Physicians Are Dramatically Underdiagnosing Early Cognitive Decline, a Precursor to Alzheimer’s

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Physicians Are Dramatically Underdiagnosing Early Cognitive Decline, a Precursor to Alzheimer’s
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Ninety-nine percent of doctors miss mild cognitive impairment, (MCI), a dementia precursor in older adults.

hanges to the brain are natural as we age, which often makes it difficult to spot more aberrant signs of cognitive decline in older adults. Neurodegenerative diseases like Alzheimer’s and Parkinson’s, as well as other common disorders that can affect the mind, often first arise as clusters of symptoms that qualify as mild cognitive impairment, or MCI.

Getting an MCI diagnosis currently requires a lot of unlikely pieces to fall into place, explains Mattke. First, someone has to notice cognitive changes, which is difficult, given that MCI presents itself with inconsistent symptoms. In some people, it could manifest as unusual memory lapses, in others issues with orientation, and in others still as struggles with information processing or decision making.

Shorter tests, or tests that can be administered in the waiting room, are clear goals for experts. “These tests are all very new,” says Mattke.

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