Should older adults be screened for dementia? It is important to screen for evidence of dementia!

J. Wesson Ashford; Soo Borson; Ruth O'Hara; Paul Dash; Lori Frank; Philippe Robert; William R. Shankle; Mary C. Tierney; Henry Brodaty; Frederick A. Schmitt; Helena C. Kraemer; Herman Buschke; Howard Fillit

doi:10.1016/j.jalz.2007.03.005

Should older adults be screened for dementia? It is important to screen for evidence of dementia!

J. Wesson Ashford, Soo Borson, Ruth O'Hara, Paul Dash, Lori Frank, Philippe Robert, William R. Shankle, Mary C. Tierney, Henry Brodaty, Frederick A. Schmitt, Helena C. Kraemer, Herman Buschke, Howard Fillit

Neurology

Research output: Contribution to journal › Editorial › peer-review

70 Scopus citations

Abstract

Multiple arguments for considering routine dementia screening have been presented. Furthermore, dementia diagnoses are widely unrecognized. As a result, persons with dementia are missing important clinical care and treatment interventions. By distinction, the problems of defining, diagnosing, and treating mild cognitive impairment (MCI) are not yet resolved, and MCI is not ready for a screening recommendation. Dementia screening approaches, including cognitive testing and functional assessment, must be evaluated on their scientific merits, including sensitivity and specificity for recognizing affected individuals in at-risk populations. Screening tests must be "cost-worthy", with the benefits of true-positive test results justifying the costs of testing and resolving false-positive cases, with due consideration for proper diagnostic evaluation and potential harms. With the tremendous number of new cases projected in the near future and the expected emergence of beneficial therapies, considerably more research is needed to develop more efficient screening systems.

Original language	English (US)
Pages (from-to)	75-80
Number of pages	6
Journal	Alzheimer's and Dementia
Volume	3
Issue number	2
DOIs	https://doi.org/10.1016/j.jalz.2007.03.005
State	Published - Apr 2007

Keywords

Alzheimer's disease
Case-finding
Dementia
Diagnosis
Mild cognitive impairment
Screening

ASJC Scopus subject areas

Clinical Neurology
Geriatrics and Gerontology
Psychiatry and Mental health
Cellular and Molecular Neuroscience
Health Policy
Developmental Neuroscience
Epidemiology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.jalz.2007.03.005

Cite this

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title = "Should older adults be screened for dementia? It is important to screen for evidence of dementia!",

abstract = "Multiple arguments for considering routine dementia screening have been presented. Furthermore, dementia diagnoses are widely unrecognized. As a result, persons with dementia are missing important clinical care and treatment interventions. By distinction, the problems of defining, diagnosing, and treating mild cognitive impairment (MCI) are not yet resolved, and MCI is not ready for a screening recommendation. Dementia screening approaches, including cognitive testing and functional assessment, must be evaluated on their scientific merits, including sensitivity and specificity for recognizing affected individuals in at-risk populations. Screening tests must be {"}cost-worthy{"}, with the benefits of true-positive test results justifying the costs of testing and resolving false-positive cases, with due consideration for proper diagnostic evaluation and potential harms. With the tremendous number of new cases projected in the near future and the expected emergence of beneficial therapies, considerably more research is needed to develop more efficient screening systems.",

keywords = "Alzheimer's disease, Case-finding, Dementia, Diagnosis, Mild cognitive impairment, Screening",

author = "Ashford, {J. Wesson} and Soo Borson and Ruth O'Hara and Paul Dash and Lori Frank and Philippe Robert and Shankle, {William R.} and Tierney, {Mary C.} and Henry Brodaty and Schmitt, {Frederick A.} and Kraemer, {Helena C.} and Herman Buschke and Howard Fillit",

note = "Funding Information: Opinions of funding organizations cannot be taken as accepted opinions of all of those funded by those organizations. Simply because a group has received funding for their research from various organizations, some of which may support or are opposed to screening, does not mean that opinions expressed by them are biased by those organizations. Similarly, opinions or implicit agendas of funding organizations associated with the A&D Consensus Group do not necessarily bias the expressed opinions.",

year = "2007",

month = apr,

doi = "10.1016/j.jalz.2007.03.005",

language = "English (US)",

volume = "3",

pages = "75--80",

journal = "Alzheimer's and Dementia",

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AU - Dash, Paul

AU - Frank, Lori

AU - Robert, Philippe

AU - Shankle, William R.

AU - Tierney, Mary C.

AU - Brodaty, Henry

AU - Schmitt, Frederick A.

AU - Kraemer, Helena C.

AU - Buschke, Herman

AU - Fillit, Howard

N1 - Funding Information: Opinions of funding organizations cannot be taken as accepted opinions of all of those funded by those organizations. Simply because a group has received funding for their research from various organizations, some of which may support or are opposed to screening, does not mean that opinions expressed by them are biased by those organizations. Similarly, opinions or implicit agendas of funding organizations associated with the A&D Consensus Group do not necessarily bias the expressed opinions.

PY - 2007/4

Y1 - 2007/4

N2 - Multiple arguments for considering routine dementia screening have been presented. Furthermore, dementia diagnoses are widely unrecognized. As a result, persons with dementia are missing important clinical care and treatment interventions. By distinction, the problems of defining, diagnosing, and treating mild cognitive impairment (MCI) are not yet resolved, and MCI is not ready for a screening recommendation. Dementia screening approaches, including cognitive testing and functional assessment, must be evaluated on their scientific merits, including sensitivity and specificity for recognizing affected individuals in at-risk populations. Screening tests must be "cost-worthy", with the benefits of true-positive test results justifying the costs of testing and resolving false-positive cases, with due consideration for proper diagnostic evaluation and potential harms. With the tremendous number of new cases projected in the near future and the expected emergence of beneficial therapies, considerably more research is needed to develop more efficient screening systems.

AB - Multiple arguments for considering routine dementia screening have been presented. Furthermore, dementia diagnoses are widely unrecognized. As a result, persons with dementia are missing important clinical care and treatment interventions. By distinction, the problems of defining, diagnosing, and treating mild cognitive impairment (MCI) are not yet resolved, and MCI is not ready for a screening recommendation. Dementia screening approaches, including cognitive testing and functional assessment, must be evaluated on their scientific merits, including sensitivity and specificity for recognizing affected individuals in at-risk populations. Screening tests must be "cost-worthy", with the benefits of true-positive test results justifying the costs of testing and resolving false-positive cases, with due consideration for proper diagnostic evaluation and potential harms. With the tremendous number of new cases projected in the near future and the expected emergence of beneficial therapies, considerably more research is needed to develop more efficient screening systems.

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Should older adults be screened for dementia? It is important to screen for evidence of dementia!

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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