Consensus-Harmonized Neuropsychological Assessment for Vascular Cognitive Impairment and Dementia.
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Bentvelzen Adam C, Kochan Nicole A, Saks Danit G, Chander Russell J, Koncz Rebecca, Aam Stina, Alves Gilberto S, Briceno Emily M, Brodtmann Amy, Cerami Chiara, Clancy Una, Cysique Lucette, Deary Ian J, DeCarli Charles, Dodich Alessandra, Godefroy Olivier, Jochems Angela C C, Jokinen Hanna, Kang Yeonwook, Karayanidis Frini, Kessels Roy P C, Kyläheiko Iiris, Lancaster Kurt, Laukka Erika J, Levine Deborah A, Marseglia Anna, Pase Matthew P, Peters Ruth, Salmon David P, Salvadori Emilia, Shirk Steven D, Stokes Kathryn A, Sudo Felipe Kenji, Summers Mathew J, Vandermorris Susan, Vasquez Brandon P, Sachdev Perminder S
Аннотация
OBJECTIVE: To develop an updated harmonized battery and associated assessment guidelines for VCID.
EVIDENCE REVIEW: NINDS-CSN and other relevant published harmonized neuropsychological batteries, aided by literature review of recent developments in VCID, were used as reference points for an online Delphi survey (≥3 rounds, ≥75% threshold for agreement), including questions on a core test battery based on key cognitive domains that should be assessed for VCID, consideration of computerized and remote assessment methods, and assessment of diverse populations. International experts in neuropsychological assessment from diverse international regions were invited to participate in 2023. Data were analyzed from October 11, 2023, to June 20, 2024.
FINDINGS: A total of 44 experts participated in 3 survey rounds, with 28 to 31 participants each. Consensus was reached on a core assessment battery of neuropsychological tests based on key cognitive domains, and additional guidelines for a more comprehensive test battery, cognitive screening, telehealth and computerized assessment methods, principles for normative standardization, and the assessment of diverse populations. The key cognitive domains were harmonized with the International Society for Vascular Behavioural and Cognitive Disorders version 2 World Stroke Organization (VasCog-2-WSO) diagnostic criteria for VCID.
CONCLUSIONS AND RELEVANCE: This consensus statement describes the development of a harmonized neuropsychological assessment battery and guidelines for VCID (VasCog-NP) that expands on the NINDS-CSN battery with more comprehensive and flexible assessment of VCID. Harmonized with the VasCog-2-WSO diagnostic criteria, VasCog-NP could be adopted internationally to further help more consistent neuropsychological evaluations related to VCID, facilitating global comparisons for clinicians and researchers.