Screening for Dementia in Primary Care: A Summary of the Evidence for the U.S. Preventive Services Task Force

@article{Boustani2003ScreeningFD,
  title={Screening for Dementia in Primary Care: A Summary of the Evidence for the U.S. Preventive Services Task Force},
  author={M. Boustani and B. Peterson and L. Hanson and R. Harris and K. Lohr},
  journal={Annals of Internal Medicine},
  year={2003},
  volume={138},
  pages={927-937}
}
Dementia is an acquired syndrome of decline in memory and at least one other cognitive domain, such as language, visuospatial, or executive function, that is sufficient to interfere with social or occupational function in an alert person (1). Many diseases can cause the dementia syndrome (hereafter called dementia). Alzheimer disease and cerebrovascular ischemia (vascular dementia) are the two most common causes, and some cases of dementia involve both of these disorders. Although some… Expand

Paper Mentions

Interventional Clinical Trial
The purpose of the study is to conduct a randomized clinical trial assessing the harms and benefits of screening for dementia, compared to no screening for dementia, among 4,000 older… Expand
ConditionsAlzheimer's Disease, Dementia, Mild Cognitive Impairment
InterventionBehavioral
A review approach of Alzheimer Disease and Pharmacological Management
TLDR
By neurological examination like CT, MRI, and Spinal fluid analysis can occasionally be justified to confirm the dementia syndrome, the treatment are broadly takes place as two types, one is cognitive symptoms treatment, another Non- Cognitive symptoms treatment. Expand
Mini-Mental State Examination (MMSE) for the detection of Alzheimer's disease and other dementias in people with mild cognitive impairment (MCI).
TLDR
The diagnostic accuracy of the Mini-Mental State Examination (MMSE) at various thresholds for detecting individuals with baseline MCI who would clinically convert to dementia in general, Alzheimer's disease dementia or other forms of dementia at follow-up is determined. Expand
Screening for dementia in community-based memory clinics.
TLDR
The naming procedure is easy to administer and may have value as a brief initial dementia screen in busy practice settings and more demanding cognitive measures may be needed to improve screening accuracy for MCI. Expand
Initial evaluation of the patient with suspected dementia.
TLDR
Neuropsychologic testing may be most helpful in situations where screening tests are normal or equivocal, but there remains a high level of concern that the person may be cognitively impaired. Expand
Mini-Cog for the diagnosis of Alzheimer's disease dementia and other dementias within a community setting.
TLDR
The goals of this review were to determine if the Mini-Cog is a cognitive screening test that could be recommended to screen for cognitive impairment in community settings and to identify potential sources of bias. Expand
Dementia diagnosis in primary care: Thinking outside the educational box
TLDR
It is believed that the diagnosis and early clinical management of dementia can be achieved in the setting of primary care, and the pattern of interweaving psychological, social and economic factors relevant to the needs of individual patients and their carers can be met in the community. Expand
Mild cognitive impairment and dementia in primary care: the value of medical history.
TLDR
Clinical data usually collected on medical history by PCP are useful to detect patients with MCI and dementia and also to predict MCI outcome. Expand
Dementia:A review
According to the World Health Organization (WHO), dementia is “an umbrella term for several diseases affecting memory, other cognitive abilities and behavior that interfere significantly with aExpand
Mini-Cog for the diagnosis of Alzheimer's disease dementia and other dementias within a primary care setting.
TLDR
There is insufficient evidence to recommend that the Mini-Cog be used as a screening test for dementia in primary care, and the quality of included studies was found to be low due to a high risk of bias with methodological limitations primarily in their selection of participants. Expand
Improving dementia care: The role of screening and detection of cognitive impairment
TLDR
The workgroup developed 10 recommendations for realizing the national policy goals of early detection of dementia as the first step in improving clinical care and ensuring proactive, patient‐centered management of dementia. Expand
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References

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Detection of Dementia in Primary Care: The Linköping Study
TLDR
Compared to non-demented patients, the demented had more diagnoses and a higher number of prescribed drugs and Severity and duration of dementia were associated with an increased detection. Expand
Early identification of Alzheimer's disease and related dementias. Agency for Health Care Policy and Research.
This Quick Reference Guide for Clinicians contains highlights from Recognition and Initial Assessment of Alzheimer's Disease and Related Dementias, Clinical Practice Guideline No. 19, which wasExpand
Documentation and Evaluation of Cognitive Impairment in Elderly Primary Care Patients
TLDR
The prevalence of cognitive impairment was determined by screening a group of urban, elderly, primary care patients using the Short Portable Mental Status Questionnaire (SPMQ) and the clinical utility of routine diagnostic investigations are still being debated. Expand
Vascular dementia revisited: diagnosis, pathogenesis, treatment, and prevention.
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Primary and secondary prevention of stroke and cardiovascular disease decreases the burden of VaD, and atypical antipsychotic agents and antidepressants may be required in some patients. Expand
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TLDR
These are the first population-based estimates for neuropsychiatric symptoms in MCI, indicating a high prevalence associated with this condition as well. Expand
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TLDR
The data suggest that women are innately more susceptible to AD than men, the lifetime risk among relatives does not support a simple autosomal dominant inheritance pattern of disease, and AD may not be an inevitable concomitant of the aging process, a conclusion that has profound implications for basic and applied AD research. Expand
Practice parameter: Early detection of dementia: Mild cognitive impairment (an evidence-based review)
TLDR
Screening different groups of elderly individuals in a general or specialty practice would be beneficial in detecting dementia and persons with memory impairment who were not demented were characterized in the literature as having mild cognitive impairment. Expand
Screening for Cognitive Impairment and Dementia in the Elderly
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  • 2001
TLDR
There is insufficient evidence to recommend for or against screening for cognitive impairment or dementia in primary care, and when caregivers or informants describe cognitive decline in an individual, these observations should be taken very seriously; cognitive assessment and careful follow-up are indicated. Expand
Early Identification of Alzheimer's Disease and Related Dementias
This Quick Reference Guide for Clinicians contains highlights from Recognition and Initial Assessment of Alzheimer's Disease and Related Dementias, Clinical Practice Guideline No. 19, which wasExpand
The detection of dementia in the primary care setting.
TLDR
Dementia is often unrecognized and undocumented in private practice settings and recognition and documentation rates increased with advancing stage of disease. Expand
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