Two Approaches to Cognitive Evaluation: Assessing the Strengths and Limitations of GPCOG and ACE-III
DOI:
https://doi.org/10.12775/JEHS.2025.78.57572Keywords
Cognitive screening tools, Dementia diagnosis, ACE-III, GPCOG, Primary and specialized healthcare settingsAbstract
Introduction : The aging population highlights age as a key risk factor for dementia and other cognitive disorders. Reliable diagnostic tools are crucial. This review examines the Addenbrooke’s Cognitive Examination-III (ACE-III) and the General Practitioner Assessment of Cognition (GPCOG), focusing on their sensitivity, specificity, and utility in diverse healthcare contexts.
Purpose of Research: This analysis explores the clinical utility of the Addenbrooke’s Cognitive Examination-III (ACE-III) and the General Practitioner Assessment of Cognition (GPCOG) for diagnosing cognitive disorders, including dementia, emphasizing their use in primary care and specialized settings.
Materials and Methods : A review of 37 peer-reviewed studies, including clinical trials and validation research, was conducted using databases like PubMed and Google Scholar. Keywords included "GPCOG," "ACE-III," and "cognitive screening."
Results : ACE-III shows high diagnostic accuracy, with sensitivity and specificity exceeding 93% and 96%. It excels in assessing complex dementia but is time-intensive and requires trained personnel, limiting its use in primary care. Conversely, GPCOG is a quick, user-friendly tool suited for primary care but lacks the depth for detailed diagnostics.
Conclusions : ACE-III is optimal for detailed evaluations in specialized settings, while GPCOG excels in rapid primary care screening. Combined, they enhance early detection and management of cognitive disorders.
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Copyright (c) 2025 Magdalena Mąka, Dominik Sikora, Piotr Oleksy, Adam Zając, Karol Zieliński, Łukasz Papież, Ewa Góralczyk, Jakub Kamiński, Bartosz Buczkowski, Dagmara Wochnik
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