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Resources for the Comprehensive Geriatric Assessment based
Proactive and Personalised Primary Care of the Elderly


6 item Cognitive Impairment Test

Kingshill version 2000

Purpose : Brief screening for early dementia

Admin time :  5-10 min

User Friendly :  High

Administered by : Healthcare worker or caregiver


Content : Three orientation items – counting backwards from 20, stating the months of the year in reverse and learning an address


Author :  Katzman R, 1983

Copyright : The Kingshill Research Centre, Swindon, UK owns the copyright to The Kingshill Version 2000 of the 6CIT but allows free usage to healthcare professionals





the test has high sensitivity without compromising specificity, even in mild dementia.

It is easy to translate linguistically and culturally.


the main disadvantage is in the scoring and weighting of the test, which is initially confusing; however, computer models have simplified this greatly.

Accuracy : 

at the 7/8 cut-off:

Overall figures - sensitivity = 90%, specificity = 100%;

in mild dementia - sensitivity = 78%, specificity = 100%.

6CIT correlates highly with the Mini Mental State Examination (MMSE), which is copyrighted, and now incurs a cost for each use (Brooke P, 1999)

This Tool is used in Dementia

Back To : Dementia

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Dementia is one of 4 sub-domains of the  

Psychological Assessment

Back To : Psychological Assessment

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The Psychological Assessment is one of 8 domains of the

Comprehensive Geriatric Assessment (CGA)

Back To : Comprehensive Geriatric Assessment

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