Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
51 min
3 speakers
4 chapters
transcribed 9 hours ago
Transcript
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Transcript generated automatically by AI and may contain errors.
What is the main topic discussed in this episode?
Welcome to the Geropal podcast. This is Eric Wadera. This is Alex Smith. And Alex, today we're going to be talking about cognitive screening and dementia screening. Who do we have with us today?
We are delighted to welcome Sue Borson, who is a primary care-oriented geriatric psychiatrist. I think she's the creator of the mini-cog. Is that right, Sue?
Yeah, that's right.
And she's professor of family medicine at USC, deputy editor at JAGS, and co-lead of the Bold Center of Excellence in Early Detection of Dementia. Sue, welcome to the Jerry Powell podcast.
Thanks. It's great to be here.
Our next guest is Anna Chodos, who is a repeat guest on Jerry Powell. She's a geriatrician. She's associate professor of medicine at UCSF, and she's PI of Dementia Care Aware. Anna, welcome back to Jerry Powell.
Thank you. Lovely to be here.
And our third guest today is Joe Gogler, who's a gerontologist and editor-in-chief of The Gerontologist, a wonderful sister journal to Jags. We're all friendly in the world of geriatrics, gerontology publication here, and professor at the University of Minnesota School of Public Health and leader of the Bold Center of Excellence on Dementia Caregiving. Joe, welcome to the GeriPal podcast.
Yes. Thank you so much for having
me. So we've got a lot to talk about with cognitive screening, dementia screening. But before we do, we always ask for a song request. Who has a song request for Alex?
Oh, yes. I do have a song request. It is Sarah McLachlan's song, I Will Remember You.
I usually ask, why did you pick this song? But it seems very
appropriate for
the topic.
It's a little obvious, yeah.
And I love that Sarah McLachlan's having a comeback. She's doing a tour. There's an article about her in New York Times. I saw her when I was in college two or three times. So this is great. Thank you for this stroll down memory lane, so to speak. Here we go.
I will remember you Will you remember me? Don't let your life pass you by Weep not for the memories I'm so tired, but I can't sleep Standing on the edge of something much too deep It's funny how we feel so much but we cannot say a word We're screaming on the inside but we can't
don't let
your memories wonderful one more of the song at the end let's jump straight into the topic So we're going to be talking about dementia screening, cognitive screening. The last I read, the United States Preventative Task Force, USPSDF, I always get that confused with the post office, recommended that there wasn't enough evidence to recommend for or against cognitive screening. And I'd like to hear from you all is early detection. of dementia or cognitive screen, like how important is it? Should we be doing it? So I'm going to turn to Joe first. Joe, your thoughts?
You know, my thoughts are screening is important for a variety of reasons, and certainly Dr. Borson, Sue, and Anna, Dr. Chodos can provide a lot greater clinical insight than I. But to me, the question is never about is screening in and of itself effective. To me, it's more that if we screen and if we screen accurately, what do we do then? And it's that latter aspect of screening that I think sometimes is missed and isn't always emphasized when efforts are made to try to improve, for example, administration or implementation of valid and accurate screening tools. And so certainly from a family's perspective, a family caregiver perspective, The last thing we want to have when it comes to good dementia care is a diagnose and audio scenario, or in this case, you know, some type of screening result.
And then we'll see you again in six months. There has to be effective diagnosis. uh support provided behind any type of screening uh strategy in order for it to truly be effective and to me that that gets more at the question of whether screening is effective or not and i know sue you probably have a lot to weigh in on this question
yes sue
i mean
this is important because we're identifying people for aducanumab and lacanumab and dananumab is that right sue
No. I mean, that is one use of screening, but it's probably not a very good use of screening since those agents, the application of those agents is limited to people with very early Alzheimer's disease.
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Chapters
4 chapters
1
What is the main topic discussed in this episode?
0:00–19:19
2
What is the USPSTF recommendation on routine dementia screening and why does it matter?
19:19–33:33
3
Why was the Mini‑Cog created and how can primary‑care clinicians use it effectively?
33:33–43:21
4
How do experts define the difference between screening and case‑finding for cognitive impairment?
43:21–51:57
Speakers
3 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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