Dementia Screening
Authors: Robert A. Murden
Journal: Annals of Internal Medicine (1991)

Letters15 October 1991Dementia ScreeningRobert A. Murden, MDRobert A. Murden, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-115-8-657 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editors: The review of dementia screening and evaluation by Siu (1) was well done. To be a useful clinical guide for the practicing physician, however, two points need to be emphasized.First, the use of a criterion-based definition of dementia is essential. The major source of error in diagnosing dementia is in properly assessing its presence or absence. O'Connor and colleagues (2) demonstrated in a large community survey with extensive clinical evaluation that 42% (87 of 208) of demented patients were not recognized as demented by their personal physician. They also found that 22% (51 of 236) of...References1. Siu A. Screening for dementia and investigating its causes. Ann Intern Med. 1991;115:122-32. LinkGoogle Scholar2. O'ConnorPolittHydeBrooksReissRoth DPJCBM. Do general practitioners miss dementia in elderly patients? Br Med J. 1988;297:1107-10. CrossrefMedlineGoogle Scholar3. SomerfieldWeismanUryChaseFolstein MCWGM. Physician practices in the diagnosis of dementing disorders. J Am Geriatr Soc. 1991;39:172-5. CrossrefMedlineGoogle Scholar4. FolsteinFolsteinMcHugh MSP. "Mini-Mental State": a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189-98. CrossrefMedlineGoogle Scholar5. MurdenMcRaeKanerBucknam RTSM. Mini-Mental State Exam scores vary with education in blacks and whites. J Am Geriatr Soc. 1991;39:149-55. CrossrefMedlineGoogle Scholar1. Siu A. Screening for dementia and investigating its causes. Ann Intern Med. 1991;115:122-32. LinkGoogle Scholar2. ProhovnikMayeuxSackeimSmithSternAlderson IRHGYP. Cerebral perfusion as a diagnostic marker of early Alzheimer's disease. Neurol. 1988;38:931-7. CrossrefMedlineGoogle Scholar3. JagustBudingerReed WTB. The diagnosis of dementia with single photon emission computed tomography. Arch Neurol. 1987; 44:258-62. CrossrefMedlineGoogle Scholar4. HellmanTikofskyCollier RRB. Alzheimer's disease: quantitative analysis of I-123-iodoamphetamine SPECT brain imaging. Radiology. 1989;172:183-8. CrossrefMedlineGoogle Scholar5. JohnsonHolmanRosenNagelEnglishGrowdon KBTJRJ. Iofetamine 1-123 single photon emission computed tomography is accurate in the diagnosis of Alzheimer's disease. Arch Intern Med. 1990;150:752-6. CrossrefMedlineGoogle Scholar1. Siu A. Screening for dementia and investigating its causes. Ann Intern Med. 1991;115:122-32. LinkGoogle Scholar2. ProhovnikMayeuxSackeimSmithSternAlderson IRHGYP. Cerebral perfusion as a diagnostic marker of early Alzheimer's disease. Neurol. 1988;38:931-937. CrossrefMedlineGoogle Scholar3. JagustBudingerReed WTB. The diagnosis of dementia with single photon emission computed tomography. Arch Neurol. 1987;44:258-262. CrossrefMedlineGoogle Scholar4. HellmanTikofskyCollierHoffmannPalmerGlatt RRBRDS. Alzheimer's disease: quantitative analysis of 1-123-iodoamphetamine SPECT brain imaging. Radiology. 1989;172:183-188. CrossrefMedlineGoogle Scholar5. JohnsonHolmanRosenNagelEnglishGrowdon KBTJRJ. Iofetamine I 123 single photon emission computed tomography is accurate in the diagnosis of Alzheimer's disease. Arch Intern Med. 1990;150:752-756. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: The Ohio State University Columbus, OH 43210 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 15 October 1991Volume 115, Issue 8Page: 657-658KeywordsDementia Issue Published: 15 October 1991 PDF downloadLoading ...