By Judy George
Source Medpagetoday
A Medicare annual wellness visit (AWV) was associated with greater recognition of mild cognitive impairment in older adults, a population-based cohort study in Texas showed.
Compared with those who didn’t have an annual visit, AWV recipients had a 21% increase in mild cognitive impairment diagnoses (HR 1.21, 95% CI 1.16-1.27) and a 4% increase in diagnoses of Alzheimer’s disease or dementia (HR 1.04, 95% CI 1.02-1.06) after propensity score matching, reported Huey-Ming Tzeng, PhD, of the University of Texas Medical Branch at Galveston, and co-authors in JAMA Network Openopens in a new tab or window.
AWV recipients had a diagnosis of mild cognitive impairment 76 days earlier than those who did not receive AWVs. A sensitivity analysis that treated AWV as a time-dependent variable showed a higher association of AWV with a mild cognitive impairment diagnosis (HR 1.40, 95% CI 1.32-1.49), but a nonsignificant association with dementia diagnoses.
Read more https://www.medpagetoday.com/neurology/dementia/112320