Practice parameter: Early detection of dementia: Mild cognitive impairment (an evidence-based review) [RETIRED]: Report of the Quality Standards Subcommittee of the American Academy of Neurology

Petersen, R. C.; Stevens, J.C.; Ganguli, M.; Tangalos, E. G.; Cummings, J.L.; DeKosky, S. T.

doi:10.1212/wnl.56.9.1133

Cited by 2,065Dementia and Cognitive Impairment ResearchCancer-related cognitive impairment studiesHistorical and Modern Theater Studies

Practice parameter: Early detection of dementia: Mild cognitive impairment (an evidence-based review) [RETIRED]: Report of the Quality Standards Subcommittee of the American Academy of Neurology

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Petersen, R. C., Stevens, J.C., Ganguli, M., Tangalos, E. G., Cummings, J.L., DeKosky, S. T.·2001·Neurology

DOI 10.1212/wnl.56.9.1133

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Abstract

OBJECTIVE: The goal of this project was to determine whether screening different groups of elderly individuals in a general or specialty practice would be beneficial in detecting dementia. BACKGROUND: Epidemiologic studies of aging and dementia have demonstrated that the use of research criteria for the classification of dementia has yielded three groups of subjects: those who are demented, those who are not demented, and a third group of individuals who cannot be classified as normal or demented but who are cognitively (usually memory) impaired. METHODS: The authors conducted computerized literature searches and generated a set of abstracts based on text and index words selected to reflect the key issues to be addressed. Articles were abstracted to determine whether there were sufficient data to recommend the screening of asymptomatic individuals. Other research studies were evaluated to determine whether there was value in identifying individuals who were memory-impaired beyond what one would expect for age but who were not demented. Finally, screening instruments and evaluation techniques for the identification of cognitive impairment were reviewed. RESULTS: There were insufficient data to make any recommendations regarding cognitive screening of asymptomatic individuals. Persons with memory impairment who were not demented were characterized in the literature as having mild cognitive impairment. These subjects were at increased risk for developing dementia or AD when compared with similarly aged individuals in the general population. RECOMMENDATIONS: There were sufficient data to recommend the evaluation and clinical monitoring of persons with mild cognitive impairment due to their increased risk for developing dementia (Guideline). Screening instruments, e.g., Mini-Mental State Examination, were found to be useful to the clinician for assessing the degree of cognitive impairment (Guideline), as were neuropsychologic batteries (Guideline), brief focused cognitive instruments (Option), and certain structured informant interviews (Option). Increasing attention is being paid to persons with mild cognitive impairment for whom treatment options are being evaluated that may alter the rate of progression to dementia.

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Early cognitive impairment identification remains challenging due to frequent misattribution of initial symptoms to normal aging.
“early cognitive impairment identification remains challenging due to frequent misattribution of initial symptoms to normal aging”
From Multimodal neuroimaging and AI integration in cognitive disorders: advances, challenges, and future directions for precision medicine (2026) · cites this paper as Petersen et al., 2001
The Abstract describes mild cognitive impairment as a stage between normal aging and early Alzheimer’s disease and emphasizes detecting its earliest signs. The discussion of age-associated impairment distinguishes those categories from mild cognitive impairment, but neither passage says that initial symptoms are frequently misattributed to normal aging or that this causes difficulty in identification. Page numbers are unavailable in our copy. (LLM, conf=0.82)
Experimental — accuracy not yet measured
Cognitive testing used a battery of well-validated, standardized, and widely used neuropsychological tests, but these explored only some aspects of the complex cognitive dysfunction in MCI.
“First, because standard MCI criteria do not define optimal tests to establish cognitive performance in subjects with MCI, 22 cognitive testing was performed using a battery of well-validated, standardized, and widely used neuropsychological tests exploring only some aspects of the complex cognitive dysfunction in subjects with MCI.1,2”
From Benefits in Cognitive Function, Blood Pressure, and Insulin Resistance Through Cocoa Flavanol Consumption in Elderly Subjects With Mild Cognitive Impairment: The Cocoa, Cognition, and Aging (CoCoA) Study (2012) · cites this paper as [2]

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Authors: Petersen, R. C., Stevens, J. C., Ganguli, M., Tangalos, E. G., Cummings, J. L., & DeKosky, S. T.
Affiliations: Mayo Clinic (US)
From the Department of Neurology (Dr. Petersen), Mayo Clinic, Rochester, MN; Lutheran Medical Office (Dr. Stevens), Fort Wayne, IN; Department of Psychiatry, University of Pittsburgh School of Medicine and Department of Epidemiology, University of Pittsburgh Graduate School of Public Health (Dr. Ganguli), Pittsburgh, PA; Department of Internal Medicine (Dr. Tangalos), Mayo Clinic, Rochester, MN; Departments of Neurology and Psychiatry & Biobehavioral Science (Dr. Cummings), University of...
ORCID: Petersen, R. C.
Ganguli, M.
Cummings, J.L.
DeKosky, S. T.
Venue: Neurology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2001-05-08
Volume: 56
Issue: 9
Pages: 1133-1142
ISSN: 0028-3878 (ISSN-L)
1526-632X
DOI: 10.1212/wnl.56.9.1133
OpenAlex: W2153631628
Cited by: 2,065
References: 53
Citations by year: 2026: 19 · 2025: 27 · 2024: 45 · 2023: 49 · 2022: 48 · 2021: 53 · 2020: 54 · 2019: 71 · 2018: 71 · 2017: 76 · 2016: 60 · 2015: 70 · 2014: 109 · 2013: 84 · 2012: 117
FWCI: 53.25
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Neurology (publishedVersion)
PubMed (publishedVersion)
Funders: University of Minnesota
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: dementia, mild cognitive impairment, early detection, cognitive screening, older adults, memory impairment, Alzheimer's disease, Mini-Mental State Examination, neuropsychological assessment, informant interview, dementia risk, screening guidelines
MeSH terms: Aged, Aged, 80 and over, Cognition Disorders, Dementia, Humans, Mass Screening, Neuropsychological Tests, Time Factors

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