Skip to main content

Addenbrooke’s Cognitive Examinations: ACE, ACE-R, ACE-III, ACEapp, and M-ACE

  • Chapter
Cognitive Screening Instruments

Abstract

The Addenbrooke’s Cognitive Examination (ACE) was originally developed as a theoretically motivated extension of the Mini-Mental State Examination (MMSE) which attempted to address the neuropsychological omissions and improve the screening performance of the latter. Though taking longer to administer than the MMSE, and therefore best suited to specialist settings, ACE and its subsequent iterations, ACE-R and ACE-III, have proved easy to use, acceptable to patients, and have shown excellent diagnostic utility in identifying dementia and cognitive impairment in a variety of clinical situations (Alzheimer’s disease, frontotemporal lobar degenerations, Parkinsonian syndromes, stroke and vascular dementia, brain injury). The most recent development, the Mini-Addenbrooke’s Cognitive Examination (M-ACE), takes no more time to administer than the MMSE but, like the longer versions, is superior to MMSE in diagnostic utility. The utility of ACE/ACE-R has prompted translation into various languages, and this trend is anticipated to continue for ACE-III and M-ACE.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.00
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Folstein MF, Folstein SE, McHugh PR. “Mini-Mental State”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189–98.

    Article  CAS  PubMed  Google Scholar 

  2. Malloy PF, Cummings JL, Coffey CE, et al. Cognitive screening instruments in neuropsychiatry: a report of the Committee on Research of the American Neuropsychiatric Association. J Neuropsychiatry Clin Neurosci. 1997;9:189–97.

    Article  CAS  PubMed  Google Scholar 

  3. Teng EL, Chui HC. The Modified Mini-Mental State (3MS) examination. J Clin Psychiatry. 1987;48:314–8.

    CAS  PubMed  Google Scholar 

  4. Mathuranath PS, Nestor PJ, Berrios GE, Rakowicz W, Hodges JR. A brief cognitive test battery to differentiate Alzheimer’s disease and frontotemporal dementia. Neurology. 2000;55:1613–20.

    Article  CAS  PubMed  Google Scholar 

  5. Mioshi E, Dawson K, Mitchell J, Arnold R, Hodges JR. The Addenbrooke’s Cognitive Examination Revised: a brief cognitive test battery for dementia screening. Int J Geriatr Psychiatry. 2006;21:1078–85.

    Article  PubMed  Google Scholar 

  6. Hsieh S, Schubert S, Hoon C, Mioshi E, Hodges JR. Validation of the Addenbrooke’s Cognitive Examination III in frontotemporal dementia and Alzheimer’s disease. Dement Geriatr Cogn Disord. 2013;36:242–50.

    Article  PubMed  Google Scholar 

  7. Hsieh S, McGrory S, Leslie F, et al. The Mini-Addenbrooke’s Cognitive Examination: a new assessment tool for dementia. Dement Geriatr Cogn Disord. 2015;39:1–11.

    Article  PubMed  Google Scholar 

  8. Garcia-Caballero A, Recimil MJ, Garcia-Lado I, et al. ACE clock scoring: a comparison with eight standard correction methods in a population of low educational level. J Geriatr Psychiatry Neurol. 2006;19:216–9.

    Article  PubMed  Google Scholar 

  9. Newman JC, Feldman R. Copyright and open access at the bedside. N Engl J Med. 2011;365:2447–9.

    Article  CAS  PubMed  Google Scholar 

  10. Seshadri M, Mazi-Kotwal N. A copyright-free alternative is needed. BMJ. 2012;345:e8589.

    Article  PubMed  Google Scholar 

  11. Al Salman A, Wahass S, Rahman Altahan A, Ballubaud H, Algereshah F, Evans JJ. Validation of an Arabic version of the Addenbrooke’s Cognitive Examination-Revised. Brain Impairment. 2011;12(Suppl):24.

    Google Scholar 

  12. Wong L, Chan C, Leung J, et al. A validation study of the Chinese-Cantonese Addenbrooke’s Cognitive Examination Revised (C-ACER). Neuropsychiatr Dis Treat. 2013;9:731–7.

    PubMed  PubMed Central  Google Scholar 

  13. Fang R, Wang G, Huang Y, et al. Validation of the Chinese version of Addenbrooke’s cognitive examination-revised for screening mild Alzheimer’s disease and mild cognitive impairment. Dement Geriatr Cogn Disord. 2014;37:223–31 [Erratum Dement Geriatr Cogn Disord. 2015;39:91].

    Article  PubMed  Google Scholar 

  14. Hummelová-Fanfrdlová Z, Rektorová I, Sheardová K, Barto A, Línek V, Ressner P. Česká adaptace Addenbrookského kognitivního testu. Československá Psychologie. 2009;53:376–88.

    Google Scholar 

  15. Bartoš A, Raisová M, Kopeček M. Novelizace české verze Addenbrookského kognitivního testu (ACE-CZ). Česká a Slovenská Neurologie a Neurochirurgie. 2011;74:681–4.

    Google Scholar 

  16. Berankova D, Janousova E, Mrackova M, et al. Addenbrooke’s Cognitive Examination and individual domain cut-off scores for discriminating between different cognitive subtypes of Parkinson’s disease. Parkinsons Dis. 2015;2015:579417.

    PubMed  PubMed Central  Google Scholar 

  17. Stokholm J, Vogel A, Johannsen P, Waldemar G. Validation of the Danish Addenbrooke’s Cognitive Examination as a screening test in a memory clinic. Dement Geriatr Cogn Disord. 2009;27:361–5.

    Article  PubMed  Google Scholar 

  18. Robben SHM, Sleegers MJM, Dautzenberg PLJ, van Bergen FS, ter Bruggen JP, Olde Rikkert MGM. Pilot study of a three-step diagnostic pathway for young and old patients with Parkinson’s disease dementia: screen, test and then diagnose. Int J Geriatr Psychiatry. 2010;25:258–65.

    Article  PubMed  Google Scholar 

  19. Bier JC, Ventura M, Donckels V, et al. Is the Addenbrooke’s Cognitive Examination effective to detect frontotemporal dementia? J Neurol. 2004;251:428–31.

    Article  CAS  PubMed  Google Scholar 

  20. Bier JC, Donckels V, van Eyll E, Claes T, Slama H, Fery P, Vokaer M. The French Addenbrooke’s Cognitive Examination is effective in detecting dementia in a French-speaking population. Dement Geriatr Cogn Disord. 2005;19:15–7.

    Article  PubMed  Google Scholar 

  21. Bastide L, De Breucker S, van den Berge M, Fery P, Pepersack T, Bier JC. The Addenbrooke’s Cognitive Examination Revised is as effective as the original to detect dementia in a French-speaking population. Dement Geriatr Cogn Disord. 2012;34:337–43.

    Article  CAS  PubMed  Google Scholar 

  22. Alexopoulos P, Greim B, Nadler K, Martens U, Krecklow B, Domes G, Herpertz S, Kurz A. Validation of the Addenbrooke’s Cognitive Examination for detecting early Alzheimer’s disease and mild vascular dementia in a German population. Dement Geriatr Cogn Disord. 2006;22:385–91.

    Article  CAS  PubMed  Google Scholar 

  23. Alexopoulos P, Ebert A, Richter-Schmidinger T, et al. Validation of the German revised Addenbrooke’s cognitive examination for detecting mild cognitive impairment, mild dementia in Alzheimer’s disease and frontotemporal lobar degeneration. Dement Geriatr Cogn Disord. 2010;29:448–56.

    Article  CAS  PubMed  Google Scholar 

  24. Konstantinopoulou E, Kosmidis MH, Ioannidis P, Kiosseoglou G, Karacostas D, Taskos N. Adaptation of Addenbrooke’s Cognitive Examination-Revised for the Greek population. Eur J Neurol. 2011;18:442–7.

    Article  CAS  PubMed  Google Scholar 

  25. Newman JP. Brief assessment of cognitive mental status in Hebrew: Addenbrooke’s Cognitive Examination. Isr Med Assoc J. 2005;7:451–7.

    CAS  PubMed  Google Scholar 

  26. Kaszas B, Kovacs N, Balas I, et al. Sensitivity and specificity of Addenbrooke’s Cognitive Examination, Mattis Dementia Rating Scale, Frontal Assessment Battery and Mini Mental State Examination for diagnosing dementia in Parkinson’s disease. Parkinsonism Relat Disord. 2012;18:553–6.

    Article  CAS  PubMed  Google Scholar 

  27. Pigliautile M, Ricci M, Mioshi E, et al. Validation study of the Italian Addenbrooke’s Cognitive Examination Revised in a young-old and old-old population. Dement Geriatr Cogn Disord. 2011;32:301–7.

    Article  CAS  PubMed  Google Scholar 

  28. Siciliano M, Raimo S, Tufano D, et al. The Addenbrooke’s Cognitive Examination Revised (ACE-R) and its subscores: normative values in an Italian population. Neurol Sci. 2016;37:385–92.

    Article  PubMed  Google Scholar 

  29. Yoshida H, Terada S, Honda H, et al. Validation of Addenbrooke’s cognitive examination for detecting early dementia in a Japanese population. Psychiatry Res. 2011;185:211–4.

    Article  PubMed  Google Scholar 

  30. Yoshida H, Terada S, Honda H, et al. Validation of the revised Addenbrooke’s Cognitive Examination (ACE-R) for detecting mild cognitive impairment and dementia in a Japanese population. Int Psychogeriatr. 2012;24:28–37.

    Article  PubMed  Google Scholar 

  31. Dos Santos Kawata KH, Hashimoto R, Nishio Y, et al. A validation study of the Japanese version of the Addenbrooke’s Cognitive Examination-Revised. Dement Geriatr Cogn Dis Extra. 2012;2:29–37.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Heo JH, Lee KM, Park TH, Ahn JY, Kim MK. Validation of the Korean Addenbrooke’s Cognitive Examination for diagnosing Alzheimer’s dementia and mild cognitive impairment in the Korean elderly. Appl Neuropsychol Adult. 2012;19:127–31.

    Article  PubMed  Google Scholar 

  33. Kwak YT, Yang Y, Kim GW. Korean Addenbrooke’s Cognitive Examination-Revised (K-ACER) for differential diagnosis of Alzheimer’s disease and subcortical ischemic vascular dementia. Geriatr Gerontol Int. 2010;10:295–301.

    Article  PubMed  Google Scholar 

  34. Margevičiūtė R, Bagdonas A, Butkus K, et al. Adenbruko kognityvinio tyrimo metodikos – taisytos adaptacija lietuviškai kalbantiems gyventojams (ACE-RLT). Neurologijos seminarai. 2013;1(55):29–51.

    Google Scholar 

  35. Rotomskis A, Margevičiūtė R, Germanavicius A, Kaubrys G, Budrys V, Bagdonas A. Differential diagnosis of depression and Alzheimer’s disease with the Addenbrooke’s Cognitive Examination-Revised (ACE-R). BMC Neurol. 2015;15:57.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Mathuranath PS, Hodges JR, Mathew R, Cherian PJ, George A, Bak TH. Adaptation of the ACE for a Malayalam speaking population in southern India. Int J Geriatr Psychiatry. 2004;19:1188–94.

    Article  CAS  PubMed  Google Scholar 

  37. Mathuranath PS, Cherian JP, Mathew R, George A, Alexander A, Sarma SP. Mini mental state examination and the Addenbrooke’s cognitive examination: effect of education and norms for a multicultural population. Neurol India. 2007;55:106–10.

    Article  CAS  PubMed  Google Scholar 

  38. Menon R, Lekha V, Justus S, Sarma PS, Mathuranath P. A pilot study on utility of Malayalam version of Addenbrooke’s Cognitive Examination in detection of amnestic mild cognitive impairment: a critical insight into utility of learning and recall measures. Ann Indian Acad Neurol. 2014;17:420–5.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Pouretemad HR, Khatibi A, Ganjavi A, Shams J, Zarei M. Validation of Addenbrooke’s cognitive examination (ACE) in a Persian-speaking population. Dement Geriatr Cogn Disord. 2009;28:343–7.

    Article  PubMed  Google Scholar 

  40. Carvalho VA, Barbosa MT, Caramelli P. Brazilian version of the Addenbrooke Cognitive Examination-revised in the diagnosis of mild Alzheimer disease. Cogn Behav Neurol. 2010;23:8–13.

    Article  PubMed  Google Scholar 

  41. Amaral-Carvalho V, Caramelli P. Normative data for healthy middle-aged and elderly performance on the Addenbrooke’s Cognitive Examination-Revised. Cogn Behav Neurol. 2012;25:72–6.

    Article  PubMed  Google Scholar 

  42. Ferreira IS, Simoes MR, Maroco J. The Addenbrooke’s Cognitive Examination Revised as a potential screening test for elderly drivers. Accid Anal Prev. 2012;49:278–86.

    Article  PubMed  Google Scholar 

  43. Goncalves C, Pinho MS, Cruz V, et al. The Portuguese version of Addenbrooke’s Cognitive Examination-Revised (ACE-R) in the diagnosis of subcortical vascular dementia and Alzheimer disease. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2015;22:473–85.

    Article  PubMed  Google Scholar 

  44. Sobreira E, Pena-Pereira MA, Eckeli AL, et al. Screening of cognitive impairment in patients with Parkinson’s disease: diagnostic validity of the Brazilian versions of the Montreal Cognitive Assessment and the Addenbrooke’s Cognitive Examination-Revised. Arq Neuropsiquiatr. 2015;73:929–33.

    Article  PubMed  Google Scholar 

  45. Sarasola D, De Lujan M, Sabe L, Caballero A, Manes F. Utilidad del Addenbrooke’s Cognitive Examination en Espanol para el diagnostico de demencia y para la differenciacion entre la enfermidad de Alzheimer y la demencia frontotemporal [in Spanish]. Arg Neuropsicol. 2004;4:1–11.

    Google Scholar 

  46. Sarasola D, de Lujan-Calcagno M, Sabe L, et al. Validity of the Spanish version of the Addenbrooke’s Cognitive Examination for the diagnosis of dementia and to differentiate Alzheimer’s disease and frontotemporal dementia [in Spanish]. Rev Neurol. 2005;41:717–21.

    CAS  PubMed  Google Scholar 

  47. Garcia-Caballero A, Garcia-Lado I, Gonzalez-Hermida J, et al. Validation of the Spanish version of the Addenbrooke’s Cognitive Examination in a rural community in Spain. Int J Geriatr Psychiatry. 2006;21:239–45.

    Article  CAS  PubMed  Google Scholar 

  48. Roca M, Torralva T, Lopez P, Marengo J, Cetkovich M, Manes F. Differentiating early dementia from major depression with the Spanish version of the Addenbrooke’s Cognitive Examination [in Spanish]. Rev Neurol. 2008;46:340–3.

    CAS  PubMed  Google Scholar 

  49. Custodio N, Lira D, Montesinos R, Gleichgerrcht E, Manes F. Usefulness of the Addenbrooke’s Cognitive Examination (Spanish version) in Peruvian patients with Alzheimer’s disease and Frontotemporal Dementia [in Spanish]. Vertex. 2012;23:165–72.

    PubMed  Google Scholar 

  50. Herrera-Perez E, Custodio N, Lira D, Montesinos R, Bendezu L. Validity of Addenbrooke’s Cognitive Examination to discriminate between incipient dementia and depression in elderly patients to a private clinic in Lima, Peru. Dement Geriatr Cogn Dis Extra. 2013;3:333–41.

    Article  PubMed  PubMed Central  Google Scholar 

  51. Torralva T, Roca M, Gleichgerrcht E, Bonifacio A, Raimondi C, Manes F. Validation of the Spanish version of the Addenbrooke’s Cognitive Examination-Revised (ACE-R). Neurologia. 2011;26:351–6.

    Article  CAS  PubMed  Google Scholar 

  52. Raimondi C, Gleichgerrcht E, Richly P, et al. The Spanish version of the Addenbrooke’s Cognitive Examination-Revised (ACE-R) in subcortical ischemic vascular dementia. J Neurol Sci. 2012;322:228–31.

    Article  PubMed  Google Scholar 

  53. Munoz-Neira C, Henriquez CF, Ihnen JJ, Sanchez CM, Flores MP, Slachevsky CA. Psychometric properties and diagnostic usefulness of the Addenbrooke’s Cognitive Examination-Revised in a Chilean elderly sample [in Spanish]. Rev Med Chil. 2012;140:1006–13.

    Article  PubMed  Google Scholar 

  54. Matias-Guiu JA, Fernandez de Bobadilla R, Escudero G, et al. Validation of the Spanish version of Addenbrooke’s Cognitive Examination III for diagnosing dementia [in Spanish]. Neurologia. 2015;30:545–51.

    Article  CAS  PubMed  Google Scholar 

  55. Matias-Guiu JA, Fernandez de Bobadilla R. Validation of the Spanish-language version of Mini-Addenbrooke’s Cognitive Examination as a dementia screening tool [in Spanish]. Neurologia. 2014; pii: S0213-4853(14)00219-9. doi: 10.1016/j.nrl.2014.10.005. [Epub ahead of print].

  56. Crawford S, Whitnall L, Robertson J, Evans JJ. A systematic review of the accuracy and clinical utility of the Addenbrooke’s Cognitive Examination and the Addenbrooke’s Cognitive Examination-Revised in the diagnosis of dementia. Int J Geriatr Psychiatry. 2012;27:659–69.

    Article  PubMed  Google Scholar 

  57. Bak TH, Rogers TT, Crawford LM, Hearn VC, Mathuranath PS, Hodges JR. Cognitive bedside assessment in atypical parkinsonian syndromes. J Neurol Neurosurg Psychiatry. 2005;76:420–2.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  58. Dudas RB, Berrios GE, Hodges JR. The Addenbrooke’s Cognitive Examination (ACE) in the differential diagnosis of early dementias versus affective disorder. Am J Geriatr Psychiatry. 2005;13:218–26.

    Article  PubMed  Google Scholar 

  59. Galton CJ, Erzinclioglu S, Sahakian BJ, Antoun N, Hodges JR. A comparison of the Addenbrooke’s Cognitive Examination (ACE), conventional neuropsychological assessment, and simple MRI-based medial temporal lobe evaluation in the early diagnosis of Alzheimer’s disease. Cogn Behav Neurol. 2005;18:144–50.

    Article  PubMed  Google Scholar 

  60. Larner AJ. Addenbrooke’s Cognitive Examination (ACE) for the diagnosis and differential diagnosis of dementia. Clin Neurol Neurosurg. 2007;109:491–4.

    Article  CAS  PubMed  Google Scholar 

  61. Davies RR, Dawson K, Mioshi E, Erzinclioglu S, Hodges JR. Differentiation of semantic dementia and Alzheimer’s disease using the Addenbrooke’s Cognitive Examination (ACE). Int J Geriatr Psychiatry. 2008;23:370–5.

    Article  PubMed  Google Scholar 

  62. Reyes MA, Lloret SP, Gerscovich ER, Martin ME, Leiguarda R, Merello M. Addenbrooke’s Cognitive Examination validation in Parkinson’s disease. Eur J Neurol. 2009;16:142–7.

    Article  CAS  PubMed  Google Scholar 

  63. Larner AJ. Addenbrooke’s Cognitive Examination-Revised (ACE-R) in day-to-day clinical practice. Age Ageing. 2007;36:685–6.

    Article  CAS  PubMed  Google Scholar 

  64. Larner AJ, Mitchell AJ. A meta-analysis of the accuracy of the Addenbrooke’s Cognitive Examination (ACE) and the Addenbrooke’s Cognitive Examination-Revised (ACE-R) in the detection of dementia. Int Psychogeriatr. 2014;26:555–63.

    Article  PubMed  Google Scholar 

  65. Larner AJ. An audit of the Addenbrooke’s Cognitive Examination (ACE) in clinical practice. Int J Geriatr Psychiatry. 2005;20:593–4.

    Article  CAS  PubMed  Google Scholar 

  66. Larner AJ. An audit of the Addenbrooke’s Cognitive Examination (ACE) in clinical practice. 2. Longitudinal change. Int J Geriatr Psychiatry. 2006;21:698–9.

    Article  CAS  PubMed  Google Scholar 

  67. Bak TH, Mioshi E. A cognitive bedside assessment beyond the MMSE: the Addenbrooke’s Cognitive Examination. Pract Neurol. 2007;7:245–9.

    PubMed  Google Scholar 

  68. Mitchell J, Arnold R, Dawson K, Nestor PJ, Hodges JR. Outcome in subgroups of mild cognitive impairment (MCI) is highly predictable using a simple algorithm. J Neurol. 2009;256:1500–9.

    Article  PubMed  Google Scholar 

  69. Leyton CE, Hornberger M, Mioshi E, Hodges JR. Application of Addenbrooke’s cognitive examination to diagnosis and monitoring of progressive primary aphasia. Dement Geriatr Cogn Disord. 2010;29:504–9.

    Article  PubMed  Google Scholar 

  70. Lonie JA, Parra-Rodriguez MA, Tierney KM, et al. Predicting outcome in mild cognitive impairment: 4-year follow-up study. Br J Psychiatry. 2010;197:135–40.

    Article  PubMed  Google Scholar 

  71. Mioshi E, Kipps CM, Dawson K, Mitchell J, Graham A, Hodges JR. Activities of daily living in frontotemporal dementia and Alzheimer disease. Neurology. 2007;68:2077–84.

    Article  CAS  PubMed  Google Scholar 

  72. Larner AJ. ACE-R: cross-sectional and longitudinal use for cognitive assessment. In: Fisher A, Hanin I, editors. New trends in Alzheimer and Parkinson related disorders: ADPD 2009. Collection of selected free papers from the 9th International Conference on Alzheimer’s and Parkinson’s disease AD/PD. Prague, 11–15 Mar 2009. Bologna: Medimond International Proceedings; 2009. p. 103–7.

    Google Scholar 

  73. Larner AJ. Addenbrooke’s Cognitive Examination-Revised (ACE-R): pragmatic study of cross-sectional use for assessment of cognitive complaints of unknown aetiology. Int J Geriatr Psychiatry. 2013;28:547–8.

    Article  CAS  PubMed  Google Scholar 

  74. Gaber TA. Evaluation of the Addenbrooke’s Cognitive Examination’s validity in a brain injury rehabilitation setting. Brain Inj. 2008;22:589–93.

    Article  PubMed  Google Scholar 

  75. Terpening Z, Cordato NJ, Hepner IJ, Lucas SK, Lindley RI. Utility of the Addenbrooke’s Cognitive Examination-Revised for the diagnosis of dementia syndromes. Australas J Ageing. 2011;30:113–8.

    Article  PubMed  Google Scholar 

  76. Hancock P, Larner AJ. Test Your Memory (TYM) test: diagnostic utility in a memory clinic population. Int J Geriatr Psychiatry. 2011;26:976–80.

    Article  CAS  PubMed  Google Scholar 

  77. Komadina NC, Terpening Z, Huang Y, Halliday GM, Naismith SL, Lewis SJ. Utility and limitations of Addenbrooke’s Cognitive Examination-Revised for detecting mild cognitive impairment in Parkinson’s disease. Dement Geriatr Cogn Disord. 2011;31:349–57.

    Article  PubMed  Google Scholar 

  78. Mathew R, Bak TH, Hodges JR. Screening for cognitive dysfunction in corticobasal syndrome: utility of Addenbrooke’s cognitive examination. Dement Geriatr Cogn Disord. 2011;31:254–8.

    Article  PubMed  Google Scholar 

  79. Gaber TA, Parsons F, Gautam V. Validation of the language component of the Addenbrooke’s Cognitive Examination-Revised (ACE-R) as a screening tool for aphasia in stroke patients. Australas J Ageing. 2011;30:156–8.

    Article  PubMed  Google Scholar 

  80. Morris K, Hacker V, Lincoln NB. The validity of the Addenbrooke’s Cognitive Examination-Revised (ACE-R) in acute stroke. Disabil Rehabil. 2012;34:189–95.

    Article  PubMed  Google Scholar 

  81. Pendlebury ST, Mariz J, Bull L, Mehta Z, Rothwell PM. MoCA, ACE-R, and MMSE versus the National Institute of Neurological Disorders and Stroke-Canadian Stroke Network Vascular Cognitive Impairment Harmonization Standards Neuropsychological Battery after TIA and stroke. Stroke. 2012;43:464–9.

    Article  PubMed  Google Scholar 

  82. McColgan P, Evans JR, Breen DP, Mason SL, Barker RA, Williams-Gray CH. Addenbrooke’s Cognitive Examination-Revised for mild cognitive impairment in Parkinson’s disease. Mov Disord. 2012;27:1173–7.

    Article  PubMed  Google Scholar 

  83. Hsieh S, Hodges JR, Leyton CE, Mioshi E. Longitudinal changes in primary progressive aphasias: differences in cognitive and dementia staging measures. Dement Geriatr Cogn Disord. 2012;34:135–41.

    Article  CAS  PubMed  Google Scholar 

  84. Rittman T, Ghosh BC, McColgan P, et al. The Addenbrooke’s Cognitive Examination for the differential diagnosis and longitudinal assessment of patients with parkinsonian disorders. J Neurol Neurosurg Psychiatry. 2013;84:544–51.

    Article  PubMed  PubMed Central  Google Scholar 

  85. Tsoi KK, Chan JY, Hirai HW, Wong SY, Kwok TC. Cognitive tests to detect dementia. A systematic review and meta-analysis. JAMA Intern Med. 2015;175:1450–8.

    Article  PubMed  Google Scholar 

  86. Jubb MT, Evans JJ. An investigation of the utility of the Addenbrooke’s Cognitive Examination III in the early detection of dementia in memory clinic patients aged over 75 years. Dement Geriatr Cogn Disord. 2015;40:222–32.

    Article  PubMed  Google Scholar 

  87. Elamin M, Holloway G, Bak TH, Pal S. The utility of the Addenbrooke’s Cognitive Examination version three in early-onset dementia. Dement Geriatr Cogn Disord. 2016;41:9–15.

    Article  PubMed  Google Scholar 

  88. Lees RA, Hendry K, Broomfield N, Stott D, Larner AJ, Quinn TJ. Cognitive assessment in stroke: feasibility and test properties using differing approaches to scoring of incomplete items. Int J Geriatr Psychiatry. 2016. doi: 10.1002/gps.4568. [Epub ahead of print].

  89. Larner AJ. Mini-Addenbrooke’s Cognitive Examination: a pragmatic diagnostic accuracy study. Int J Geriatr Psychiatry. 2015;30:547–8.

    Article  CAS  PubMed  Google Scholar 

  90. Larner AJ. Mini-Addenbrooke’s Cognitive Examination diagnostic accuracy for dementia: reproducibility study. Int J Geriatr Psychiatry. 2015;30:1103–4.

    Article  CAS  PubMed  Google Scholar 

  91. Matias-Guiu JA, Fernandez de Bobadilla R, Fernandez-Oliveira A, et al. Normative data for the Spanish version of Addenbrooke’s Cognitive Examination III. Dement Geriatr Cogn Disord. 2016;41:243–50.

    Article  PubMed  Google Scholar 

  92. Larner AJ. Diagnostic test accuracy studies in dementia. A pragmatic approach. London: Springer; 2015.

    Google Scholar 

  93. Davis DH, Creavin ST, Noel-Storr A, et al. Neuropsychological tests for the diagnosis of Alzheimer’s disease dementia and other dementias: a generic protocol for cross-sectional and delayed-verification studies. Cochrane Database Syst Rev. 2013;3:CD010460.

    Google Scholar 

  94. Wong SH, Saunders M, Larner AJ, Das K, Hart IK. An effective immunotherapy regimen for VGKC antibody-positive limbic encephalitis. J Neurol Neurosurg Psychiatry. 2010;81:1167–9.

    Article  CAS  PubMed  Google Scholar 

  95. Wilson M, Doran M, Enevoldson TP, Larner AJ. Cognitive profiles associated with intracranial dural arteriovenous fistula. Age Ageing. 2010;39:389–92.

    Article  PubMed  Google Scholar 

  96. Hancock P, Larner AJ. Clinical utility of Patient Health Questionnaire-9 (PHQ-9) in memory clinics. Int J Psychiatry Clin Pract. 2009;13:188–91.

    Article  CAS  PubMed  Google Scholar 

  97. Hancock P, Larner AJ. Cornell Scale for Depression in Dementia: clinical utility in a memory clinic. Int J Psychiatry Clin Pract. 2015;19:71–4.

    Article  PubMed  Google Scholar 

  98. Larner AJ. Dementia in clinical practice: a neurological perspective. Pragmatic studies in the Cognitive Function Clinic. 2nd ed. London: Springer; 2014.

    Book  Google Scholar 

  99. Larner AJ. Can the Frontal Assessment Battery (FAB) help in the diagnosis of behavioural variant frontotemporal dementia? A pragmatic study. Int J Geriatr Psychiatry. 2013;28:106–7.

    Article  CAS  PubMed  Google Scholar 

  100. Calderon J, Perry R, Erzinclioglu S, Berrios GE, Dening T, Hodges JR. Perception, attention and working memory are disproportionately impaired in dementia with Lewy body (LBD) compared to Alzheimer’s disease (AD). J Neurol Neurosurg Psychiatry. 2001;70:157–64.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  101. Ala T, Hughes LF, Kyrouac GA, Ghobrial MW, Elble RJ. The Mini-Mental State exam may help in the differentiation of dementia with Lewy bodies and Alzheimer’s disease. Int J Geriatr Psychiatry. 2002;17:503–9.

    Article  PubMed  Google Scholar 

  102. Larner AJ. MMSE subscores and the diagnosis of dementia with Lewy bodies. Int J Geriatr Psychiatry. 2003;18:855–6.

    Article  CAS  PubMed  Google Scholar 

  103. Larner AJ. Use of MMSE to differentiate Alzheimer’s disease from dementia with Lewy bodies. Int J Geriatr Psychiatry. 2004;19:1209–10.

    Article  Google Scholar 

  104. Law E, Connelly PJ, Randall E, et al. Does the Addenbrooke’s Cognitive Examination-Revised add to the Mini-Mental State Examination? Results from a National Dementia Research Register. Int J Geriatr Psychiatry. 2013;28:351–5.

    Article  PubMed  Google Scholar 

  105. Larner AJ. Speed versus accuracy in cognitive assessment when using CSIs. Prog Neurol Psychiatry. 2015;19(1):21–4.

    Article  Google Scholar 

  106. Larner AJ. Performance-based cognitive screening instruments: an extended analysis of the time versus accuracy trade-off. Diagnostics (Basel). 2015;5:504–12.

    Google Scholar 

  107. Moons KGM, Stijnen T, Michel BC, Büller HR, Van Es GA, Grobbee DE, Habbema DF. Application of treatment thresholds to diagnostic-test evaluation: an alternative to the comparison of areas under receiver operating characteristic curves. Med Decis Making. 1997;17:447–54.

    Article  CAS  PubMed  Google Scholar 

  108. Larner AJ. Comparing diagnostic accuracy of cognitive screening instruments: a weighted comparison approach. Dement Geriatr Cogn Dis Extra. 2013;3:60–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  109. Larner AJ, Hancock P. ACE-R or MMSE? A weighted comparison. Int J Geriatr Psychiatry. 2014;29:767–8.

    Article  PubMed  Google Scholar 

  110. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale/New Jersey: Lawrence Erlbaum; 1988.

    Google Scholar 

  111. Larner AJ. Effect size (Cohen’s d) of cognitive screening instruments examined in pragmatic diagnostic accuracy studies. Dement Geriatr Cogn Dis Extra. 2014;4:236–41.

    Article  PubMed  PubMed Central  Google Scholar 

  112. Larner AJ. Mini-Mental Parkinson (MMP) as a dementia screening test: comparison with the Mini-Mental State Examination (MMSE). Curr Aging Sci. 2012;5:136–9.

    Article  PubMed  Google Scholar 

  113. Walter SD. Properties of the summary receiver operating characteristic (SROC) curve for diagnostic test data. Stat Med. 2002;21:1237–56.

    Article  CAS  PubMed  Google Scholar 

  114. Larner AJ. The Q* index: a useful global measure of dementia screening test accuracy? Dement Geriatr Cogn Dis Extra. 2015;5:265–70.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  115. Larner AJ. Screening utility of the Montreal Cognitive Assessment (MoCA): in place of – or as well as – the MMSE? Int Psychogeriatr. 2012;24:391–6.

    Article  CAS  PubMed  Google Scholar 

  116. Nasreddine ZS, Phillips NA, Bédirian V, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005;53:695–9.

    Article  PubMed  Google Scholar 

  117. Larner AJ. M-ACE vs. MoCA. A weighted comparison. Int J Geriatr Psychiatry. 2016;31:1089–90.

    Article  CAS  PubMed  Google Scholar 

  118. Larner AJ. Short performance-based cognitive screening instruments for the diagnosis of mild cognitive impairment. Prog Neurol Psychiatry. 2016;20(2):21–6.

    Article  Google Scholar 

  119. Jorm AF, Jacomb PA. The Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): socio-demographic correlates, reliability, validity and some norms. Psychol Med. 1989;19:1015–22.

    Article  CAS  PubMed  Google Scholar 

  120. Hancock P, Larner AJ. Diagnostic utility of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) and its combination with the Addenbrooke’s Cognitive Examination-Revised (ACE-R) in a memory clinic-based population. Int Psychogeriatr. 2009;21:526–30.

    Article  CAS  PubMed  Google Scholar 

  121. Flicker L, Logiudice D, Carlin JB, Ames D. The predictive value of dementia screening instruments in clinical populations. Int J Geriatr Psychiatry. 1997;12:203–9.

    Article  CAS  PubMed  Google Scholar 

  122. Hancock P, Larner AJ. The diagnosis of dementia: diagnostic accuracy of an instrument measuring activities of daily living in a clinic-based population. Dement Geriatr Cogn Disord. 2007;23:133–9.

    Article  CAS  PubMed  Google Scholar 

  123. Larner AJ, Hancock P. Does combining cognitive and functional scales facilitate the diagnosis of dementia? Int J Geriatr Psychiatry. 2012;27:547–8.

    Article  CAS  PubMed  Google Scholar 

  124. Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9:179–86.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgment

Thanks to Dr Lauren Fratalia for help translating reference [55].

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to John R. Hodges .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Hodges, J.R., Larner, A.J. (2017). Addenbrooke’s Cognitive Examinations: ACE, ACE-R, ACE-III, ACEapp, and M-ACE. In: Larner, A.J. (eds) Cognitive Screening Instruments. Springer, Cham. https://doi.org/10.1007/978-3-319-44775-9_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-44775-9_6

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-44774-2

  • Online ISBN: 978-3-319-44775-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics