Should older adults be screened for dementia? It is important to screen for evidence of dementia!
Identifieur interne : 008F77 ( Main/Exploration ); précédent : 008F76; suivant : 008F78Should older adults be screened for dementia? It is important to screen for evidence of dementia!
Auteurs : J. Wesson Ashford [États-Unis] ; Soo Borson [États-Unis] ; Ruth O Ara [États-Unis] ; Paul Dash [États-Unis] ; Lori Frank [États-Unis] ; Philippe Robert [France] ; William R. Shankle [États-Unis] ; Mary C. Tierney [Canada] ; Henry Brodaty [Australie] ; Frederick A. Schmitt [États-Unis] ; Helena C. Kraemer [États-Unis] ; Herman Buschke [États-Unis] ; Howard Fillit [États-Unis]Source :
- Alzheimer's & dementia : the journal of the Alzheimer's Association [ 1552-5260 ] ; 2007.
Abstract
Multiple arguments for considering routine dementia screening have been presented. Furthermore, dementia diagnoses are widely unrecognized. As a result, persons with dementia are missing important clinical care and treatment interventions. By distinction, the problems of defining, diagnosing, and treating mild cognitive impairment (MCI) are not yet resolved, and MCI is not ready for a screening recommendation. Dementia screening approaches, including cognitive testing and functional assessment, must be evaluated on their scientific merits, including sensitivity and specificity for recognizing affected individuals in at-risk populations. Screening tests must be “cost-worthy”, with the benefits of true-positive test results justifying the costs of testing and resolving false-positive cases, with due consideration for proper diagnostic evaluation and potential harms. With the tremendous number of new cases projected in the near future and the expected emergence of beneficial therapies, considerably more research is needed to develop more efficient screening systems.
Url:
DOI: 10.1016/j.jalz.2007.03.005
PubMed: 19595920
PubMed Central: 2804947
Affiliations:
- Australie, Canada, France, États-Unis
- Californie, Kentucky, Maryland, Nouvelle-Galles du Sud, Ontario, Provence-Alpes-Côte d'Azur, Washington (État), État de New York
- Nice, Seattle, Sydney, Toronto
- Université de Toronto, Université de Washington
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Wesson Ashford</name><affiliation wicri:level="2"><nlm:aff id="A1">Stanford/VA Alzheimer Center, Department of Psychiatry, Palo Alto VA Health Care System, Palo Alto, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Stanford/VA Alzheimer Center, Department of Psychiatry, Palo Alto VA Health Care System, Palo Alto, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Borson, Soo" sort="Borson, Soo" uniqKey="Borson S" first="Soo" last="Borson">Soo Borson</name><affiliation wicri:level="4"><nlm:aff id="A2">Department of Psychiatry, University of Washington, Seattle, WA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, University of Washington, Seattle, WA</wicri:regionArea><placeName><region type="state">Washington (État)</region><settlement type="city">Seattle</settlement></placeName><orgName type="university">Université de Washington</orgName></affiliation></author><author><name sortKey="O Ara, Ruth" sort="O Ara, Ruth" uniqKey="O Ara R" first="Ruth" last="O Ara">Ruth O Ara</name><affiliation wicri:level="2"><nlm:aff id="A3">Department of Psychiatry, Stanford University, Palo Alto, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, Stanford University, Palo Alto, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Dash, Paul" sort="Dash, Paul" uniqKey="Dash P" first="Paul" last="Dash">Paul Dash</name><affiliation wicri:level="2"><nlm:aff id="A4">Department of Neurology, Johns Hopkins University, Baltimore, MD, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, Johns Hopkins University, Baltimore, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Frank, Lori" sort="Frank, Lori" uniqKey="Frank L" first="Lori" last="Frank">Lori Frank</name><affiliation wicri:level="2"><nlm:aff id="A5">Center for Health Outcomes Research, United BioSource Corporation, Bethesda, MD, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Health Outcomes Research, United BioSource Corporation, Bethesda, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Robert, Philippe" sort="Robert, Philippe" uniqKey="Robert P" first="Philippe" last="Robert">Philippe Robert</name><affiliation wicri:level="3"><nlm:aff id="A6">Department of Psychiatry, University of Nice, Nice, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Department of Psychiatry, University of Nice, Nice</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Nice</settlement></placeName></affiliation></author><author><name sortKey="Shankle, William R" sort="Shankle, William R" uniqKey="Shankle W" first="William R." last="Shankle">William R. Shankle</name><affiliation wicri:level="2"><nlm:aff id="A7">Cognitive Sciences, U.C. Irvine, Irvine, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Cognitive Sciences, U.C. Irvine, Irvine, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Tierney, Mary C" sort="Tierney, Mary C" uniqKey="Tierney M" first="Mary C." last="Tierney">Mary C. Tierney</name><affiliation wicri:level="4"><nlm:aff id="A8">Geriatric Research Unit, Sunnybrook Health Science Centre, University of Toronto, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Geriatric Research Unit, Sunnybrook Health Science Centre, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Brodaty, Henry" sort="Brodaty, Henry" uniqKey="Brodaty H" first="Henry" last="Brodaty">Henry Brodaty</name><affiliation wicri:level="3"><nlm:aff id="A9">School of Psychiatry, University of New South Wales, Sydney, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>School of Psychiatry, University of New South Wales, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Schmitt, Frederick A" sort="Schmitt, Frederick A" uniqKey="Schmitt F" first="Frederick A." last="Schmitt">Frederick A. Schmitt</name><affiliation wicri:level="2"><nlm:aff id="A10">Department of Neurology and Psychiatry, University of Kentucky, Lexington, KY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology and Psychiatry, University of Kentucky, Lexington, KY</wicri:regionArea><placeName><region type="state">Kentucky</region></placeName></affiliation></author><author><name sortKey="Kraemer, Helena C" sort="Kraemer, Helena C" uniqKey="Kraemer H" first="Helena C." last="Kraemer">Helena C. Kraemer</name><affiliation wicri:level="2"><nlm:aff id="A11">Department of Psychiatry, Stanford University, Palo Alto, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, Stanford University, Palo Alto, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Buschke, Herman" sort="Buschke, Herman" uniqKey="Buschke H" first="Herman" last="Buschke">Herman Buschke</name><affiliation wicri:level="2"><nlm:aff id="A12">Department of Neurology, Albert Einstein College of Medicine, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, Albert Einstein College of Medicine, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Fillit, Howard" sort="Fillit, Howard" uniqKey="Fillit H" first="Howard" last="Fillit">Howard Fillit</name><affiliation wicri:level="2"><nlm:aff id="A13">Alzheimer’s Drug Discovery Foundation and the Institute for the Study of Aging, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Alzheimer’s Drug Discovery Foundation and the Institute for the Study of Aging, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author></analytic><series><title level="j">Alzheimer's & dementia : the journal of the Alzheimer's Association</title><idno type="ISSN">1552-5260</idno><idno type="eISSN">1552-5279</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">Multiple arguments for considering routine dementia screening have been presented. Furthermore, dementia diagnoses are widely unrecognized. As a result, persons with dementia are missing important clinical care and treatment interventions. By distinction, the problems of defining, diagnosing, and treating mild cognitive impairment (MCI) are not yet resolved, and MCI is not ready for a screening recommendation. Dementia screening approaches, including cognitive testing and functional assessment, must be evaluated on their scientific merits, including sensitivity and specificity for recognizing affected individuals in at-risk populations. Screening tests must be “cost-worthy”, with the benefits of true-positive test results justifying the costs of testing and resolving false-positive cases, with due consideration for proper diagnostic evaluation and potential harms. With the tremendous number of new cases projected in the near future and the expected emergence of beneficial therapies, considerably more research is needed to develop more efficient screening systems.</p></div></front></TEI><affiliations><list><country><li>Australie</li><li>Canada</li><li>France</li><li>États-Unis</li></country><region><li>Californie</li><li>Kentucky</li><li>Maryland</li><li>Nouvelle-Galles du Sud</li><li>Ontario</li><li>Provence-Alpes-Côte d'Azur</li><li>Washington (État)</li><li>État de New York</li></region><settlement><li>Nice</li><li>Seattle</li><li>Sydney</li><li>Toronto</li></settlement><orgName><li>Université de Toronto</li><li>Université de Washington</li></orgName></list><tree><country name="États-Unis"><region name="Californie"><name sortKey="Ashford, J Wesson" sort="Ashford, J Wesson" uniqKey="Ashford J" first="J. Wesson" last="Ashford">J. Wesson Ashford</name></region><name sortKey="Borson, Soo" sort="Borson, Soo" uniqKey="Borson S" first="Soo" last="Borson">Soo Borson</name><name sortKey="Buschke, Herman" sort="Buschke, Herman" uniqKey="Buschke H" first="Herman" last="Buschke">Herman Buschke</name><name sortKey="Dash, Paul" sort="Dash, Paul" uniqKey="Dash P" first="Paul" last="Dash">Paul Dash</name><name sortKey="Fillit, Howard" sort="Fillit, Howard" uniqKey="Fillit H" first="Howard" last="Fillit">Howard Fillit</name><name sortKey="Frank, Lori" sort="Frank, Lori" uniqKey="Frank L" first="Lori" last="Frank">Lori Frank</name><name sortKey="Kraemer, Helena C" sort="Kraemer, Helena C" uniqKey="Kraemer H" first="Helena C." last="Kraemer">Helena C. Kraemer</name><name sortKey="O Ara, Ruth" sort="O Ara, Ruth" uniqKey="O Ara R" first="Ruth" last="O Ara">Ruth O Ara</name><name sortKey="Schmitt, Frederick A" sort="Schmitt, Frederick A" uniqKey="Schmitt F" first="Frederick A." last="Schmitt">Frederick A. Schmitt</name><name sortKey="Shankle, William R" sort="Shankle, William R" uniqKey="Shankle W" first="William R." last="Shankle">William R. Shankle</name></country><country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="Robert, Philippe" sort="Robert, Philippe" uniqKey="Robert P" first="Philippe" last="Robert">Philippe Robert</name></region></country><country name="Canada"><region name="Ontario"><name sortKey="Tierney, Mary C" sort="Tierney, Mary C" uniqKey="Tierney M" first="Mary C." last="Tierney">Mary C. Tierney</name></region></country><country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Brodaty, Henry" sort="Brodaty, Henry" uniqKey="Brodaty H" first="Henry" last="Brodaty">Henry Brodaty</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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