Evidence map›Paper›PMID 30090849›Full record

ReviewAlzheimer's & dementia (New York, N. Y.)2018

Case-finding in clinical practice: An appropriate strategy for dementia identification?

Janice M Ranson, Elżbieta Kuźma, William Hamilton, Iain Lang, David J Llewellyn

Abstract readReview
In one paragraph

Review in Alzheimer's & dementia (New York, N. Y.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Bedside cognitive screening to detect dementia and predict poor outcomes in hospitals.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Adaptation and Validation of the Psychological Consequences of Screening Questionnaire (PCQ) for Cognitive Screening in Primary Care.Medical decision making : an international journal of the Society for Medical Decision Making · 2024
    Article
  10. Article
  11. Article
  12. Review
  13. Ethico-Political Aspects of Conceptualizing Screening: The Case of Dementia.Health care analysis : HCA : journal of health philosophy and policy · 2021
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Janice M RansonUniversity of Exeter Medical School, Exeter, UK.
Elżbieta KuźmaUniversity of Exeter Medical School, Exeter, UK.
William HamiltonUniversity of Exeter Medical School, Exeter, UK.
Iain LangUniversity of Exeter Medical School, Exeter, UK.
David J LlewellynUniversity of Exeter Medical School, Exeter, UK.

Funding

Department of Health KMRF-2013-02-02
6 · The paper itself

Abstract

Earlier diagnosis of dementia is increasingly being recognized as a public health priority. As screening is not generally recommended, case-finding in clinical practice is encouraged as an alternative dementia identification strategy. The approaches of screening and case-finding are often confused, with uncertainty about what case-finding should involve and under what circumstances it is appropriate. We propose a formal definition of dementia case-finding with a clear distinction from screening. We critically examine case-finding policy and practice and propose evidence requirements for implementation in clinical practice. Finally, we present a case-finding pathway and discuss the available evidence for best practice at each stage, with recommendations for research and practice. In conclusion, dementia case-finding is a promising strategy but currently not appropriate due to the substantial gaps in the evidence base for several components of this approach.

Indexed as

Case-findingClinical practiceDementiaDiagnosisEarly identificationPolicyScreening

Identifiers

PMID30090849
PMCPMC6077836

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.