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Screening for Cognitive Impairment in Older Adults: An Evidence Update for the U.S. Preventive Services Task Force [Internet]

Screening for Cognitive Impairment in Older Adults: An Evidence Update for the U.S. Preventive Services Task Force [Internet]

Evidence Syntheses - Agency for Healthcare Research and Quality (US)

Version: November 2013

Results

No trials examined the direct effect of screening for cognitive impairment on important patient outcomes, including decisionmaking outcomes. We identified 55 studies that address the diagnostic accuracy of brief screening instruments. The majority of these studies were not included in the prior USPSTF review. In order to be included in our review, the study had to assess the performance of an instrument that could be administered in less than 10 minutes or self-administered in less than 20 minutes. To facilitate discussion of results, we categorized these instruments as very brief (administered in ≤5 minutes), brief (within 6 to 10 minutes), or self-administered. We included 29 very brief instruments, 19 brief instruments, and 5 self-administered instruments (Table 1). All of these instruments can be administered and scored with minimal training.

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