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Mild cognitive impairment: a concept in evolution
Stockholms universitet, Samhällsvetenskapliga fakulteten, Stressforskningsinstitutet. Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för forskning om äldre och åldrande (ARC), (tills m KI).
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2014 (engelsk)Inngår i: Journal of Internal Medicine, ISSN 0954-6820, E-ISSN 1365-2796, Vol. 275, nr 3, s. 214-228Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

The construct of mild cognitive impairment (MCI) has evolved over the past 10years since the publication of the new MCI definition at the Key Symposium in 2003, but the core criteria have remained unchanged. The construct has been extensively used worldwide, both in clinical and in research settings, to define the grey area between intact cognitive functioning and clinical dementia. A rich set of data regarding occurrence, risk factors and progression of MCI has been generated. Discrepancies between studies can be mostly explained by differences in the operationalization of the criteria, differences in the setting where the criteria have been applied, selection of subjects and length of follow-up in longitudinal studies. Major controversial issues that remain to be further explored are algorithmic versus clinical classification, reliability of clinical judgment, temporal changes in cognitive performances and predictivity of putative biomarkers. Some suggestions to further develop the MCI construct include the tailoring of the clinical criteria to specific populations and to specific contexts. The addition of biomarkers to the clinical phenotypes is promising but requires deeper investigation. Translation of findings from the specialty clinic to the population setting, although challenging, will enhance uniformity of outcomes. More longitudinal population-based studies on cognitive ageing and MCI need to be performed to clarify all these issues.

sted, utgiver, år, opplag, sider
2014. Vol. 275, nr 3, s. 214-228
Emneord [en]
Alzheimer's disease, dementia, memory impairment, mild cognitive impairment
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Identifikatorer
URN: urn:nbn:se:su:diva-105252DOI: 10.1111/joim.12190ISI: 000332446200003Lokal ID: P-3206OAI: oai:DiVA.org:su-105252DiVA, id: diva2:729115
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AuthorCount:6;

Tilgjengelig fra: 2014-06-25 Laget: 2014-06-24 Sist oppdatert: 2018-01-11bibliografisk kontrollert

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