Despite efforts to raise awareness and develop guidelines for care of individuals with dementia, reports of poor detection and\ninadequate management persist. This has led to a call formore identification of people with dementia, that is, screening individuals\nwhomay or may not complain of symptoms of dementia in both acute settings and primary care.The following should be considered\nbefore recommending screening for dementia among individuals in the general population. Dementia Tests. Lowprevalence reduces\npositive predictive value of tests and screening tests will miss people who have dementia and identify people who do not have\ndementia in substantial numbers. Clinical Issues. The clinical course of dementia has not yet been shown to be amenable to\nintervention. Misdiagnosis and overdiagnosis can have significant long-term effects including stigmatization, loss of employment,\nand autonomy. Economic Issues. Health systems do not have the capacity to respond to increased demand resulting fromscreening.\nIn conclusion, at present attention to life-course risk reduction and support in the community for frail and cognitively impaired\nolder adults is a better use of limited healthcare resources than introduction of unevaluated dementia screening programs.
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