Screening for Cognitive Impairment in Older Adults: US Preventive Services Task Force Recommendation Statement
Open accessAbstract
Importance: Dementia (also known as major neurocognitive disorder) is defined by a significant decline in 1 or more cognitive domains that interferes with a person's independence in daily activities. Dementia affects an estimated 2.4 to 5.5 million individuals in the United States, and its prevalence increases with age. Objective: To update its 2014 recommendation, the US Preventive Services Task Force (USPSTF) commissioned a review of the evidence on screening for cognitive impairment, including mild cognitive impairment and mild to moderate dementia, in community-dwelling adults, including those 65 years or older residing in independent living facilities. Population: This recommendation applies to community-dwelling older adults 65 years or older, without recognized signs or symptoms of cognitive impairment. Evidence Assessment: The USPSTF concludes that the evidence is lacking, and the balance of benefits and harms of screening for cognitive impairment cannot be determined. Recommendation: The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for cognitive impairment in older adults. (I statement).
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From Dementia Risk Reduction in Primary Care: A Scoping Review of Clinical Guidelines Using a Behavioral Specificity Framework (2022) · cites this paper as [28]
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Cites
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369 · see citing works
Siu, A. L., & for the U.S. Preventive Services Task Force* (2015) · Annals of Internal Medicine · doi:10.7326/m15-2023 · Cited by 515 · see citing works
Ward, A., Tardiff, S., Dye, C., & Arrighi, H. M. (2013) · Dementia and Geriatric Cognitive Disorders Extra · doi:10.1159/000354370 · Cited by 426 · see citing works
US Preventive Services Task Force, Krist, A. H., Davidson, K. W., Mangione, C. M., Barry, M. J., Cabana, M., Caughey, A. B., Donahue, K., Doubeni, C. A., Epling, J. W., et al. (2020) · JAMA · doi:10.1001/jama.2020.21749 · Cited by 367 · see citing works
Self-citationSiu, A. L., & on behalf of the U.S. Preventive Services Task Force* (2015) · Annals of Internal Medicine · doi:10.7326/m15-2345 · Cited by 319 · see citing works
Ritchie, K., Carriere, I., Ritchie, C. W., Berr, C., Artero, S., & Ancelin, M.-L. (2010) · BMJ · doi:10.1136/bmj.c3885 · Cited by 250 · see citing works
Fowler, N. R., Perkins, A. J., Gao, S., Sachs, G. A., & Boustani, M. A. (2020) · Journal of the American Geriatrics Society · doi:10.1111/jgs.16247 · Cited by 79 · see citing works
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2024 Alzheimer's disease facts and figures
(2024) · Alzheimer's & Dementia · doi:10.1002/alz.13809 · Cited by 2,536 · see citing works
Incidence of Parkinson disease in North America
Willis, A. W., Roberts, E., Beck, J. C., Fiske, B., Ross, W., Savica, R., Van Den Eeden, S. K., Tanner, C. M., Marras, C., on behalf of the Parkinson’s Foundation P4 Group, et al. (2022) · npj Parkinson's Disease · doi:10.1038/s41531-022-00410-y · Cited by 341 · see citing works
Liss, J. L., Seleri Assunção, S., Cummings, J., Atri, A., Geldmacher, D. S., Candela, S. F., Devanand, D. P., Fillit, H. M., Susman, J., Mintzer, J., et al. (2021) · Journal of Internal Medicine · doi:10.1111/joim.13244 · Cited by 312 · see citing works
Liu, Y., Jun, H., Becker, A., Wallick, C., & Mattke, S. (2024) · The Journal of Prevention of Alzheimer's Disease · doi:10.14283/jpad.2023.131 · Cited by 105 · see citing works
Nguyen, H. Q., Borson, S., Khang, P., Langer‐Gould, A., Wang, S. E., Carrol, J., & Lee, J. S. (2022) · Alzheimer's & Dementia: Translational Research & Clinical Interventions · doi:10.1002/trc2.12279 · Cited by 29 · see citing works
Impact of diagnosed (vs undiagnosed) dementia on family caregiving experiences
Burgdorf, J. G., & Amjad, H. (2023) · Journal of the American Geriatrics Society · doi:10.1111/jgs.18155 · Cited by 24 · see citing works
Qian, Y., Chen, X., Tang, D., Kelley, A. S., & Li, J. (2021) · The Journals of Gerontology: Series A · doi:10.1093/gerona/glab043 · Cited by 23 · see citing works
Use of Medicare’s New Reimbursement Codes for Cognitive Assessment and Care Planning, 2017-2018
Li, J., Andy, C., & Mitchell, S. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2021.25725 · Cited by 18 · see citing works
Godbee, K., Guccione, L., Palmer, V. J., Gunn, J., Lautenschlager, N., & Francis, J. J. (2022) · Journal of Alzheimer's Disease · doi:10.3233/jad-220382 · Cited by 13 · see citing works
Enhancing early detection of cognitive impairment in primary care with the TabCAT-BHA
Breithaupt, A. G., Sideman, A. B., Goode, C., Hill‐Sakurai, L., Premkumar, M., Scheffler, A. W., Chodos, A., Tsoy, E., Rankin, K. P., Kramer, J. H., et al. (2025) · Alzheimer's & Dementia · doi:10.1002/alz.70437 · Cited by 10 · see citing works
- Authors
- US Preventive Services Task Force, Owens, D. K., Davidson, K. W., Krist, A. H., Barry, M. J., Cabana, M., Caughey, A. B., Doubeni, C. A., Epling, J. W., Kubik, M., Landefeld, C. S., Mangione, C. M., Pbert, L., Silverstein, M., Simon, M. A., Tseng, C.-W., & Wong, J. B.
- Affiliations
- VA Palo Alto Health Care System (US)
- Northwell Health (US)
- Harvard University (US)
- Oregon Health & Science University (US)
- Mayo Clinic (US)
- Carilion Clinic (US)
- University of Alabama at Birmingham (US)
- University of California, Los Angeles (US)
- Boston University (US)
- Northwestern University (US)
- University of Hawaiʻi at Mānoa (US)
- Tufts University (US)
- Corresponding author
- Owens, Douglas K.
- ORCID
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2020-02-25
- Volume
- 323
- Issue
- 8
- Pages
- 757
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W3007652327
- Cited by
- 374
- References
- 7
- Citations by year
- 2026: 54 · 2025: 55 · 2024: 60 · 2023: 62 · 2022: 55 · 2021: 59 · 2020: 24 · 2019: 2 · 2018: 2 · 2012: 1
- FWCI
- 36.48
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Keywords
- cognitive screening, dementia, mild cognitive impairment, older adults, community-dwelling adults, independent living facilities, USPSTF recommendations, screening benefits and harms, neurocognitive disorders
- MeSH terms
- Aged, Dementia, Humans, Mass Screening, Neuropsychological Tests, Sensitivity and Specificity, Early Diagnosis, Independent Living, Cognitive Dysfunction
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