2018
DOI: 10.1007/s13670-018-0236-2
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Using Informant and Performance Screening Methods to Detect Mild Cognitive Impairment and Dementia

Abstract: An optimal approach to dementia screening is to combine performance, informant, and self-reports, many of which can be completed in the waiting room or by non-physician staff prior to the start of the office visit. This diverse information may help inform the provider as to the presence or absence of a cognitive disorder, assist in staging the extent of the disorder, and help to develop a differential diagnosis and management plan.

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Cited by 43 publications
(79 citation statements)
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“…Author in the paper [4] reviewed list of screening tests viz. Informant based and performance based Cognitive Screening Instruments (CSI) [4,5,9]. In informant-based CSI, Patient's close relative is asked questions covering various cognitive domains, patient's behaviour and day to day functionality, whereas in case of performance based CSIs, patient's self-assessment report is generated.…”
Section: Literature Review 21 Neuropsychological Assessmentmentioning
confidence: 99%
See 1 more Smart Citation
“…Author in the paper [4] reviewed list of screening tests viz. Informant based and performance based Cognitive Screening Instruments (CSI) [4,5,9]. In informant-based CSI, Patient's close relative is asked questions covering various cognitive domains, patient's behaviour and day to day functionality, whereas in case of performance based CSIs, patient's self-assessment report is generated.…”
Section: Literature Review 21 Neuropsychological Assessmentmentioning
confidence: 99%
“…This test is easier to score and it takes about 10 minutes to administer, however it may not capture early stages of AD. MMSE is found to be the most extensively studied psychometric screening assessment of cognitive functioning [5][6][7][8][9][10]. It is a global cognitive functioning test covering major cognitive domains such as Orientation, attention, registration, language and praxis [8].…”
Section: Mini Mental State Examination (Mmse)mentioning
confidence: 99%
“…In this model, an enhanced rate is billed on a CPT code and the billing practitioner shares the fee with the rest of the team, which can include a behavioral health care manager, psychologist, or psychiatric consultant. Incorporating a multi-stage model in which positive results from either a performance screen or an informant-based assessment is followed up by specialists (e.g., neurologist or neuropsychologist) can be of great value ( Galvin, 2018 ; Rosenbloom et al 2016 ). In a recent study by Grober and colleagues (2016) a two-step cognitive screening approach using a brief battery of neuropsychological tests followed by a more extensive battery of neuropsychological tests when the initial battery indicated impairment was highly beneficial in identifying primary care patients with early dementia.…”
Section: The Summit: Summary Of Issues Addressedmentioning
confidence: 99%
“…Sustained cognitive impairment and dementia are the main contributors to institutionalization in the older adult (Luppa et al, 2008) and represent substantial health care costs (The Healthy Brain Initiative: The Public Health Road Map for State and National Partnerships, 2013-2018. Given that healthcare resources are limited, informed decision making on health care management and efficient allocation of resources are important to minimize loss of opportunities (Handels, Wolfs, Aalten, Verhey, & Severens, 2013).…”
Section: Importance Of Cognition To Successful Agingmentioning
confidence: 99%
“…In this model, an enhanced rate is billed on a CPT code and the billing practitioner shares the fee with the rest of the team, which can include a behavioral health care manager, psychologist, or psychiatric consultant. Incorporating a multi-stage model in which positive results from either a performance screen or an informant-based assessment is followed up by specialists (e.g., neurologist or neuropsychologist) can be of great value (Galvin, 2018;Rosenbloom et al 2016). In a recent study by Grober and colleagues (2016) a two-step cognitive screening approach using a brief battery of neuropsychological tests followed by a more extensive battery of neuropsychological tests when the initial battery indicated impairment was highly beneficial in identifying primary care patients with early dementia.…”
Section: Current Trends: a Managed Care Perspectivementioning
confidence: 99%