Academic Journal
Is Dementia Screening of Apparently Healthy Individuals Justified?
| العنوان: | Is Dementia Screening of Apparently Healthy Individuals Justified? |
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| المؤلفون: | Chambers, Larry W, Sivananthan, Saskia, Brayne, Carol |
| بيانات النشر: | Hindawi Limited //doi.org/10.1155/2017/9708413 Adv Prev Med |
| سنة النشر: | 2017 |
| المجموعة: | Apollo - University of Cambridge Repository |
| مصطلحات موضوعية: | 1117 Public Health and Health Services, Clinical, Public Health, Aging, Acquired Cognitive Impairment, Neurosciences, Dementia, Clinical Research, Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD), Alzheimer's Disease, Brain Disorders, Health Services, Prevention, Neurodegenerative, Neurological, 4.2 Evaluation of markers and technologies, 7.3 Management and decision making |
| الوصف: | 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. ; Peer Reviewed |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | text/xml; application/pdf |
| اللغة: | English |
| Relation: | https://www.repository.cam.ac.uk/handle/1810/266317 |
| DOI: | 10.17863/CAM.12580 |
| الاتاحة: | https://www.repository.cam.ac.uk/handle/1810/266317 https://doi.org/10.17863/CAM.12580 |
| Rights: | All Rights Reserved ; https://www.rioxx.net/licenses/all-rights-reserved/ ; Copyright © 2017 Larry W. Chambers et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| رقم الانضمام: | edsbas.3F77DA0B |
| قاعدة البيانات: | BASE |
| DOI: | 10.17863/CAM.12580 |
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