Development and validation of a brief dementia screening indicator for primary care
dc.contributor.author | Barnes, Deborah E. | |
dc.contributor.author | Beiser, Alexa S. | |
dc.contributor.author | Lee, Anne | |
dc.contributor.author | Langa, Kenneth M. | |
dc.contributor.author | Koyama, Alain | |
dc.contributor.author | Preis, Sarah R. | |
dc.contributor.author | Neuhaus, John | |
dc.contributor.author | McCammon, Ryan J. | |
dc.contributor.author | Yaffe, Kristine | |
dc.contributor.author | Seshadri, Sudha | |
dc.contributor.author | Haan, Mary N. | |
dc.contributor.author | Weir, David R. | |
dc.date.accessioned | 2020-01-13T15:03:06Z | |
dc.date.available | 2020-01-13T15:03:06Z | |
dc.date.issued | 2014-11 | |
dc.identifier.citation | Barnes, Deborah E.; Beiser, Alexa S.; Lee, Anne; Langa, Kenneth M.; Koyama, Alain; Preis, Sarah R.; Neuhaus, John; McCammon, Ryan J.; Yaffe, Kristine; Seshadri, Sudha; Haan, Mary N.; Weir, David R. (2014). "Development and validation of a brief dementia screening indicator for primary care." Alzheimer’s & Dementia 10(6): 656-665.e1. | |
dc.identifier.issn | 1552-5260 | |
dc.identifier.issn | 1552-5279 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/152503 | |
dc.description.abstract | BackgroundDetection of “any cognitive impairment” is mandated as part of the Medicare annual wellness visit, but screening all patients may result in excessive false positives.MethodsWe developed and validated a brief Dementia Screening Indicator using data from four large, ongoing cohort studies (the Cardiovascular Health Study [CHS]; the Framingham Heart Study [FHS]; the Health and Retirement Study [HRS]; the Sacramento Area Latino Study on Aging [SALSA]) to help clinicians identify a subgroup of high‐risk patients to target for cognitive screening.ResultsThe final Dementia Screening Indicator included age (1 point/year; ages, 65–79 years), less than 12 years of education (9 points), stroke (6 points), diabetes mellitus (3 points), body mass index less than 18.5 kg/m2 (8 points), requiring assistance with money or medications (10 points), and depressive symptoms (6 points). Accuracy was good across the cohorts (Harrell’s C statistic: CHS, 0.68; FHS, 0.77; HRS, 0.76; SALSA, 0.78).ConclusionsThe Dementia Screening Indicator is a simple tool that may be useful in primary care settings to identify high‐risk patients to target for cognitive screening. | |
dc.publisher | Wiley Periodicals, Inc. | |
dc.publisher | US Department of Health and Human Services | |
dc.subject.other | Screening | |
dc.subject.other | Risk prediction modeling | |
dc.subject.other | Primary care | |
dc.subject.other | Dementia | |
dc.title | Development and validation of a brief dementia screening indicator for primary care | |
dc.type | Article | |
dc.rights.robots | IndexNoFollow | |
dc.subject.hlbsecondlevel | Neurology and Neurosciences | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | |
dc.description.bitstreamurl | https://deepblue.lib.umich.edu/bitstream/2027.42/152503/1/alzjjalz201311006.pdf | |
dc.identifier.doi | 10.1016/j.jalz.2013.11.006 | |
dc.identifier.source | Alzheimer’s & Dementia | |
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dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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