Brain Health: The Importance of Recognizing Cognitive Impairment: An IAGG Consensus Conference

John E. Morley, John C. Morris, Marla Berg-Weger, Soo Borson, Brian D. Carpenter, Natalia del Campo, Bruno Dubois, Keith Fargo, L. Jaime Fitten, Joseph H. Flaherty, Mary Ganguli, George T. Grossberg, Theodore K. Malmstrom, Ronald D. Petersen, Carroll Rodriguez, Andrew J. Saykin, Philip Scheltens, Eric G. Tangalos, Joe Verghese, Gordon WilcockBengt Winblad, Jean Woo, Bruno Vellas

Research output: Contribution to journalArticlepeer-review

131 Scopus citations

Abstract

Cognitive impairment creates significant challenges for patients, their families and friends, and clinicians who provide their health care. Early recognition allows for diagnosis and appropriate treatment, education, psychosocial support, and engagement in shared decision-making regarding life planning, health care, involvement in research, and financial matters. An IAGG-GARN consensus panel examined the importance of early recognition of impaired cognitive health. Their major conclusion was that case-finding by physicians and health professionals is an important step toward enhancing brain health for aging populations throughout the world. This conclusion is in keeping with the position of the United States' Centers for Medicare and Medicaid Services that reimburses for detection of cognitive impairment as part the of Medicare Annual Wellness Visit and with the international call for early detection of cognitive impairment as a patient's right. The panel agreed on the following specific findings: (1) validated screening tests are available that take 3 to 7 minutes to administer; (2) a combination of patient- and informant-based screens is the most appropriate approach for identifying early cognitive impairment; (3) early cognitive impairment may have treatable components; and (4) emerging data support a combination of medical and lifestyle interventions as a potential way to delay or reduce cognitive decline.

Original languageEnglish (US)
Pages (from-to)731-739
Number of pages9
JournalJournal of the American Medical Directors Association
Volume16
Issue number9
DOIs
StatePublished - Sep 1 2015

Bibliographical note

Funding Information:
This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U1QHP28716 Geriatrics Workforce Enhancement Program for $843,079. This information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the U.S. Government. This study was also funded in part by an unrestricted grant from Nutricia Advanced Medical Nutrition (group Danone). Special Article

Publisher Copyright:
© 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine.

Keywords

  • Alzheimer disease
  • Case finding
  • Cognitive frailty
  • Cognitive impairment
  • MCI

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