The inclusion of cognition in vascular risk factor clinical practice guidelines

Kenneth Rockwood1, Laura E Middleton2, Paige K Moorhouse1, Ingmar Skoog3, Sandra E Black41Department of Medicine, Dalhousie University, Halifax, NS, Canada; 2Department of Psychiatry, University of California, San Francisco, CA, USA; 3Institute of Neuropsychiatry, Sahlgrenska Acade...

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Autores principales:	Kenneth Rockwood, Laura E Middleton, Paige K Moorhouse, et al.
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2009
Materias:	Clinical practice guidelines evidence-based medicine vascular risk cognition target organ Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/ef3b7737119b432f8493b7ec18a3c868
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spelling	oai:doaj.org-article:ef3b7737119b432f8493b7ec18a3c8682021-12-02T07:04:39ZThe inclusion of cognition in vascular risk factor clinical practice guidelines1178-1998https://doaj.org/article/ef3b7737119b432f8493b7ec18a3c8682009-11-01T00:00:00Zhttps://www.dovepress.com/the-inclusion-of-cognition-in-vascular-risk-factor-clinical-practice-g-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Kenneth Rockwood1, Laura E Middleton2, Paige K Moorhouse1, Ingmar Skoog3, Sandra E Black41Department of Medicine, Dalhousie University, Halifax, NS, Canada; 2Department of Psychiatry, University of California, San Francisco, CA, USA; 3Institute of Neuropsychiatry, Sahlgrenska Academy of Göteborg University, Göteborg, Västra Götaland, Sweden; 4Department of Medicine, University of Toronto, Toronto, ON, CanadaBackground: People with vascular risk factors are at increased risk for cognitive impairment as well as vascular disease. The objective of this study was to evaluate whether vascular risk factor clinical practice guidelines consider cognition as an outcome or in connection with treatment compliance.Methods: Articles from PubMed, EMBASE, and the Cochrane Library were assessed by at least two reviewers and were included if: (1) Either hypertension, high cholesterol, diabetes, or atrial fibrillation was targeted; (2) The guideline was directed at physicians; (3) Adult patients (aged 19 years or older) were targeted; and (4) The guideline was published in English. Of 91 guidelines, most were excluded because they were duplicates, older versions, or focused on single outcomes.Results: Of the 20 clinical practice guidelines that met inclusion criteria, five mentioned cognition. Of these five, four described potential treatment benefits but only two mentioned that cognition may affect compliance. No guidelines adequately described how to screen for cognitive impairment.Conclusion: Despite evidence that links cognitive impairment to vascular risk factors, only a minority of clinical practice guidelines for the treatment of vascular risk factors consider cognition as either an adverse outcome or as a factor to consider in treatment. Keywords: clinical practice guidelines, evidence-based medicine, vascular risk, cognition, target organ damageKenneth RockwoodLaura E MiddletonPaige K Moorhouseet al.Dove Medical PressarticleClinical practice guidelinesevidence-based medicinevascular riskcognitiontarget organGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 4, Pp 425-433 (2009)
institution	DOAJ
collection	DOAJ
language	EN
topic	Clinical practice guidelines evidence-based medicine vascular risk cognition target organ Geriatrics RC952-954.6
spellingShingle	Clinical practice guidelines evidence-based medicine vascular risk cognition target organ Geriatrics RC952-954.6 Kenneth Rockwood Laura E Middleton Paige K Moorhouse et al. The inclusion of cognition in vascular risk factor clinical practice guidelines
description	Kenneth Rockwood1, Laura E Middleton2, Paige K Moorhouse1, Ingmar Skoog3, Sandra E Black41Department of Medicine, Dalhousie University, Halifax, NS, Canada; 2Department of Psychiatry, University of California, San Francisco, CA, USA; 3Institute of Neuropsychiatry, Sahlgrenska Academy of Göteborg University, Göteborg, Västra Götaland, Sweden; 4Department of Medicine, University of Toronto, Toronto, ON, CanadaBackground: People with vascular risk factors are at increased risk for cognitive impairment as well as vascular disease. The objective of this study was to evaluate whether vascular risk factor clinical practice guidelines consider cognition as an outcome or in connection with treatment compliance.Methods: Articles from PubMed, EMBASE, and the Cochrane Library were assessed by at least two reviewers and were included if: (1) Either hypertension, high cholesterol, diabetes, or atrial fibrillation was targeted; (2) The guideline was directed at physicians; (3) Adult patients (aged 19 years or older) were targeted; and (4) The guideline was published in English. Of 91 guidelines, most were excluded because they were duplicates, older versions, or focused on single outcomes.Results: Of the 20 clinical practice guidelines that met inclusion criteria, five mentioned cognition. Of these five, four described potential treatment benefits but only two mentioned that cognition may affect compliance. No guidelines adequately described how to screen for cognitive impairment.Conclusion: Despite evidence that links cognitive impairment to vascular risk factors, only a minority of clinical practice guidelines for the treatment of vascular risk factors consider cognition as either an adverse outcome or as a factor to consider in treatment. Keywords: clinical practice guidelines, evidence-based medicine, vascular risk, cognition, target organ damage
format	article
author	Kenneth Rockwood Laura E Middleton Paige K Moorhouse et al.
author_facet	Kenneth Rockwood Laura E Middleton Paige K Moorhouse et al.
author_sort	Kenneth Rockwood
title	The inclusion of cognition in vascular risk factor clinical practice guidelines
title_short	The inclusion of cognition in vascular risk factor clinical practice guidelines
title_full	The inclusion of cognition in vascular risk factor clinical practice guidelines
title_fullStr	The inclusion of cognition in vascular risk factor clinical practice guidelines
title_full_unstemmed	The inclusion of cognition in vascular risk factor clinical practice guidelines
title_sort	inclusion of cognition in vascular risk factor clinical practice guidelines
publisher	Dove Medical Press
publishDate	2009
url	https://doaj.org/article/ef3b7737119b432f8493b7ec18a3c868
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The inclusion of cognition in vascular risk factor clinical practice guidelines

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