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在痴呆症诊断中使用和滥用简短认知测试的情况。

The use and misuse of short cognitive tests in the diagnosis of dementia.

出版信息

J Neurol Neurosurg Psychiatry. 2015 Jun;86(6):680-5. doi: 10.1136/jnnp-2014-309086. Epub 2014 Nov 19.

DOI:10.1136/jnnp-2014-309086
PMID:25411547
Abstract

Short cognitive tests are widely used in medicine to assess patients with memory problems but their role in the assessment of patients with cognitive problems is often misunderstood. They are a part of the examination of the patient and not tests for dementia or 'case-finding tools'. This misunderstanding leads to widespread misconceptions concerning short cognitive tests and could lead to major over diagnosis or under diagnosis of dementia. Their use in clinical practice particularly in response to national directives aimed at increasing diagnosis rates in dementia needs a clear understanding of their role and limitations. A new classification of short cognitive tests is proposed with guidance on their use in clinical medicine.

摘要

简短认知测试在医学中被广泛用于评估有记忆问题的患者,但它们在评估认知问题患者中的作用常常被误解。它们是患者检查的一部分,而不是痴呆症或“病例发现工具”的测试。这种误解导致了广泛的关于简短认知测试的误解,可能导致痴呆症的过度诊断或漏诊。它们在临床实践中的使用,特别是在响应旨在提高痴呆症诊断率的国家指令时,需要清楚地了解它们的作用和局限性。提出了一种新的简短认知测试分类,并就其在临床医学中的使用提供了指导。

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