ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2021
Cognitive measures lacking in EHR prior to dementia or Alzheimer's disease diagnosis.
Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Natural Language Processing Applied to Psychiatric Clinical Notes: Scoping Review.JMIR medical informatics · 2026Article
- Downward bias in the association between APOE and Alzheimer's disease using prevalent and by-proxy disease sampling in the All of Us research program.BMC medical genomics · 2026Article
- Leveraging electronic health records to examine differential clinical outcomes in people with Alzheimer's disease.Communications medicine · 2026Article
- Enhancing Cognitive Impairment Assessment and Management in Hip Fracture Patients: A Two-Cycle Clinical Audit.Cureus · 2025Article
- Distinct medical and substance use histories associate with cognitive decline in Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Article
- Exploring neurologists' perspectives: barriers and facilitators in implementing cognitive care planning.The Public policy and aging report · 2025Review
- Extracting Cognitive Impairment Assessment Information From Unstructured Notes in Electronic Health Records Using Natural Language Processing Tools: Validation with Clinical Assessment Data.Clinical epidemiology · 2025Article
- Distinct medical and substance use histories associate with cognitive decline in Alzheimer's Disease.medRxiv : the preprint server for health sciences · 2024Article
- Detection and Diagnosis of Early Symptomatic Alzheimer's Disease in Primary Care.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2024Article
- Predicting Risk of Alzheimer's Diseases and Related Dementias with AI Foundation Model on Electronic Health Records.medRxiv : the preprint server for health sciences · 2024Article
- Which factors preceding dementia identification impact future healthcare use trajectories: multilevel analyses in administrative data.BMC geriatrics · 2024Observational
- Cognitive Impairment and Dementia in Atrial Fibrillation: A Population Study of 4.3 Million Individuals.JACC. Advances · 2023Article
- Assess the documentation of cognitive tests and biomarkers in electronic health records via natural language processing for Alzheimer's disease and related dementias.International journal of medical informatics · 2023Article
- Current Diagnostic Pathways for Alzheimer's Disease: A Cross-Sectional Real-World Study Across Six Countries.Journal of Alzheimer's disease reports · 2023Article
- Hierarchical Two-Stage Cost-Sensitive Clinical Decision Support System for Screening Prodromal Alzheimer's Disease and Related Dementias.Journal of Alzheimer's disease : JAD · 2023Article
- Interpretable deep learning translation of GWAS and multi-omics findings to identify pathobiology and drug repurposing in Alzheimer's disease.Cell reports · 2022Article
- Cognitive measures lacking in EHR prior to dementia or Alzheimer's disease diagnosis.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2021Article
- A Modified CAIDE Risk Score as a Screening Tool for Cognitive Impairment in Older Adults.Journal of Alzheimer's disease : JAD · 2021Article
- Medical and Social Determinants of Brain Health and Dementia in a Multicultural Community Cohort of Older Adults.Journal of Alzheimer's disease : JAD · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
introductionThe extent that cognitive measures are documented in electronic health records (EHR) is important for quality care and addressing disparities in timely diagnosis of dementia or Alzheimer's disease (AD).
methodsAnalysis of U.S. EHR data to describe the frequency and factors associated with cognitive measures prior to diagnosis of dementia (N = 111,125) or AD (N = 30,203).
resultsOnly 11% of dementia patients and 24% of AD patients had a cognitive measure documented in the 5 years prior to diagnosis. Black race, older age, non-commercial health insurance, lower mean neighborhood income, greater in-patient stays, and fewer out-patient visits were associated with lacking cognitive measures. DISCUSSION: Extensive missing cognitive data and differences in the availability of cognitive measures by race, age, and socioeconomic factors hinder patient care and limit utility of EHR for dementia research. Structured fields and prompts for cognitive data inputs at the point of care may help address these gaps.
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