD + VaD + MD + SeD

>59

856 (673 responders) Score: 1

Two-phase design with no negative Score: 0

79 % Score: 2

AMT + CE Score: 2

5

9.8 % (5.2 % AD)

NINCDS-ADRDA

NINDS-AIREN

D’Alessandro, 1996 [15]

1992

Troina (Enna)

D (VaD)

>74

365 Score: 0.5

Two-phase design with negative screen

Score: 1

95 % Score: 3

MMSE + CE + CDR Score: 3

7.5

21.9 %

DSM-III-R

HIS

Azzimondi, 1998 [16]

1992–1994

2 Sicilian Communities (data on S. Agata Militello)

D (VaD)

>74

408 Score: 1

Two-phase design with negative screen Score: 1

93 % Score: 3

MMSE + CE + CDR Score: 3

8

28.4 %

DSM-III-RHIS

Cristina, 2001 [17]

1992–1993

Pavia Province

D

>65 (40 % 65–69 and all >70)

2442 Score: 1.5

Two-phase design with negative sample

Score: 1

68 % Score: 2

MMSE + IN + CE Score: 3

7.5

11.8 %

DSM-III-R

Tognoni, 2005 [18]

2000

Pisa Province (Vecchiano)

VaD + AD+ LBD + MCI

>65

2366 Score: 1.5

Two-phase design with indirect sample of negative screen

68 % Score: 2

MMSE/CDR/CAMDEX + C E+ IN + ADL Score: 3

7.5

6.2 % (4.2 % AD)

NINCDS-ADRDA

HIS

LBD

MCADRC DSM-IV

Lucca, 2011 [19]

2002–2010

Monzino (Varese)

D (AD)

≥80 (80–100)

2316 Score: 1.5

One-phase design Score: 2

88 % Registered Score: 3

MMSE/BIMC/CDR + CE + IN + disability assessment Score: 4

10.5

32 %

DSM-IV

Ravaglia, 1999 [20]

1994–1995

Bologna + Ravenna provinces

AD + VaD

≥100

154 Score: 0.5

One-phase design Score: 2

65 % Score: 2

MMSE + CE + IN + disability assessment Score: 3

7.5

61.9 % (48.9 % AD)

DSM-IV

NINCDS-ADRDA

ICD 10

Spada, 2009 [21]

2005–2006

San Teodoro (Enna)

AD + VaD + Others

60–85

374 Score: 0.5

Two-phase design with no negative screen sample Score: 0

74.9 % Score: 2

MMSE + CE + IN + disability assessment Score: 3

5.5

7.1 % (4.1 % AD)

DSM IV

NINCDS-ADRDA

NINDS-AIREN

Ravaglia, 2002 [22]

1999–2000

Conselice (Ravenna)

AD + VaD

65–97

1353 Score: 1

Two-phase design with negative screen

sample Score: 1

75 % Score: 2

MMSE + CE + IN + disability assessment Score: 3

7

5.9 % (3.0 % AD)

DSM-IV

NINCDS-ADRDA

NINDS-AIREN

Ferrucci, 2000 [24]

1998

Greve in Chianti + Bagno a Ripoli (Florence)

D and AD

>65–90+

1260 Score: 1

Two-phase design with negative screen Score: 1

91.6 %b Score: 3

MMSE + CE + IN + disability assessment Score: 3

8

7.1 % (3.6 % AD)d

DSM-III-R

NINCDS-ADRDA

Di Bari, 1999 [25]

1995

Dicomano (Florence)

D and AD

>65–90+

864 Score: 1

Two-phase design with negative screen Score: 0

91.2 %b Score: 3

MMSE c + MODA + CE + BADL Score: 3

7

9.0 % z (5.2 % AD)d

Unknown

  1. General: F females, M males, NA not available
  2. Type of dementia and other diseases: AD Alzheimer Disease, D Dementia, LBD Lewy Body Dementia, MCI Mild Cognitive Impairment, MD Mixed Dementia, MID Multi-Infarct Dementia, ODD Other Dementing Diseases, SeD Secondary Dementia, VaD Vascular Dementia
  3. Area of investigation: SAM community of Sant’Agata Militello
  4. Diagnostic assessment score: ADL Activities of Daily Living, AMT Abbreviated Mental Test, BADL Bristol Activities of Daily Living, BIMC Blessed Information Memory Concentration, CAMDEX Cambridge Mental Disorders of the Elderly Examination, CDR Clinical Dementia Rating, CE Clinical Examination, GDS Global Deterioration Scale, IADL Instrumental Activities of Daily Living, IN Interview, MDS Minimum Data Set, MMSE Mini-Mental State Examination, MODA Milan Overall Dementia Assessment, MSQ Mental Status Questionnaire
  5. Diagnostic criteria tools: DSM Diagnostic and Statistical Manual of Mental Disorders, HIS Hachinski Ischemic Score, ICD International Classification of Diseases, MCARDC Mayo Clinic Alzheimer’s Disease Research Center, NINCDS-ADRDA National Institute of Neurological and Communicative Disorders and Stroke-Alzheimer’s Disease and Related Disorders Association, NINDS-AIREN National Institute of Neurological Disorders and Stroke-Association Internationale pour la Recherche et l'Enseignment en Neurosciences, RPM Raven Progressive Matrix
  6. aResponse rates for personal interview and clinical evaluation, respectively
  7. bCalculated on those who were traceable
  8. cMMSE and adjustment tests when score falls between 22 and 25
  9. dEstimated from Table 2 in the pooled analysis [23]