Two Approaches to Cognitive Evaluation: Assessing the Strengths and Limitations of GPCOG and ACE-III

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), focusin...

Full description

Saved in:
Bibliographic Details
Main Authors: Magdalena Mąka, Dominik Sikora, Piotr Oleksy, Adam Zając, Karol Zieliński, Łukasz Papież, Ewa Góralczyk, Jakub Kamiński, Bartosz Buczkowski, Dagmara Wochnik
Format: Article
Language:English
Published: Kazimierz Wielki University 2025-02-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/57572
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823856518644105216
author Magdalena Mąka
Dominik Sikora
Piotr Oleksy
Adam Zając
Karol Zieliński
Łukasz Papież
Ewa Góralczyk
Jakub Kamiński
Bartosz Buczkowski
Dagmara Wochnik
author_facet Magdalena Mąka
Dominik Sikora
Piotr Oleksy
Adam Zając
Karol Zieliński
Łukasz Papież
Ewa Góralczyk
Jakub Kamiński
Bartosz Buczkowski
Dagmara Wochnik
author_sort Magdalena Mąka
collection DOAJ
description 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.
format Article
id doaj-art-a6399e08b1494ec88a98027a0dff25d4
institution Kabale University
issn 2391-8306
language English
publishDate 2025-02-01
publisher Kazimierz Wielki University
record_format Article
series Journal of Education, Health and Sport
spelling doaj-art-a6399e08b1494ec88a98027a0dff25d42025-02-12T08:17:50ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062025-02-017810.12775/JEHS.2025.78.57572Two Approaches to Cognitive Evaluation: Assessing the Strengths and Limitations of GPCOG and ACE-IIIMagdalena Mąka0https://orcid.org/0009-0002-8702-9406Dominik Sikora1https://orcid.org/0009-0006-8604-1605Piotr Oleksy2https://orcid.org/0009-0008-0567-0317Adam Zając3https://orcid.org/0009-0003-1131-8700Karol Zieliński4https://orcid.org/0009-0009-6069-8053Łukasz Papież5https://orcid.org/0009-0000-1235-0057Ewa Góralczyk6https://orcid.org/0009-0006-9573-0381Jakub Kamiński7https://orcid.org/0009-0006-4725-5977Bartosz Buczkowski8https://orcid.org/0009-0001-8065-632XDagmara Wochnik9https://orcid.org/0009-0003-8604-2964Medical University of Silesia in Katowice, Faculty of Medical Sciences in Katowice, ul. księcia J. Poniatowskiego 15, 40-055 Katowice, śląskie, PolandMedical University of Silesia in Katowice, Faculty of Medical Sciences in Katowice, ul. księcia J. Poniatowskiego 15, 40-055 Katowice, śląskie, Poland Medical University of Silesia in Katowice, Faculty of Medical Sciences in Katowice, ul. księcia J. Poniatowskiego 15, 40-055 Katowice, śląskie, Poland Medical University of Silesia in Katowice, Faculty of Medical Sciences in Katowice, ul. księcia J. Poniatowskiego 15, 40-055 Katowice, śląskie, Poland Medical University of Silesia in Katowice, Faculty of Medical Sciences in Katowice, ul. księcia J. Poniatowskiego 15, 40-055 Katowice, śląskie, Poland Medical University of Silesia in Katowice, Faculty of Medical Sciences in Katowice, ul. księcia J. Poniatowskiego 15, 40-055 Katowice, śląskie, Poland Medical University of Silesia in Katowice, Faculty of Medical Sciences in Katowice, ul. księcia J. Poniatowskiego 15, 40-055 Katowice, śląskie, Poland Medical University of Silesia in Katowice, Faculty of Medical Sciences in Katowice, ul. księcia J. Poniatowskiego 15, 40-055 Katowice, śląskie, Poland Medical University of Silesia in Katowice, Faculty of Medical Sciences in Katowice, ul. księcia J. Poniatowskiego 15, 40-055 Katowice, śląskie, Poland Medical University of Silesia in Katowice, Faculty of Medical Sciences in Katowice, ul. księcia J. Poniatowskiego 15, 40-055 Katowice, śląskie, Poland 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. https://apcz.umk.pl/JEHS/article/view/57572Cognitive screening toolsDementia diagnosisACE-IIIGPCOGPrimary and specialized healthcare settings
spellingShingle Magdalena Mąka
Dominik Sikora
Piotr Oleksy
Adam Zając
Karol Zieliński
Łukasz Papież
Ewa Góralczyk
Jakub Kamiński
Bartosz Buczkowski
Dagmara Wochnik
Two Approaches to Cognitive Evaluation: Assessing the Strengths and Limitations of GPCOG and ACE-III
Journal of Education, Health and Sport
Cognitive screening tools
Dementia diagnosis
ACE-III
GPCOG
Primary and specialized healthcare settings
title Two Approaches to Cognitive Evaluation: Assessing the Strengths and Limitations of GPCOG and ACE-III
title_full Two Approaches to Cognitive Evaluation: Assessing the Strengths and Limitations of GPCOG and ACE-III
title_fullStr Two Approaches to Cognitive Evaluation: Assessing the Strengths and Limitations of GPCOG and ACE-III
title_full_unstemmed Two Approaches to Cognitive Evaluation: Assessing the Strengths and Limitations of GPCOG and ACE-III
title_short Two Approaches to Cognitive Evaluation: Assessing the Strengths and Limitations of GPCOG and ACE-III
title_sort two approaches to cognitive evaluation assessing the strengths and limitations of gpcog and ace iii
topic Cognitive screening tools
Dementia diagnosis
ACE-III
GPCOG
Primary and specialized healthcare settings
url https://apcz.umk.pl/JEHS/article/view/57572
work_keys_str_mv AT magdalenamaka twoapproachestocognitiveevaluationassessingthestrengthsandlimitationsofgpcogandaceiii
AT dominiksikora twoapproachestocognitiveevaluationassessingthestrengthsandlimitationsofgpcogandaceiii
AT piotroleksy twoapproachestocognitiveevaluationassessingthestrengthsandlimitationsofgpcogandaceiii
AT adamzajac twoapproachestocognitiveevaluationassessingthestrengthsandlimitationsofgpcogandaceiii
AT karolzielinski twoapproachestocognitiveevaluationassessingthestrengthsandlimitationsofgpcogandaceiii
AT łukaszpapiez twoapproachestocognitiveevaluationassessingthestrengthsandlimitationsofgpcogandaceiii
AT ewagoralczyk twoapproachestocognitiveevaluationassessingthestrengthsandlimitationsofgpcogandaceiii
AT jakubkaminski twoapproachestocognitiveevaluationassessingthestrengthsandlimitationsofgpcogandaceiii
AT bartoszbuczkowski twoapproachestocognitiveevaluationassessingthestrengthsandlimitationsofgpcogandaceiii
AT dagmarawochnik twoapproachestocognitiveevaluationassessingthestrengthsandlimitationsofgpcogandaceiii