What Is the Best Dementia Screening Instrument for General Practitioners to Use?

Brodaty, Henry; Low, Lee Fay; Gibson, Louisa; Burns, Kimberly

doi:10.1097/01.jgp.0000216181.20416.b2

Cited by 242 publications

(176 citation statements)

References 53 publications

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“…Further research is needed to examine this hypothesis and its implications in broader populations and settings. (4) 13 (6) 20 (9) Physician or nurse spoke your native language well 42 (19) 26 (12) 14 (6) Too long to wait or none available 15 (7) 17 (8) 26 (11) "Got by" or the physician/nurse barely spoke to you at all 31 (14) 34 (15) 86 (38) The particularly low rate of interpreter use we observed in encounters with nurses is striking and has not been previously described. While interactions with nurses may be shorter and more routine than interactions with physicians, they frequently involve critical communication such as assessing a patient's pain level or checking for medication allergies.…”

Section: Discussionmentioning

confidence: 99%

“…Participant eligibility criteria for the larger study on hospital and discharge communication included 1) admission to the general medical or surgical ward; 2)≥18 years old; 3) Chinese-, Spanish-or English-speaking; and 4) able to pass a brief cognitive screening test, to ensure that the participant was cognitively intact in order to complete the interview 14 . Recruitment was conducted by bilingual research assistants who visited the hospital wards three times per week.…”

Section: Participant Eligibility and Recruitmentmentioning

confidence: 99%

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Patterns of Interpreter Use for Hospitalized Patients with Limited English Proficiency

et al. 2011

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Section: Discussionmentioning

confidence: 99%

Section: Participant Eligibility and Recruitmentmentioning

confidence: 99%

Patterns of Interpreter Use for Hospitalized Patients with Limited English Proficiency

et al. 2011

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“…Candidate tests for the Rapid Dementia Screen were chosen because of their previously demonstrated sensitivity and specificity for identifying cognitive impairment or early dementia (see Brodaty et al, 2006). As candidate Rapid Dementia Screens, a brief memory test, the Memory Impairment Screen , was coupled with either Animal Fluency (Lipton et al, 2003), Clock Drawing (Kilada et al, 2005), or Oral Trails (Ricker & Axelrod, 1994).…”

Section: Stage 1: Rapid Dementia Screenmentioning

confidence: 99%

“…Informant interviews have the advantage of being race and education neutral unlike performance based screening tests (Jorm, 2004). Popular dementia screening instruments have been reviewed with recommendations for general practice (Brodaty et al, 2006) and for monitoring persons with mild cognitive impairment who are at increased risk of developing dementia (Peterson et al, 2001).…”

Section: Introductionmentioning

confidence: 99%

Neuropsychological strategies for detecting early dementia

Grober

Hall

Mcginn

et al. 2007

J Int Neuropsychol Soc

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As new and more effective treatments for Alzheimer's disease (AD) emerge, the development of efficient screening strategies in educationally and racially diverse primary care settings has increased in importance. A set of candidate screening tests and an independent diagnostic assessment were administered to a sample of 318 patients treated at a geriatric primary care center. Fifty-six subjects met criteria for dementia. Exploratory analysis led to the development of three two-stage screening strategies that differed in the composition of the first stage or Rapid Dementia Screen, which is applied to all patients over the age of 65. The second stage, applied to those patients who screen positively for dementia, is accomplished with the Free and Cued Selective Reminding Test to detect memory impairment. Using clinical diagnosis as a gold standard, the strategies had high sensitivity and specificity for identifying dementia and performed better for identifying AD than non-AD dementias. Sensitivity and specificity did not differ by race or education. The strategies provide an efficient approach to screening for early dementia.

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“…Based on these criteria as well as adequate psychometric properties, three tests showed the most promise for broad application in primary care settings: the Mini-Cog, the Memory Impairment Screen (MIS), and the General Practitioner Assessment of Cognition (GPCOG). Similarly, Brodaty et al (2006) reviewed existing dementia screening tools with a view to informing and recommending suitable instruments to general practitioners based on performance and practicality. Studies were included based on an administration time of 5 min or less, validation in a community, population or general practice sample, and psychometric properties at least as good as the MMSE.…”

Section: Introductionmentioning

confidence: 99%

Brief cognitive screening instruments: an update

Ismail

Rajji

Shulman

2009

Int J Geriat Psychiatry

364

292

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Objective: To review the recent literature on cognitive screening with a focus on brief screening methods in primary care as well as geriatric services. Design: The Medline search engine was utilized using the keyword search terms 'cognitive screening', 'cognitive assessment', and 'dementia screening' limiting articles to those published in English since 1998. Results: 679 abstracts were retrieved. Articles focusing on attitudes toward cognitive screening, current screening practices, promising new instruments and more recent updates contributing significant information on established instruments were retrieved and incorporated into this review. Reference lists were reviewed for relevant contributing articles. Instruments recommended from previous reviews of cognitive screening and those identified in surveys as most frequently used in primary care and geriatric settings were emphasized in this review. Conclusions: Dementia remains under-diagnosed in the elderly population. Despite significant limitations, the Mini Mental State Exam remains the most frequently used cognitive screening instrument. Its best value in the community and primary care appears to be for the purpose of ruling out a diagnosis of dementia. Instruments such as the Mini-Cog, Memory Impairment Screen (MIS), and the General Practitioner Assessment of Cognition (GPCOG) have consistently been recognized for utility in primary care. The clock drawing test (CDT) and newer instruments such as the Montreal Cognitive Assessment (MoCA) and the Rowland Universal Dementia Assessment Scale (RUDAS) are gaining credibility due to improvements in sensitivity, addressing frontal/executive functioning, and decreasing susceptibility to cultural and educational biases.

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What Is the Best Dementia Screening Instrument for General Practitioners to Use?

Cited by 242 publications

References 53 publications

Patterns of Interpreter Use for Hospitalized Patients with Limited English Proficiency

Patterns of Interpreter Use for Hospitalized Patients with Limited English Proficiency

Neuropsychological strategies for detecting early dementia

Brief cognitive screening instruments: an update

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