Fowler, Nicole R.Morrow, LisaChiappetta, LaurelSnitz, BethHuber, KimberlyRodriguez, EricSaxton, Judith2017-07-102017-07-102015-09Fowler, N. R., Morrow, L., Chiappetta, L., Snitz, B., Huber, K., Rodriguez, E., & Saxton, J. (2015). Cognitive testing in older primary care patients: A cluster-randomized trial. Alzheimer’s & Dementia : Diagnosis, Assessment & Disease Monitoring, 1(3), 349–357. http://doi.org/10.1016/j.dadm.2015.06.009https://hdl.handle.net/1805/13376INTRODUCTION: This study investigated whether neuropsychological testing in primary care (PC) offices altered physician-initiated interventions related to cognitive impairment (CI) or slowed the rate of CI progression. METHODS: This 24-month, cluster-randomized study included 11 community-based PC practices randomized to either treatment as usual (5 practices) or cognitive report (CR; 6 practices) arms. From 2005 to 2008, 533 patients aged ≥65 years and without a diagnosis of CI were recruited; 423 were retested 24 months after baseline. RESULTS: CR physicians were significantly more likely to order cognitive-related interventions (P = .02), document discussions about cognition (P = .003), and order blood tests to rule out reversible CI (P = .002). At follow-up, significantly more CR patients had a medication for cognition listed in their chart (P = .02). There was no difference in the rate of cognitive decline between the groups. DISCUSSION: Providing cognitive information to physicians resulted in higher rates of physician-initiated interventions for patients with CI.en-USAttribution-NonCommercial-NoDerivs 3.0 United StatesAgeAlzheimer’s diseaseCommunity-basedCognitive impairmentDementiaMild cognitive impairment primary carePrimary care physiciansArticle