|Title||Factors associated with cognitive evaluations in the United States |
|Publication Type||Journal Article |
|Year of Publication||2015 |
|Authors||Kotagal, V, Langa, KM, Plassman, BL, Fisher, GG, Giordani, B, Wallace, RB, Burke, JF, Steffens, DC, Kabeto, MU, Albin, RL, Foster, NL |
|Pagination||64 - 71 |
|Date Published||Jun-01-2015 |
|ISSN Number||0028-3878 |
|Keywords||Health Conditions and Status, Meta-analyses, Older Adults, Studies |
|Abstract||bjective: We aimed to explore factors associated with clinical evaluations for cognitive impairment among older residents of the United States.
Methods: Two hundred ninety-seven of 845 subjects in the Aging, Demographics, and Memory Study (ADAMS), a nationally representative community-based cohort study, met criteria for dementia after a detailed in-person study examination. Informants for these subjects reported whether or not they had ever received a clinical cognitive evaluation outside of the context of ADAMS. Among subjects with dementia, we evaluated demographic, socioeconomic, and clinical factors associated with an informant-reported clinical cognitive evaluation using bivariate analyses and multivariable logistic regression.
Results: Of the 297 participants with dementia in ADAMS, 55.2% (representing about 1.8 million elderly Americans in 2002) reported no history of a clinical cognitive evaluation by a physician. In a multivariable logistic regression model (n = 297) controlling for demographics, physical function measures, and dementia severity, marital status (odds ratio for currently married: 2.63 [95% confidence interval: 1.10–6.35]) was the only significant independent predictor of receiving a clinical cognitive evaluation among subjects with study-confirmed dementia.
Conclusions: Many elderly individuals with dementia do not receive clinical cognitive evaluations. The likelihood of receiving a clinical cognitive evaluation in elderly individuals with dementia associates with certain patient-specific factors, particularly severity of cognitive impairment and current marital status. |
|Short Title||Neurology |
|Citation Key||8660 |
|PubMed ID||25428689 |
|PubMed Central ID||PMC4336093 |