The 5-Cog Paradigm Improves Diagnosis, Management of Dementia
By Elana Gotkine HealthDay Reporter
TUESDAY, June 11, 2024 -- For older adults with cognitive concerns, the 5-Cog paradigm, a culturally adept, cognitive detection tool, paired with a clinical decision support, can improve diagnosis and management of dementia, according to a study published online June 4 in Nature Medicine.
Joe Verghese, M.B.B.S., from the Albert Einstein College of Medicine in New York City, and colleagues conducted a randomized controlled trial in primary care patients experiencing health disparities to examine whether the 5-Cog paradigm can reduce barriers to dementia diagnosis and care. Older adults with cognitive concerns were allocated to the 5-Cog paradigm or control in a 1:1 ratio (599 and 602, respectively).
The researchers found that compared with the control, the 5-Cog paradigm demonstrated threefold odds of improvement in dementia care actions, defined as any of the following end points within 90 days: new mild cognitive impairment syndrome or dementia diagnoses as well as investigations, medications, or specialist referrals ordered for cognitive indications (odds ratio, 3.43). There were no reports of serious intervention-related adverse events.
"The 5-Cog paradigm helped to improve dementia care actions related to diagnosis, investigations, and treatments that account for many implementation barriers and racial/ethnic differences in primary care patients presenting with cognitive concerns," the authors write. "This trial provides the evidence base to develop cognitive detection guidelines to promote practice change in primary care."
Disclaimer: Statistical data in medical articles provide general trends and do not pertain to individuals. Individual factors can vary greatly. Always seek personalized medical advice for individual healthcare decisions.
![](/img/logo/vendor/healthday-logo.png)
© 2024 HealthDay. All rights reserved.
Posted June 2024
Read this next
Survival Improves With Open Hysterectomy for Cervical Cancer
FRIDAY, June 28, 2024 -- For patients with early-stage cervical cancer, disease-free and overall survival are lower for patients undergoing minimally invasive versus open radical...
Precision-Guided Treatment Improves Outcomes for High-Risk Pediatric Cancer
FRIDAY, June 28, 2024 -- Precision-guided treatment improves outcomes for children with high-risk cancer, according to a study published online June 6 in Nature Medicine. Loretta...
Recommendations Issued for Advanced Imaging for Pediatric Patients in ED
THURSDAY, June 27, 2024 -- In a policy statement issued by the American Academy of Pediatrics and published online June 27 in Pediatrics, recommendations are presented for...
More news resources
- FDA Medwatch Drug Alerts
- Daily MedNews
- News for Health Professionals
- New Drug Approvals
- New Drug Applications
- Drug Shortages
- Clinical Trial Results
- Generic Drug Approvals
Subscribe to our newsletter
Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.