Neurocognitive disorders, are frequent in old age, they alter activity of daily living and may be complicated by serious psychological or behavioral symptoms. They also may alter the quality of life of family caregivers. In that context, their early detection is a major issue in primary care. Regarding the use of screening tools in primary care, the present chapter review different points: which screening tools should GP use, when, and how? Answering these questions should help improving an appropriate use of screening tools, the early screening being the first step of the healthcare paths.
KeywordsMemory complains Alzheimer’s disease and related disorders Screening Cognitive assessment
- 3.Cordell CB, Borson S, Boustani M, Chodosh J, Reuben D, Verghese J, et al. Alzheimer’s association recommendations for operationalizing the detection of cognitive impairment during the Medicare Annual Wellness Visit in a primary care setting. Alzheimers Dement. 2013;9(2):141–50.CrossRefGoogle Scholar
- 5.Purser JL, Fillenbaum GG, Wallace RB. Memory complaint is not necessary for diagnosis of mild cognitive impairment and does not predict 10-year trajectories of functional disability, word recall, or short portable mental status questionnaire limitations. J Am Geriatr Soc. 2006;54(2):335–8.CrossRefGoogle Scholar
- 6.Geldmacher DS, Kerwin DR. Practical diagnosis and management of dementia due to Alzheimer’s disease in the primary care setting: an evidence-based approach. Prim Care Companion CNS Disord. 2013;15(4):pii: PCC.12r01474.Google Scholar
- 12.Cognitive Tests and Patient Assessment. Alzheimer’s Association. Available from: http://www.alz.org/health-care-professionals/cognitive-tests-patient-assessment.asp#alzheimers_screening.
- 13.U.S. Preventive Services Task Force. Screening for cognitive impairment in older adults: recommendation statement. Am Fam Physician 2015;91(6):Online.Google Scholar
- 14.Value of Knowing - Research - Alzheimer Europe. Available from: http://www.alzheimer-europe.org/Research/Value-of-Knowing.
- 16.Preventive visit and yearly wellness exams. Medicare.gov. Available from: https://www.medicare.gov/coverage/preventive-visit-and-yearly-wellness-exams.html.
- 20.Procedure Manual - US Preventive Services Task Force. Available from: http://www.uspreventiveservicestaskforce.org/Page/Name/procedure-manual.
- 21.Stirling A. GPs hit by widespread complaints from patients “unhappy” over dementia screening. Pulse Today. Available from: http://www.pulsetoday.co.uk/clinical/more-clinical-areas/elderly-care/gps-hit-by-widespread-complaints-from-patients-unhappy-over-dementia-screening/20005138.fullarticle.
- 25.10/66 Dementia Research Group. https://www.alz.co.uk/1066/.
- 26.Prince M, Acosta D, Ferri CP, Guerra M, Huang Y, Llibre Rodriguez JJ, et al. Dementia incidence and mortality in middle-income countries, and associations with indicators of cognitive reserve: a 10/66 Dementia Research Group population-based cohort study. Lancet. 2012;380(9836):50–8.CrossRefGoogle Scholar
- 30.NICE Dementia: supporting people with dementia and their carers in health and social care. Clinical Guidance [CG42]. Sept 2016.Google Scholar