Esther S. Oh, MD, PhD; Peter V. Rabins, MD, MPH
CME Objective: To review current evidence for prevention and screening, diagnosis, and treatment of in the clinic: dementia.
Acknowledgment: The authors thank David M. Blass, MD, one of the authors of the previous version of this In the Clinic.
Funding Source: American College of Physicians.
Disclosures: Dr. Oh, ACP Contributing Author, has nothing to disclose. Dr. Rabins, ACP Contributing Author, reports that he has received royalties for books on related topics. Disclosures can also be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-1237.
Editors' Disclosures: Christine Laine, MD, MPH, Editor in Chief, reports that her spouse has stock options/holdings with Targeted Diagnostics and Therapeutics. Darren B. Taichman, MD, PhD, Executive Editor, reports that he has no financial relationships or interests to disclose. Cynthia D. Mulrow, MD, MSc, Senior Deputy Editor, reports that she has no relationships or interests to disclose. Jaya K. Rao, MD, MHS, Deputy Editor, reports that she has stock holdings/options in Eli Lilly and Pfizer. Catharine B. Stack, PhD, MS, Deputy Editor, Statistics, reports that she has stock holdings in Pfizer, Johnson & Johnson, and Colgate-Palmolive. Christina C. Wee, MD, MPH, Deputy Editor, reports employment with Beth Israel Deaconess Medical Center. Sankey V. Williams, MD, Deputy Editor, reports that he has no financial relationships or interests to disclose. Yu-Xiao Yang, MD, MSCE, Deputy Editor, reports that he has no financial relationships or interest to disclose.
With the assistance of additional physician writers, the editors of Annals of Internal Medicine develop In the Clinic using MKSAP and other resources of the American College of Physicians.
In the Clinic does not necessarily represent official ACP clinical policy. For ACP clinical guidelines, please go to https://www.acponline.org/clinical_information/guidelines/.
Alzheimer disease (AD) and other dementia syndromes are becoming more common; an estimated 5.5 million adults aged 65 years or older are living with AD in the United States. It is important for primary care physicians to gain knowledge in this field because most community-dwelling older adults receive their care from them. This article discusses the latest findings in approaches to prevent cognitive decline as well as dementia screening, diagnosis, and treatment. Approaches to address quality of life for persons with dementia and their caregivers are also discussed.
Oh ES, Rabins PV. Dementia. Ann Intern Med. 2019;171:ITC33–ITC48. doi: https://doi.org/10.7326/AITC201909030
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Published: Ann Intern Med. 2019;171(5):ITC33-ITC48.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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