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Examen de detección de deterioro cognitivo en adultos mayores: Declaración de recomendación del grupo de trabajo de
, Douglas K Owens1,2, Karina W Davidson3
1Veterans Affairs Palo Alto Health Care System, Palo Alto, California.
JAMA
|February 26, 2020
Resumen
La detección de deterioro cognitivo en adultos mayores carece de pruebas suficientes. El Grupo de Trabajo de Servicios Preventivos de los Estados Unidos descubrió que no se pueden determinar los beneficios y los daños de la detección de demencia.
Área de la Ciencia:
- Gerontología
- Neurología
- La medicina preventiva
Sus antecedentes:
- La demencia, o trastorno neurocognitivo mayor, tiene un impacto significativo en la independencia diaria.
- La prevalencia aumenta con la edad, afectando a millones en los Estados Unidos.
Objetivo del estudio:
- Actualizar las recomendaciones de 2014 sobre el cribado del deterioro cognitivo.
- Revisar la evidencia sobre el cribado de deterioro cognitivo leve y demencia en adultos mayores.
Principales métodos:
- Revisión sistemática de la evidencia encargada por el Grupo de Trabajo de Servicios Preventivos de los Estados Unidos (USPSTF).
- Centrado en adultos mayores de 65 años que viven en la comunidad y no tienen síntomas de deterioro cognitivo reconocidos.
Principales resultados:
- Se encontró que faltaban pruebas con respecto a la detección de deterioro cognitivo.
- No se pudo determinar el equilibrio entre los beneficios y los perjuicios de dicho cribado.
Conclusiones:
- El USPSTF emitió una "declaración I" indicando pruebas insuficientes.
- La evidencia actual es insuficiente para evaluar los beneficios frente a los daños del cribado de adultos mayores para el deterioro cognitivo.
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