Is Dementia Screening of Apparently Healthy Individuals Justified?
Joint Authors
Chambers, Larry W.
Sivananthan, Saskia
Brayne, Carol
Source
Advances in Preventive Medicine
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-08-08
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Despite efforts to raise awareness and develop guidelines for care of individuals with dementia, reports of poor detection and inadequate management persist.
This has led to a call for more identification of people with dementia, that is, screening individuals who may or may not complain of symptoms of dementia in both acute settings and primary care.
The following should be considered before recommending screening for dementia among individuals in the general population.
Dementia Tests.
Low prevalence reduces positive predictive value of tests and screening tests will miss people who have dementia and identify people who do not have dementia in substantial numbers.
Clinical Issues.
The clinical course of dementia has not yet been shown to be amenable to intervention.
Misdiagnosis and overdiagnosis can have significant long-term effects including stigmatization, loss of employment, and autonomy.
Economic Issues.
Health systems do not have the capacity to respond to increased demand resulting from screening.
In conclusion, at present attention to life-course risk reduction and support in the community for frail and cognitively impaired older adults is a better use of limited healthcare resources than introduction of unevaluated dementia screening programs.
American Psychological Association (APA)
Chambers, Larry W.& Sivananthan, Saskia& Brayne, Carol. 2017. Is Dementia Screening of Apparently Healthy Individuals Justified?. Advances in Preventive Medicine،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1125407
Modern Language Association (MLA)
Chambers, Larry W.…[et al.]. Is Dementia Screening of Apparently Healthy Individuals Justified?. Advances in Preventive Medicine No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1125407
American Medical Association (AMA)
Chambers, Larry W.& Sivananthan, Saskia& Brayne, Carol. Is Dementia Screening of Apparently Healthy Individuals Justified?. Advances in Preventive Medicine. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1125407
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1125407