Recommendation The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for cognitive impairment in older adults. Population This recommendation applies to community-dwelling older adults 65 years or older, without recognized signs or symptoms of cognitive impairment.Įvidence Assessment The USPSTF concludes that the evidence is lacking, and the balance of benefits and harms of screening for cognitive impairment cannot be determined. Objective To update its 2014 recommendation, the US Preventive Services Task Force (USPSTF) commissioned a review of the evidence on screening for cognitive impairment, including mild cognitive impairment and mild to moderate dementia, in community-dwelling adults, including those 65 years or older residing in independent living facilities. Dementia affects an estimated 2.4 to 5.5 million individuals in the United States, and its prevalence increases with age. Importance Dementia (also known as major neurocognitive disorder) is defined by a significant decline in 1 or more cognitive domains that interferes with a person’s independence in daily activities. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.
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Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.Or just refer to cognitive neurology? And at what point in the process? I suspect the waits will be enormous. Will you refer more people for neuropsychological testing?ĭo more testing yourself? Like amyloid biomarkers, etc to assess for AD? Will you start doing more clinical metrics to see if they would qualify? Will you start doing more MMSEs? Will you learn and do the clinical dementia rating assessment? But how will other outpatient neurologists handle this? People who see general neurology? Other specialists? It seems cognitive neurologists are likely to be inundated with patients interested in this medication. Although the benefit is modest and there are significant risks, it does qualify as disease modifying therapy in my book. Aducanumab was bunk and didn't really change that.īut the approval of lecanemab changes things. Get a few labs, an image, offer some mildly effective medications that didn't modify disease course. Related Subreddits and Friends r/BehavioralMedicineįor many years, there wasn't much to do about cognitive complaints. Physicians: refer to your own resources.* Patients: refer to your private physician. Assume everything could be incorrect or out-dated. * Note, no posts by any users in this subreddit should constitute as medical advice or medical management. However, adding flair to your username is not mandatory and user flair purporting a profession won't be verified. Posts must be high quality thoughts or discussion related questions.Īdd user flair to posts or to your username, if you want. Posting the same question (or variation of) in multiple subreddits is not allowed If deemed by any mod that the post is likely (even a touch) not for academic sake, the post will be removed and user banned (end of story).īreaking any of these rules, or reddit's rules, is grounds for permanent ban (even the first time). It is ok to ask about an overarching, ACADEMIC, non personalized question.
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If you have a medical issue you have questions about, call your primary care provider. We do not verify credentials in this sub, so this is a way to protect yourself from getting bad information.ĥ. If you want to promote your sub, send the mods a message.ĭo not ask other redditors to interpret your test results. No promotions of your services, products, etc. Can be banned without warning for drama or staying off-topic. There are ways to find studies without paywalls.įollow reditquette and be polite to other users - NO DRAMA. Please post to links to full studies that are not paywalls. If you post a study or journal piece include a short submission statement summarizing the piece so people can know what the study is about. This forum's goal is to provide a venue for an academic discussion of neurology. Home of science-based neurology for physicians, neuroscientists, and fans of neurology.