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Opinion EDITORIAL Issues and Questions Surrounding Screening for Cognitive Impairment in Older Patients Ronald C. Petersen, PhD, MD; Kristine Yaffe, MD The importance of addressing age-associated cognitive im- followed up for up to 12 months, it might be difficult to inter- pairment cannot be overstated. The rising prevalence of cog- pret any effect on decision-making, patient-family/caregiver, or societal outcomes in relatively few participants over a brief nitive impairment such as mild cognitive impairment (MCI) and dementia, including Alzheimer disease, is becoming a world- period. Therefore, while this RCT was the only study found wide concern. In this issue of for key question 1, it is clear that the trial could not resolve JAMA, the US Preventive Ser- many of the questions it was designed to address. Related articles pages 757 and vices Task Force (USPSTF) The second key question pertained to the accuracy 764 and JAMA Patient Page concludes that “the current of screening instruments to detect cognitive impairment. page 800 evidence is insufficient to as- Many of these instruments are brief, which is necessitated sess the balance of benefits by the time pressures of a primary care practice and, as such, Audio and harms of screening for the
JAMA – American Medical Association
Published: Feb 25, 2020
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