[Skip to Navigation]
February 25, 2020

Issues and Questions Surrounding Screening for Cognitive Impairment in Older Patients

Author Affiliations
  • 1Mayo Clinic Rochester, Rochester, Minnesota
  • 2University of California, San Francisco
JAMA. 2020;323(8):722-724. doi:10.1001/jama.2019.22527

The importance of addressing age-associated cognitive impairment cannot be overstated. The rising prevalence of cognitive impairment such as mild cognitive impairment (MCI) and dementia, including Alzheimer disease, is becoming a worldwide concern.1 In this issue of JAMA, the US Preventive Services Task Force (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).”2 This recommendation is based on an evidence report and systematic review of the literature that assessed the accuracy of cognitive screening instruments and the benefits and harms of interventions to treat cognitive impairment.3 That report represents an update of the previous report on this topic published in 2014.4