2022
DOI: 10.3310/xluj6074
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Assessment and management pathways of older adults with mild cognitive impairment: descriptive review and critical interpretive synthesis

Abstract: Background Mild cognitive impairment in older adults is a risk factor for dementia. Mild cognitive impairment is a result of a diverse range of underlying causes and may progress to dementia, remain stable or improve over time. Objectives We aimed to assess the evidence base around the assessment and management pathway of older adults with mild cognitive impairment in community/primary care, hospital and residential settings.… Show more

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Cited by 3 publications
(5 citation statements)
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“…Therefore, the moderate correlation between M-ACE and WHODAS-2-Cog suggests that there is some overlap between objective and subjective measures of cognitive function. However, the fact that the correlation is not stronger may indicate the influence of other factors such as differences in interpretation or self-evaluation of cognitive functioning, denial or lack of awareness of cognitive difficulties, anxiety or depression affecting self-reporting, or the stigma attached to admitting cognitive impairment (Chambers et al, 2022).…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, the moderate correlation between M-ACE and WHODAS-2-Cog suggests that there is some overlap between objective and subjective measures of cognitive function. However, the fact that the correlation is not stronger may indicate the influence of other factors such as differences in interpretation or self-evaluation of cognitive functioning, denial or lack of awareness of cognitive difficulties, anxiety or depression affecting self-reporting, or the stigma attached to admitting cognitive impairment (Chambers et al, 2022).…”
Section: Discussionmentioning
confidence: 99%
“…Studies assessing conversations with patients formally screened for or diagnosed with MCI or ADRD were also excluded, though the results of these studies may also contain valuable information that can be applied earlier in a patient’s journey. However, many patients are unaware they have been diagnosed with MCI or ADRD [ 72 , 73 ], which means that the studies we reviewed may have included patients who qualify for a formal diagnosis. In addition, a majority of the included articles were published more than 10 years ago, presenting another limitation and highlighting a gap in the literature.…”
Section: Discussionmentioning
confidence: 99%
“…The research on early diagnosis prompts considerations that MCI diagnosis which is unclear may be unnecessary, not clinically helpful and ethically doubtful [79]. Then combined with an undefined prognosis, unclear MCI diagnosis may cause early, perhaps unwelcome anxiety about the future in patients and their families.…”
Section: Ethics Of Early Diagnosismentioning
confidence: 99%
“…Research also should contemplate the needs of minority groups and possible effects on unequal differences in their health status [79]. Older patients diagnosed with MCI may be perceived like racial minorities who have been excluded from research [136].…”
Section: Inequalitiesmentioning
confidence: 99%
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