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Scheduling and Modeling a Cognitive Assessment Guide for Screening AD by Primary Care Physicians.

Maria Sagiadinou1, Antigoni Avramouli2, Panayiotis M Vlamos2

  • 1Department of Informatics, Ionian University, Corfu, 49100, Greece. c15sagi@ionio.gr.

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Summary

This study proposes a practical guideline for primary care physicians to improve early Alzheimer's Disease (AD) detection. A two-visit approach with specific screening questions and automated scoring aims to aid diagnosis and patient care.

Keywords:
Alzheimer’s diseaseCognitive assessmentDementiaDiagnosisGuidelinesPrimary carePrimary care physicians

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Area of Science:

  • Neurology
  • Geriatrics
  • Primary Care Medicine

Background:

  • Alzheimer's Disease (AD) is a clinicobiological entity with long preclinical and presymptomatic phases.
  • Early detection and diagnosis are crucial for effective patient management and caregiver support.
  • Primary care physicians are often the first to identify cognitive impairment but may hesitate in screening.

Purpose of the Study:

  • To model a practical guideline for mental assessment and screening for primary care physicians.
  • To integrate screening into a step-by-step medical instruction policy.
  • To facilitate earlier diagnosis of Alzheimer's Disease in primary care settings.

Main Methods:

  • A comprehensive literature review was conducted.
  • A two-visit approach for patient assessment was designed.
  • The approach includes specific close-ended questions and automated scoring of screening tests.

Main Results:

  • A structured, two-visit guideline for Alzheimer's screening was developed.
  • The proposed method includes easily accessible tests with immediate score calculation.
  • The guideline aims to overcome primary care physician reluctance towards screening.

Conclusions:

  • The proposed guideline offers a practical framework for early Alzheimer's Disease detection in primary care.
  • This approach can empower primary care physicians in the diagnostic process.
  • Further clinical trials are planned to validate the guideline's effectiveness.