Progress toward standardized diagnosis of vascular cognitive impairment: Guidelines from the Vascular Impairment of Cognition Classification Consensus Study.

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Clinical Guidelines
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Skrobot OA, Black SE, Chen C, DeCarli C, Erkinjuntti T, Ford GA, Kalaria RN, O'Brien J, Pantoni L, Pasquier F, Roman GC, Wallin A, Sachdev P, Skoog I, Ben-Shlomo Y, Passmore AP, Love S, Kehoe PG
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Neurology
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Neurology
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volume
14
ISSN
1552-5279
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A large multinational group of clinicians and researchers participated in a two-phase Vascular Impairment of Cognition Classification Consensus Study (VICCCS) to agree on principles (VICCCS-1) and protocols (VICCCS-2) for diagnosis of VCI. We present VICCCS-2. Methods: We used VICCCS-1 principles and published diagnostic guidelines as points of reference for an online Delphi survey aimed at achieving consensus on clinical diagnosis of VCI. Results: Six survey rounds comprising 65-79 participants agreed guidelines for diagnosis of VICCCS-revised mild and major forms of VCI and endorsed the National Institute of Neurological Disorders-Canadian Stroke Network neuropsychological assessment protocols and recommendations for imaging. Discussion: The VICCCS-2 suggests standardized use of the National Institute of Neurological Disorders-Canadian Stroke Network recommendations on neuropsychological and imaging assessment for diagnosis of VCI so as to promote research collaboration. Copyright \u00a9 2017 the Alzheimer's Association. Published by Elsevier Inc. All rights reserved.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=29055812","isPdfLink":true,"isSAML":false,"an":"29055812","number_other":"","type_pub":"","issn_electronic":"1552-5279","languages":"English","language":"eng","date_entry":"","date_update":"","titleSource":"Alzheimer's & dementia : the journal of the Alzheimer's Association [Alzheimers Dement] 2018 Mar; Vol. 14 (3), pp. 280-292. Date of Electronic Publication: 2017 Oct 19.","date_pub_cy":"","type_document":"","contract_publisher":"","authored_on":"2018-03-01","description":"Introduction: Progress in understanding and management of vascular cognitive impairment (VCI) has been hampered by lack of consensus on diagnosis, reflecting the use of multiple different assessment protocols. A large multinational group of clinicians and researchers participated in a two-phase Vascular Impairment of Cognition Classification Consensus Study (VICCCS) to agree on principles (VICCCS-1) and protocols (VICCCS-2) for diagnosis of VCI. We present VICCCS-2.<br \/>Methods: We used VICCCS-1 principles and published diagnostic guidelines as points of reference for an online Delphi survey aimed at achieving consensus on clinical diagnosis of VCI.<br \/>Results: Six survey rounds comprising 65-79 participants agreed guidelines for diagnosis of VICCCS-revised mild and major forms of VCI and endorsed the National Institute of Neurological Disorders-Canadian Stroke Network neuropsychological assessment protocols and recommendations for imaging.<br \/>Discussion: The VICCCS-2 suggests standardized use of the National Institute of Neurological Disorders-Canadian Stroke Network recommendations on neuropsychological and imaging assessment for diagnosis of VCI so as to promote research collaboration.<br \/> (Copyright © 2017 the Alzheimer's Association. Published by Elsevier Inc. All rights reserved.)","upload_link":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=29055812&authtype=shib&custid=ns346513&group=main&profile=eds","no_of_pages":"","authored_by":"Skrobot OA, Black SE, Chen C, DeCarli C, Erkinjuntti T, Ford GA, Kalaria RN, O'Brien J, Pantoni L, Pasquier F, Roman GC, Wallin A, Sachdev P, Skoog I, Ben-Shlomo Y, Passmore AP, Love S, Kehoe PG","header":{"DbId":"mdl","DbLabel":"MEDLINE Ultimate","An":"29055812","RelevancyScore":"830","PubType":"Academic Journal","PubTypeId":"academicJournal","PreciseRelevancyScore":"830.146728515625"},"plink":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=29055812&authtype=shib&custid=ns346513&group=main&profile=eds","physicalDescription":{"Pagination":{"StartPage":"280"}},"additionalInfo":{"Authored_By":"Skrobot OA, Black SE, Chen C, DeCarli C, Erkinjuntti T, Ford GA, Kalaria RN, O'Brien J, Pantoni L, Pasquier F, Roman GC, Wallin A, Sachdev P, Skoog I, Ben-Shlomo Y, Passmore AP, Love S, Kehoe PG","Corporate_Authors":"VICCCS group","Journal_Info":"Publisher: John Wiley & Sons, Ltd Country of Publication: United States NLM ID: 101231978 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-5279 (Electronic) Linking ISSN: 15525260 NLM ISO Abbreviation: Alzheimers Dement Subsets: MEDLINE","Publication_Type":"Consensus Development Conference; Journal Article; Practice Guideline; Research Support, Non-U.S. Gov't","Published_Date":"2018-03-01","Source":"Alzheimer's & dementia : the journal of the Alzheimer's Association [Alzheimers Dement] 2018 Mar; Vol. 14 (3), pp. 280-292. Date of Electronic Publication: 2017 Oct 19.","Languages":"English","Electronic_ISSN":"1552-5279","MeSH_Terms":"Dementia, Vascular\/*diagnosis, Brain\/diagnostic imaging ; Delphi Technique ; Humans","Subjects":"Brain diagnostic imaging, Delphi Technique, Humans, Dementia, Vascular diagnosis","Title_Abbreviations":"Alzheimer's & dementia : the journal of the Alzheimer's Association","Volume":"14"}}
ISSN
1552-5279
IS_Ebsco
true
Additional Info
["Skrobot OA, Black SE, Chen C, DeCarli C, Erkinjuntti T, Ford GA, Kalaria RN, O'Brien J, Pantoni L, Pasquier F, Roman GC, Wallin A, Sachdev P, Skoog I, Ben-Shlomo Y, Passmore AP, Love S, Kehoe PG","VICCCS group","Publisher: John Wiley & Sons, Ltd Country of Publication: United States NLM ID: 101231978 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-5279 (Electronic) Linking ISSN: 15525260 NLM ISO Abbreviation: Alzheimers Dement Subsets: MEDLINE","Consensus Development Conference; Journal Article; Practice Guideline; Research Support, Non-U.S. Gov't","2018-03-01","Alzheimer's & dementia : the journal of the Alzheimer's Association [Alzheimers Dement] 2018 Mar; Vol. 14 (3), pp. 280-292. Date of Electronic Publication: 2017 Oct 19.","English","1552-5279","Dementia, Vascular\/*diagnosis, Brain\/diagnostic imaging ; Delphi Technique ; Humans","Brain diagnostic imaging, Delphi Technique, Humans, Dementia, Vascular diagnosis","Alzheimer's & dementia : the journal of the Alzheimer's Association","14"]
Description

Introduction: Progress in understanding and management of vascular cognitive impairment (VCI) has been hampered by lack of consensus on diagnosis, reflecting the use of multiple different assessment protocols. A large multinational group of clinicians and researchers participated in a two-phase Vascular Impairment of Cognition Classification Consensus Study (VICCCS) to agree on principles (VICCCS-1) and protocols (VICCCS-2) for diagnosis of VCI. We present VICCCS-2.<br />Methods: We used VICCCS-1 principles and published diagnostic guidelines as points of reference for an online Delphi survey aimed at achieving consensus on clinical diagnosis of VCI.<br />Results: Six survey rounds comprising 65-79 participants agreed guidelines for diagnosis of VICCCS-revised mild and major forms of VCI and endorsed the National Institute of Neurological Disorders-Canadian Stroke Network neuropsychological assessment protocols and recommendations for imaging.<br />Discussion: The VICCCS-2 suggests standardized use of the National Institute of Neurological Disorders-Canadian Stroke Network recommendations on neuropsychological and imaging assessment for diagnosis of VCI so as to promote research collaboration.<br /> (Copyright © 2017 the Alzheimer's Association. Published by Elsevier Inc. All rights reserved.)

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