Best practice guidelines for the diagnosis, evaluation, and management of cognitive disorders in Parkinson's disease.

Although cognitive impairment is prevalent in people living with Parkinson's disease (PD), the clinical approach to cognitive disorders in PD varies significantly across health services. Here, we present updated best practice guidelines to standardise the diagnosis, evaluation, and management of cog...

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Publicado en:Age & Ageing Vol. 55; no. 3; pp. 1 - 10
Autores principales: Pourzinal, Dana, Brooks, Deborah, Sriram, Deepa, Mccann, Emily, King, James M, Pachana, Nancy A, Shrubsole, Kirstine, Wood, Brian, Lehn, Alexander, Marsh, Rodney
Formato: Artículo
Publicado: Oxford University Press / USA Mar2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2026
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        atl: Best practice guidelines for the diagnosis, evaluation, and management of cognitive disorders in Parkinson's disease.
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          Pourzinal, Dana
          Brooks, Deborah
          Sriram, Deepa
          Mccann, Emily
          King, James M
          Pachana, Nancy A
          Shrubsole, Kirstine
          Wood, Brian
          Lehn, Alexander
          Marsh, Rodney
        affil:
          The University of Queensland, UQ Centre for Clinical Research, Brisbane, Queensland, Australia
          The University of Queensland, School of Psychology, Brisbane, Queensland, Australia
          The University of Queensland, Queensland Aphasia Research Centre, Brisbane, Queensland, AustraliaThe University of Queensland and Metro North Health, STARS Education and Research Alliance, Surgical Treatment and Rehabilitation Service (STARS), Brisbane, Queensland, AustraliaThe University of Queensland, School of Health and Rehabilitation Sciences, Brisbane, Queensland, Australia
          Redland Hospital, Metro South Movement Disorders Service, Cleveland, Queensland, Australia
          Princess Alexandra Hospital, Department of Neurology, Woolloongabba, Queensland, AustraliaQueensland University of Technology, School of Biomedical Sciences, Brisbane, Queensland, Australia
      su:
        Medical quality control
        Experience
        Cognition disorders diagnosis
        Medical protocols
        Cognitive testing
        Parkinson's disease
        Cognition disorders
        Early diagnosis
        Quality assurance
        Medical referrals
      sug:
        subj:
          Medical quality control
          Experience
          Cognition disorders diagnosis
          Medical protocols
          Cognitive testing
          Parkinson's disease
          Cognition disorders
          Early diagnosis
          Quality assurance
          Medical referrals
      keyword:
        best practice
        cognition disorders
        cognitive impairment
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        dementia
        diagnosis
        evidence-based practice
        guidelines
        https://dx.doi.org/10.1093/ageing/afag063
        inLanguage:en
        older people
        parkinson disease
        publisher:Oxford University Press
        sameAs:https://pubmed.ncbi.nlm.nih.gov/41870152/
        best practice
        cognition disorders
        cognitive impairment
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        dementia
        diagnosis
        evidence-based practice
        guidelines
        https://dx.doi.org/10.1093/ageing/afag063
        inLanguage:en
        older people
        parkinson disease
        publisher:Oxford University Press
        sameAs:https://pubmed.ncbi.nlm.nih.gov/41870152/
      ab: Although cognitive impairment is prevalent in people living with Parkinson's disease (PD), the clinical approach to cognitive disorders in PD varies significantly across health services. Here, we present updated best practice guidelines to standardise the diagnosis, evaluation, and management of cognitive disorders in PD across clinical contexts. Guideline development followed a two-phase process incorporating both expert and lived-experience perspectives. In Phase 1, preparatory research (literature reviews and a national survey) generated 58 preliminary recommendations. These were refined through a modified Delphi process with 29 clinician and research experts, resulting in 51 evidence-based and expert-endorsed recommendations. In Phase 2, perspectives of people with lived experience of cognitive disorders in PD (n  = 15) were attained through focus groups, which produced 25 recommendations. A subsequent national survey (n  = 81) demonstrated consensus on 24 of the 25 recommendations. Overall, the guideline development process yielded 58 unique recommendations, including recommendations for a tailored neuropsychological toolkit sensitive to cognitive decline in PD. These are the first best practice guidelines for the diagnosis, evaluation and management of cognitive disorders in PD informed by empirical evidence, expert consensus, and insights from people with lived experience. Clinical adoption of these guidelines will improve the quality of care, diagnostic accuracy, and early detection of cognitive disorders in PD. Future service models should consider incorporating these guidelines to optimise cognitive care in PD and promote evidence-based and patient-centred standards of practice.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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