Chinese guidelines for community cognitive function screening and management(2025 edition)
10.3760/cma.j.issn.0254-9026.2025.11.002
- VernacularTitle:中国认知功能社区筛查及管理指南(2025版)
- Author:
Hualu YANG
1
;
Chunyan LIU
;
Pan WANG
;
Yan XING
;
Yulong WANG
;
Luping SONG
Author Information
1. 深圳大学附属南山医院康复医学科，深圳 518000
- Publication Type:Journal Article
- Keywords:
Cognitive function;
Community screening;
Quantitative grading of risk factors;
Administration;
Prevention and control;
Guideline
- From:
Chinese Journal of Geriatrics
2025;44(11):1472-1490
- CountryChina
- Language:Chinese
-
Abstract:
Cognitive dysfunction has emerged as a significant health challenge in aging societies, among which Alzheimer's disease(AD)and related dementia have become one of the leading causes of death among the elderly.These diseases are characterized by insidious onset and progressive deterioration, often reaching irreversible advanced stages at initial diagnosis, making early detection and prevention imperative.As the frontline of public health management, communities bear the responsibility for screening and managing major chronic diseases.However, community-based cognitive screening in China still remains in its nascent stages, lacking systematic management and prevention guidelines.This guideline, established under a multidisciplinary collaborative framework and adhering to evidence-based medicine principles, systematically reviews and analyzes the latest clinical evidence worldwide.Utilizing the GRADE(Grading of Recommendations Assessment, Development and Evaluation)system to evaluate evidence quality and following the RIGHT(Reporting Items for Practice Guidelines in Healthcare)statement for standardized guideline development, it ultimately presents 17 recommendations through three rounds of Delphi expert consultations.The core recommendations of this guideline is mainly to use digital cognitive scales to conduct large-scale community cognitive screening for the active individuals aged 60 or above.Stratification and staging should be performed based on screening results, and digital cognitive files with quantified risk factor grading should be established, followed by the formulation of personalized artificial intelligence(AI)prevention and control programs.This guide is the first in China and internationally to propose a quantitative grading system for low, medium, and high-risk factors associated with AD and vascular dementia(VD). It aims to provide standardized principles and practical pathways to advance China's ambitious goals: achieving ≥80% public awareness of dementia prevention knowledge, ≥80% cognitive screening rate among the elderly, ≥80% intervention guidance rate for at-risk populations, and ≥50% medical consultation rate for suspected cognitive impairment cases.
