Cognitive tests to help diagnose dementia in symptomatic people in primary care and the community

Sam Creavin, Susanna Wisniewski, Anna Noel-Storr, Clare Trevelyan, Thomas Hampton, Dane Rayment, Victoria M Thom, Kirsty Nash, Hosam Elhamoui, Rowena Milligan, Anish S Patel, Demitra Tsivos, Tracey Wing, Emma Phillips, Sophie M Kellman, Hannah L Shackleton, Georgina F Singleton, Bethany E Neale, Martha E Watton, Sarah Cullum

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Abstract

What brief cognitive test should a busy GP use when trying to assess someone who might have dementia? The menu of choices is long; one review found 11 options.

The Cochrane Dementia and Cognitive Improvement Group (CDCIG) is conducting a series of reviews to evaluate the evidence of a range of tests for diagnosing dementia. To date, reviews have been published addressing the accuracy of two tests in primary care: the Informant Questionnaire for Cognitive Disorders in the Elderly (IQCODE) and the Mini Mental State Examination [MMSE]. Reviewers found only one study that investigated the use of the IQCODE in primary care, and six that investigated the use of the MMSE.

A review of the Montreal Cognitive Assessment [MoCA] found no studies that evaluated the accuracy of the test in primary care. Reviews are underway for the Mini-Cog and AD-8 tests (see http://dta.cochrane.org/reviews-and-protocols-crg).
Original languageEnglish
Pages (from-to)149-150
Number of pages2
JournalBritish Journal of General Practice
Volume68
Issue number668
Early online date22 Feb 2018
DOIs
Publication statusPublished - Mar 2018

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    Creavin, S., Wisniewski, S., Noel-Storr, A., Trevelyan, C., Hampton, T., Rayment, D., Thom, V. M., Nash, K., Elhamoui, H., Milligan, R., Patel, A. S., Tsivos, D., Wing, T., Phillips, E., Kellman, S. M., Shackleton, H. L., Singleton, G. F., Neale, B. E., Watton, M. E., & Cullum, S. (2018). Cognitive tests to help diagnose dementia in symptomatic people in primary care and the community. British Journal of General Practice, 68(668), 149-150. https://doi.org/10.3399/bjgp18X695249