Cited by 2,183Dementia and Cognitive Impairment ResearchCancer-related cognitive impairment studiesCognitive Functions and Memory

The DOI matches its Crossref record; 48 of the 48 references it cites were found in a registry or an index.

Practice guideline update summary: Mild cognitive impairment [RETIRED]: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology

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Abstract

OBJECTIVE: To update the 2001 American Academy of Neurology (AAN) guideline on mild cognitive impairment (MCI). METHODS: The guideline panel systematically reviewed MCI prevalence, prognosis, and treatment articles according to AAN evidence classification criteria, and based recommendations on evidence and modified Delphi consensus. RESULTS: MCI prevalence was 6.7% for ages 60-64, 8.4% for 65-69, 10.1% for 70-74, 14.8% for 75-79, and 25.2% for 80-84. Cumulative dementia incidence was 14.9% in individuals with MCI older than age 65 years followed for 2 years. No high-quality evidence exists to support pharmacologic treatments for MCI. In patients with MCI, exercise training (6 months) is likely to improve cognitive measures and cognitive training may improve cognitive measures. MAJOR RECOMMENDATIONS: Clinicians should assess for MCI with validated tools in appropriate scenarios (Level B). Clinicians should evaluate patients with MCI for modifiable risk factors, assess for functional impairment, and assess for and treat behavioral/neuropsychiatric symptoms (Level B). Clinicians should monitor cognitive status of patients with MCI over time (Level B). Cognitively impairing medications should be discontinued where possible and behavioral symptoms treated (Level B). Clinicians may choose not to offer cholinesterase inhibitors (Level B); if offering, they must first discuss lack of evidence (Level A). Clinicians should recommend regular exercise (Level B). Clinicians may recommend cognitive training (Level C). Clinicians should discuss diagnosis, prognosis, long-term planning, and the lack of effective medicine options (Level B), and may discuss biomarker research with patients with MCI and families (Level C).

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  1. [19]19. Boyle PA, Wilson RS, Aggarwal NT, Tang Y, Bennett DA. Mild cognitive impairment: risk of Alzheimer disease and rate of cognitive decline [see comment]. Neurology 2006;67:441-445.

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Metadata

Authors
Petersen, R. C., López, O. L., Armstrong, M. J., Getchius, T. S. D., Ganguli, M., Gloss, D. S., Gronseth, G., Marson, D. C., Pringsheim, T. M., Day, G. S., Sager, M. A., Stevens, J., & Rae-Grant, A. D.
Affiliations
Mayo Clinic (US)
Venue
Neurology
Published
2018-01-16
Volume
90
Issue
3
Pages
126-135
ISSN
  • 0028-3878 (ISSN-L)
  • 1526-632X
OpenAlex
W2780732598
Cited by
2,183
References
48
Citations by year
2026: 232 · 2025: 331 · 2024: 363 · 2023: 305 · 2022: 303 · 2021: 233 · 2020: 210 · 2019: 143 · 2018: 61
FWCI
92.93
Type
journal article
Language
en
Open access
Locations
  • Neurology (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Oncology › Cancer-related cognitive impairment studies
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
Keywords
mild cognitive impairment, prevalence, dementia incidence, prognosis, pharmacotherapy, cholinesterase inhibitors, exercise training, cognitive training, modifiable risk factors, functional disability, cognitive assessment, biomarkers, older adults
MeSH terms
Delphi Technique, Humans, Cognitive Dysfunction

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