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Lookup NU author(s): Dr Tiago Moreira, Professor Julian Hughes, Emeritus Professor Thomas Kirkwood, Professor Carl May, Professor Ian McKeith, Professor John Bond
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Background: Mild cognitive impairment (MCI) is proposed to describe the transitional stage between normal cognitive aging and dementia. It has had significant impact in the field of dementia research, but it remains controversial whether or not it should be used as a diagnostic category in clinical practice. Methods: Semi-structured interviews were carried out with international experts (N = 37) in the field of dementia research and practice. These interviews explored the advantages and difficulties of using MCI as a clinical diagnosis. Results: There is wide variation in the clinical use of MCI. This variation depends on institutional factors and two types of cultural factors: (a) clinical culture, and (b) the "evidential culture" - how research and guidelines figure in clinical practice. Conclusion: The study shows the importance of combining values-based practice with evidence-based practice in the early diagnosis of dementia. © 2008 International Psychogeriatric Association.
Author(s): Moreira T, Hughes JC, Kirkwood TBL, May CR, McKeith IG, Bond J
Publication type: Article
Publication status: Published
Journal: International Psychogeriatrics
Year: 2008
Volume: 20
Issue: 4
Pages: 697-709
Print publication date: 01/08/2008
ISSN (print): 1041-6102
ISSN (electronic): 1741-203X
Publisher: Cambridge University Press
URL: http://dx.doi.org/10.1017/S1041610208007126
DOI: 10.1017/S1041610208007126
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