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Current approaches to dementia screening and case finding in low- and middle-income countries: Research update and recommendations

Lookup NU author(s): Dr Eleni Magklara, Dr Blossom Stephan, Professor Dame Louise Robinson

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Abstract

© 2018 John Wiley & Sons, Ltd. Approximately 47 million people have dementia worldwide, with this figure, it is expected to almost triple by 2050. Most people with dementia (approximately two-thirds) live in low- and middle-income countries (LMICs). This presents a significant challenge for such countries that often have limited financial resources and less well-developed health and social care systems. In the absence of a cure, reducing the future costs of dementia care and burden of disease may be best achieved by a greater emphasis on (1) more timely diagnosis with earlier intervention to maintain functional independence and (2) undertaking “screening” in groups at high risk of developing dementia, case finding, and using brief cognitive assessment instruments. In clinical settings, a wide range of instruments for dementia screening and diagnosis are currently available; however, few cognitive assessment tools have been developed specifically for clinical use within LMIC settings. Screening for dementia and cognitive impairment in LMICs largely relies on tools adapted from high-income countries (HICs); these often lack validation in these settings leading to education, literacy, and cultural biases. Research is urgently needed to develop cognitive assessment tools and dementia diagnostic approaches that are appropriate and feasible for clinical use in LMIC settings.


Publication metadata

Author(s): Magklara E, Stephan BCM, Robinson L

Publication type: Article

Publication status: Published

Journal: International Journal of Geriatric Psychiatry

Year: 2019

Volume: 34

Issue: 1

Pages: 3-7

Print publication date: 01/01/2019

Online publication date: 24/09/2018

Acceptance date: 06/08/2018

ISSN (print): 0885-6230

ISSN (electronic): 1099-1166

Publisher: John Wiley and Sons Ltd

URL: https://doi.org/10.1002/gps.4969

DOI: 10.1002/gps.4969


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