Abstract:BackgroundPopulation screening might provide a mechanism to enable early detection of dementia. Yet the potential benefits, harms or acceptability of such a large-scale intervention are not well understood. This research aims to examine the attitudes and preferences of the general public, health care professionals, people with dementia and their carers towards population screening for dementia.MethodsA systematic review of the international literature was undertaken. A search of fifteen bibliographic databases… Show more
“…This might be because GPs are the health professionals with whom the vast majority of the elderly population has a regular and long‐term contact (Miele et al, ), and therefore they might be much more comfortable seeking help from them with the justification that they are doing so as part of the routine health examinations. Despite this preference, it should be noted that till today there is no evidence supporting population screening for dementia (Martin et al, ). Thus, cognitive function should continue to be assessed by GPs only when cognitive decline or impairment is suspected, reported by patient or others, or where directly observed by the clinician, and not as a routine practice when none of these apply.…”
“…This might be because GPs are the health professionals with whom the vast majority of the elderly population has a regular and long‐term contact (Miele et al, ), and therefore they might be much more comfortable seeking help from them with the justification that they are doing so as part of the routine health examinations. Despite this preference, it should be noted that till today there is no evidence supporting population screening for dementia (Martin et al, ). Thus, cognitive function should continue to be assessed by GPs only when cognitive decline or impairment is suspected, reported by patient or others, or where directly observed by the clinician, and not as a routine practice when none of these apply.…”
“…Nine studies were identified which specifically explored 'who' should deliver screening programmes for people with dementia [12,17,25,26,27,28,29,30,31].…”
Section: Who Should Provide Early Diagnosis Of Dementia In Primary Care?mentioning
confidence: 99%
“…Martin et al [31] uniquely, explored the issues around dementia screening with patients and the public. In their interviews patients largely felt that clinicians should be qualified to undertake the assessment and therefore training was critically important.…”
Section: Who Should Provide Early Diagnosis Of Dementia In Primary Care?mentioning
confidence: 99%
“…They suggested that this may make the acceptance of the result easier if there is trust and a strong rapport between the patient and GP. In contrast, others argued that this shouldn't be the GP as they have insufficient time to do such an important assessment and may not be adequately skilled [31].…”
Section: Who Should Provide Early Diagnosis Of Dementia In Primary Care?mentioning
confidence: 99%
“…Increased planning: Seven papers [13,31,35,36,37,38,39] describe the importance of planning health and social care provision before cognitive impairment has a significant impact on an individual's health, well-being and independence. It is proposed that this allows patients and families to be introduced early to agencies, which can improve quality of life and reduce risk of crises [37,38].…”
Section: What Are the Positive And Negative Effects Of Early Diagnosimentioning
Early diagnostic and screening programmes have not been widely adopted into primary care. Until there is rigorous evidence assessing the clinical and cost-effectiveness of such programmes, there remains insufficient evidence to support the adoption of these programmes in practice.
IMPORTANCE Early identification of cognitive impairment may improve patient and caregiver health outcomes. OBJECTIVE To systematically review the test accuracy of cognitive screening instruments and benefits and harms of interventions to treat cognitive impairment in older adults (Ն65 years) to inform the US Preventive Services Task Force.
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