The diagnostic accuracy of telegeriatrics for the diagnosis of dementia via video conferencing

Abstract

INTRODUCTION: The suitability of video conferencing (VC) technology for clinical purposes relevant to geriatric medicine is still being established. This project aimed to determine the validity of the diagnosis of dementia via VC.
METHODS: This was a multi-site, non-inferiority, prospective cohort study. Patients, aged 50 years and over, referred by their primary care physician for cognitive assessment, were assessed at four memory disorder clinics. All patients were assessed independently by two specialist physicians. They were allocated one face-to-face (FTF) assessment (Reference standard – usual clinical practice) and an additional assessment (either usual FTF assessment or a VC assessment) on the same day. Each specialist physician had access to the patient chart and the results of a battery of standardised cognitive assessments administered FTF by the clinic nurse. Percentage agreement (P0) and the weighted kappa statistic with linear weight (Kw) were used to assess interrater reliability across the two study groups on the diagnosis of dementia (cognition normal, impaired or demented).
RESULTS: The 205 patients were allocated to group: Videoconference (n=100) or Standard practice (n=105). 106 were male. The average age was 76 (SD9, 51-95) and the average Standardised Mini-Mental State Examination Score was 23.9 (SD4.7, 9-30). Agreement for the Videoconference group (PO= 0.71; kw = 0.52; p<0.0001) and agreement for the Standard Practice group (PO= 0.70; kW = 0.50; p<0.0001) were both statistically significant (p<0.05). The summary kappa statistic of 0.51 (p=0.84) indicated that VC was not inferior to FTF assessment.
CONCLUSIONS: Previous studies have shown that preliminary standardized assessment tools can be reliably administered and scored via VC. This study focused on the geriatric assessment component of the interview (interpretation of standardized assessments, taking a history and formulating a diagnosis by medical specialist) and identified high levels of agreement for diagnosing dementia. A model of service incorporating either local or remote administered standardized assessments, and remote specialist assessment is a reliable process for enabling the diagnosis of dementia for isolated older adults.