Factors associated with primary care physicians' recognition of cognitive impairment in their older patients

Alzheimer Disease and Associated Disorders

Volumn 28, Issue 4, 2014, Pages 320-325

  Tierney, Mary C ^a,b   Naglie, Gary ^a   Upshur, Ross ^c   Jaakkimainen, Liisa ^d   Moineddin, Rahim ^g   Charles, Jocelyn ^f   Ganguli, Mary ^e  

^a SUNNYBROOK RESEARCH INSTITUTE   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c ROTMAN RESEARCH INSTITUTE   (Canada)

^d TORONTO REHABILITATION INSTITUTE   (Canada)

^e INSTITUTE FOR CLINICAL EVALUATIVE SCIENCES   (Canada)

^f Harvard School of Dental Medicine   (Canada)

^g UNIVERSITY OF PITTSBURGH GRADUATE SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

Cognitive disorders; Diagnostic sensitivity; Mini mental state examination; Primary care

Indexed keywords

AGED; ALCOHOL CONSUMPTION; ARTICLE; COGNITION; COGNITIVE DEFECT; COMPARATIVE STUDY; CONTROLLED STUDY; DIABETES MELLITUS; DIAGNOSTIC ACCURACY; DISEASE ASSOCIATION; DISEASE CLASSIFICATION; FALSE POSITIVE RESULT; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL DECISION MAKING; MEMORY DISORDER; MINI MENTAL STATE EXAMINATION; NEUROPSYCHOLOGICAL TEST; OUTCOME ASSESSMENT; PRIMARY MEDICAL CARE; RECOGNITION; SENSITIVITY AND SPECIFICITY; CANADA; COGNITION DISORDERS; GENERAL PRACTITIONER; VERY ELDERLY;

AGED; AGED, 80 AND OVER; CANADA; COGNITION DISORDERS; FEMALE; HUMANS; MALE; NEUROPSYCHOLOGICAL TESTS; PHYSICIANS, PRIMARY CARE;

EID: 84914168341     PISSN: 08930341     EISSN: None     Source Type: Journal    
DOI: 10.1097/WAD.0000000000000039     Document Type: Article

References (22)

1. Jaakkimainen L, Upshur RE, Klein-Geltink J, et al. Primary Care in Ontario: Primary Care Atlas. Toronto: Institute for Clinical Evaluative Sciences; 2006.
2. Ganguli M, Rodriguez E, Mulsant B, et al. Detection and management of cognitive impairment in primary care: the Steel Valley Seniors Survey. J Am Geriatr Soc. 2004;52:1668-1675.
3. Fowler NR, Morrow LA, Tu LC, et al. Association between cognitive decline in older adults and utilization of primary care physician services in Pennsylvania. J Prim Care Community Health. 2012;3:201-209.
4. Lin JS, OConnor E, Rossom RC, et al. Screening for cognitive impairment in older adults: a systematic review for the US Preventive Services Task Force. Ann Intern Med. 2013;159: 601-612.
5. Chodosh J, Petitti DB, Elliott M, et al. Physician recognition of cognitive impairment: evaluating the need for improvement. J Am Geriatr Soc. 2004;52:1051-1059.
6. Mitchell AJ, Meader N, Pentzek M. Clinical recognition of dementia and cognitive impairment in primary care: a metaanalysis of physician accuracy. Acta Psychiatr Scand. 2011; 124:165-183.
7. Folstein M, Folstein SE, McHugh S. Mini-Mental State: a practical method for grading the cognitive status of patients for the clinician. J Psychiatr Res. 1975;12:189-198.
8. Petersen RC, Stevens J, Ganguli M, et al. Practice parameter. Early detection of dementia: mild cognitive impairment (an evidence-based review). Neurology. 2001;56:1133-1142.
9. Brandt J, Benedict R. Hopkins Verbal Learning Test-Revised. FL: PAR; 2001.
10. Reitan RM. Manual of Administration of Neuropsychological Test Batteries for Adults and Children. Tucson, AZ: Neuropsychology Laboratories; 1977.
11. Freedman M, Leach L, Kaplan E, et al. Clock Drawing: A Neuropsychological Analysis. New York: Oxford University Press; 1994.
12. Petersen RC, Morris JC. Mild cognitive impairment as a clinical entity and treatment target. Arch Neurol. 2005;62: 1160-1163.
13. Jak AJ, Bondi MW, ano-Wood L, et al. Quantification of five neuropsychological approaches to defining mild cognitive impairment. Am J Geriatr Psychiatry. 2009;17:368-375.
14. Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1983;17:37-49.
15. Jaeschke R, Guyatt GH, Sackett DL. Users guides to the medical literature. III. How to use an article about a diagnostic test. B. What are the results and will they help me in caring for my patients? JAMA. 1994;271:703-707.
16. Nasreddine ZS, Phillips NA, Bedirian V, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005;53: 695-699.
17. Biessels GJ, Staekenborg S, Brunner E, et al. Risk of dementia in diabetes mellitus: a systematic review. Lancet Neurol. 2006; 5:64-74.
18. Yaffe K, Blackwell T, Kanaya A, et al. Diabetes, impaired fasting glucose, and development of cognitive impairment in older women. Neurology. 2004;63:658-663.
19. Rodgers B, Windsor TD, Anstey KJ, et al. Non-linear relationships between cognitive function and alcohol consumption in young, middle-aged and older adults: the PATH Through Life Project. Addiction. 2005;100:1280-1290.
20. Ganguli M, Vander BJ, Saxton JA, et al. Alcohol consumption and cognitive function in late life: a longitudinal community study. Neurology. 2005;65:1210-1217.
21. Upshur RE, Wang L, Moineddin R, et al. The complexity score: towards a clinically-relevant, clinician-friendly measure of patient multi-morbidity. Int J Pers Cent Med. 2012;2: 799-804.
22. Tierney MC, Szalai JP, Dunn E, et al. Prediction of probable Alzheimers disease in patients with symptoms suggestive of memory impairment: value of the Mini-Mental State Examination. Arch Fam Med. 2000;9:527-532.