[Skip to Navigation]
Sign In
July 20, 1994

Users' Guides to the Medical Literature: V. How to Use an Article About Prognosis

Author Affiliations

From the Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario (Dr Laupacis); the Departments of Medicine and Epidemiology and Community Medicine, University of Ottawa (Ontario) (Drs Laupacis, Wells, and Tugwell); and the Department of Medicine, University of Rochester (NY) School of Medicine and Dentistry (Dr Richardson).

JAMA. 1994;272(3):234-237. doi:10.1001/jama.1994.03520030076032

CLINICAL SCENARIO  You are about to see a 76-year-old retired schoolteacher for the second time. You first saw her in the clinic a month ago because of cognitive problems. Your evaluation at that time included a Standardized Mini-Mental State Examination,1 on which she scored 18 out of a possible 30 points, and a physical examination that was normal including no focal neurological signs. You arranged investigations for the treatable causes of dementia that were negative, and you thus feel she has probable Alzheimer's disease.The patient has lived with her son since her husband died 6 years ago. Her son thinks that she first developed significant problems with her memory about 3 years ago. However, she has become increasingly agitated and paranoid during the last year. She has refused to allow him to look after her financial affairs, despite the fact that she owns three pieces of property and

Add or change institution