Progress toward standardized diagnosis of vascular cognitive impairment

Guidelines from the Vascular Impairment of Cognition Classification Consensus Study

VICCCS group

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

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. 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.

Original languageEnglish (US)
Pages (from-to)280-292
Number of pages13
JournalAlzheimer's and Dementia
Volume14
Issue number3
DOIs
StatePublished - Mar 1 2018

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Cognition
Blood Vessels
Consensus
Guidelines
Cognitive Dysfunction
Stroke
Research Personnel

Keywords

  • consensus
  • Criteria
  • Delphi
  • Guidelines
  • Vascular cognitive impairment
  • Vascular dementia

ASJC Scopus subject areas

  • Epidemiology
  • Health Policy
  • Developmental Neuroscience
  • Clinical Neurology
  • Geriatrics and Gerontology
  • Cellular and Molecular Neuroscience
  • Psychiatry and Mental health

Cite this

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title = "Progress toward standardized diagnosis of vascular cognitive impairment: Guidelines from the Vascular Impairment of Cognition Classification Consensus Study",
abstract = "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. 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.",
keywords = "consensus, Criteria, Delphi, Guidelines, Vascular cognitive impairment, Vascular dementia",
author = "{VICCCS group} and Skrobot, {Olivia A.} and Black, {Sandra E.} and Christopher Chen and Charles DeCarli and Timo Erkinjuntti and Ford, {Gary A.} and Kalaria, {Rajesh N.} and John O'Brien and Leonardo Pantoni and Florence Pasquier and Roman, {Gustavo C.} and Anders Wallin and Perminder Sachdev and Ingmar Skoog and Taragano, {F. E.} and J. Kril and M. Cavalieri and Jellinger, {K. A.} and Kovacs, {G. G.} and S. Engelborghs and C. Lafosse and Bertolucci, {P. H.} and S. Brucki and P. Caramelli and {de Toledo Ferraz Alves}, {T. C.} and C. Bocti and T. Fulop and Hogan, {D. B.} and Hsiung, {G. R.} and A. Kirk and L. Leach and A. Robillard and Sahlas, {D. J.} and Q. Guo and J. Tian and L. Hokkanen and H. Jokinen and S. Benisty and V. Deramecourt and J. Hauw and H. Lenoir and M. Tsatali and M. Tsolaki and U. Sundar and Coen, {R. F.} and Korczyn, {A. D.} and M. Altieri and M. Baldereschi and Mielke, {Michelle M} and Roberts, {Rosebud O}",
year = "2018",
month = "3",
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language = "English (US)",
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pages = "280--292",
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TY - JOUR

T1 - Progress toward standardized diagnosis of vascular cognitive impairment

T2 - Guidelines from the Vascular Impairment of Cognition Classification Consensus Study

AU - VICCCS group

AU - Skrobot, Olivia A.

AU - Black, Sandra E.

AU - Chen, Christopher

AU - DeCarli, Charles

AU - Erkinjuntti, Timo

AU - Ford, Gary A.

AU - Kalaria, Rajesh N.

AU - O'Brien, John

AU - Pantoni, Leonardo

AU - Pasquier, Florence

AU - Roman, Gustavo C.

AU - Wallin, Anders

AU - Sachdev, Perminder

AU - Skoog, Ingmar

AU - Taragano, F. E.

AU - Kril, J.

AU - Cavalieri, M.

AU - Jellinger, K. A.

AU - Kovacs, G. G.

AU - Engelborghs, S.

AU - Lafosse, C.

AU - Bertolucci, P. H.

AU - Brucki, S.

AU - Caramelli, P.

AU - de Toledo Ferraz Alves, T. C.

AU - Bocti, C.

AU - Fulop, T.

AU - Hogan, D. B.

AU - Hsiung, G. R.

AU - Kirk, A.

AU - Leach, L.

AU - Robillard, A.

AU - Sahlas, D. J.

AU - Guo, Q.

AU - Tian, J.

AU - Hokkanen, L.

AU - Jokinen, H.

AU - Benisty, S.

AU - Deramecourt, V.

AU - Hauw, J.

AU - Lenoir, H.

AU - Tsatali, M.

AU - Tsolaki, M.

AU - Sundar, U.

AU - Coen, R. F.

AU - Korczyn, A. D.

AU - Altieri, M.

AU - Baldereschi, M.

AU - Mielke, Michelle M

AU - Roberts, Rosebud O

PY - 2018/3/1

Y1 - 2018/3/1

N2 - 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. 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.

AB - 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. 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.

KW - consensus

KW - Criteria

KW - Delphi

KW - Guidelines

KW - Vascular cognitive impairment

KW - Vascular dementia

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U2 - 10.1016/j.jalz.2017.09.007

DO - 10.1016/j.jalz.2017.09.007

M3 - Article

VL - 14

SP - 280

EP - 292

JO - Alzheimer's and Dementia

JF - Alzheimer's and Dementia

SN - 1552-5260

IS - 3

ER -