The Clock Drawing Test: A Systematic Review and Meta-analysis of Diagnostic Accuracy
Journal of Advanced Nursing
Park, J., Jeong, E., et al. (2018).
Journal of Advanced Nursing, 74(12), 2742-2754.
This meta-analysis examines the diagnostic accuracy of different scoring methods of the clock drawing test to detect dementia. Although speech-language pathologists do not diagnose dementia, findings from this review may be useful for identifying tools for detection of cognitive impairments in this population.
No funding received
Inception to third week of October 2015
Observational study designs; cross-sectional study designs; case series study designs
18 for systematic review; 15 for meta-analysis
Of the seven scoring methods examined, results indicate that the Schulman scoring system (sensitivity 82%, specificity 75.7%, area under curve 0.857) was the most useful in screening for dementia in the general elderly population. Due to limited literature eliminating meta-analysis for one scoring system and the overall heterogeneity of included studies, further research is warranted.
