Improving identification of cognitive impairment in primary care

International Journal of Geriatric Psychiatry
Soo BorsonMary C Lessig

Abstract

To compare the relative level and predictors of accuracy of a brief cognitive screen, the Mini-Cog, with spontaneous detection of cognitive impairment by subjects' primary care physicians. A heterogeneous community sample (n=371) of predominantly ethnic minority elderly assessed by standardized research protocol, 231 of whom met criteria for dementia or mild cognitive impairment (MCI). The Mini-Cog detected cognitively impaired subjects much more effectively than did subject's own physicians (p<0.0001), correctly classifying 83% of the sample and 84% of cognitively impaired subjects. Physicians correctly classified 59% of all subjects but identified only 41% of cognitively impaired subjects. The Mini-Cog's advantage over physicians was greatest when impairment was mildest (screen vs physician recognition at CDR 0.5, 58% vs 6%; at CDR 1, 92% vs 41%). Additional subject variables associated with missed detection by physicians were non-Alzheimer type dementia and low education, low literacy, and non-English speaking, factors that had little or no effect on the performance of the Mini-Cog. Ethnic differences, also observed for physician recognition, were not significant in final regression equations. The number and recency of prima...Continue Reading

References

Jan 1, 1969·The Gerontologist·M P Lawton
Jun 1, 1982·The British Journal of Psychiatry : the Journal of Mental Science·C P HughesR L Martin
Mar 15, 1995·Annals of Internal Medicine·C M CallahanW M Tierney
Sep 25, 1999·The Gerontologist·L BoiseL Congleton
Oct 21, 2000·Archives of Internal Medicine·V G ValcourP L Blanchette
Dec 13, 2000·International Journal of Geriatric Psychiatry·S BorsonA Dokmak
Dec 13, 2000·International Journal of Geriatric Psychiatry·T Del SerR Spiegel
Mar 10, 2001·International Journal of Geriatric Psychiatry·J Scanlan, S Borson
Jun 23, 2001·Drugs & Aging·S CampbellC Ballard
Aug 8, 2002·Journal of the American Geriatrics Society·Dina ZekryGabriel Gold
Nov 2, 2002·Dementia and Geriatric Cognitive Disorders·Ker-Neng LinHsiu-Chih Liu
Jun 5, 2003·Annals of Internal Medicine·Malaz BoustaniUNKNOWN U.S. Preventive Services Task Force
Sep 27, 2003·Journal of the American Geriatrics Society·Soo BorsonMary Ganguli
Dec 23, 2003·Journal of the American Geriatrics Society·David B ReubenNeil S Wenger
Jun 25, 2004·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Linda BoiseJeffrey Kaye

❮ Previous
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Citations

Apr 21, 2007·Journal of General Internal Medicine·Soo BorsonElizabeth Zuhr
Mar 1, 2012·Age and Ageing·Michael Malek-AhmadiMarwan N Sabbagh
Dec 1, 2007·The American Journal of Nursing·Deirdre Mary Carolan Doerflinger
Dec 25, 2007·The American Journal of Nursing·Katie Maslow, Mathy Mezey
Jul 2, 2009·Alzheimer Disease and Associated Disorders·Andrea BradfordHardeep Singh
Feb 18, 2010·The Journal of Neuropsychiatry and Clinical Neurosciences·Anil K NairRobert A Stern
Sep 12, 2007·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Mark J RapoportGary Naglie
Jul 27, 2012·Journal of Gerontological Nursing·Carol P RothNeil S Wenger
Sep 14, 2012·Neurodegenerative Disease Management·James E Galvin
Oct 6, 2010·The Journal of Nutrition, Health & Aging·H KaduszkiewiczUNKNOWN AgeCoDe Study Group
Jan 18, 2008·The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists·Stephen M SetterJames M Scanlan
Dec 10, 2013·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Soo BorsonPeter Vitaliano
Jun 27, 2009·The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists·Stephen M SetterTravis E Sonnett
Oct 22, 2009·The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists·Susan L LakeySoo Borson
Jul 20, 2014·Clinics in Geriatric Medicine·Soo Borson, Joshua Chodosh
Jul 20, 2014·Clinics in Geriatric Medicine·Joseph E GauglerLisiane Pruinelli
Sep 17, 2011·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Victor ValcourBruce Miller
Mar 18, 2015·International Journal of Geriatric Psychiatry·Daniel ApolinarioSonia Maria Dozzi Brucki
Jul 17, 2012·Journal of the American Medical Directors Association·Debra SalibaJoshua Chodosh
Jul 10, 2012·Geriatric Nursing·Carol E RogersColleen Keller
Mar 15, 2011·The Journal of Pain : Official Journal of the American Pain Society·Keela Herr
Sep 3, 2010·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Alex J Mitchell, Srinivasa Malladi
Sep 3, 2010·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Alex J Mitchell, Srinivasa Malladi
May 23, 2009·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Sheila M LoboPrabhuJames W Lomax
Apr 18, 2008·International Journal of Geriatric Psychiatry·Melanie LuppaHans-Helmut König
Oct 6, 2007·Journal of the American Geriatrics Society·Consuelo H WilkinsDorothy F Edwards
Oct 4, 2007·Journal of the American Geriatrics Society·Denise G FeilDavid Sultzer
Aug 13, 2011·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Angelena Maria LabellaElizabeth Anne Phelan
Jan 22, 2013·Research in Nursing & Health·Terry A LennieAlison L Bailey
Apr 18, 2013·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Maryalice Kozar-WestmanMary A Nies
Jul 31, 2010·Journal of the American Geriatrics Society·Paul R BorghesaniSoo Borson
Feb 16, 2012·Journal of the American Geriatrics Society·John Riley McCartenMaurice W Dysken
Jun 15, 2011·Acta Psychiatrica Scandinavica·Alex J MitchellMichael Pentzek
Jan 9, 2014·Journal of the American Geriatrics Society·Germaine OdenheimerJerry Johnson
Mar 11, 2015·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Sarah J BarberMargaret Gatz
Apr 1, 2006·Alzheimer's & Dementia : the Journal of the Alzheimer's Association·J Wesson AshfordHerman Buschke
Oct 5, 2015·Journal of the American Medical Directors Association·Keith N FargoMaria C Carrillo
Aug 27, 2014·Geriatrics & Gerontology International·Supaporn TrongsakulJane Cross
Jul 22, 2015·The Journal of Nutrition, Health & Aging·T K MalmstromJ E Morley
Nov 8, 2013·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Germaine OdenheimerJerry Johnson
Dec 26, 2012·Alzheimer's & Dementia : the Journal of the Alzheimer's Association·Cyndy B CordellUNKNOWN Medicare Detection of Cognitive Impairment Workgroup
Nov 1, 2016·Journal of Gerontological Nursing·Judith E HertzKathryn Tibbits
Apr 28, 2017·Applied Neuropsychology. Adult·Andrea S VincentRobert Kane
Dec 7, 2010·American Journal of Alzheimer's Disease and Other Dementias·Mitchell I Clionsky, Emilymarie Clionsky

❮ Previous
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