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.

Progress toward standardized diagnosis of vascular cognitive impairment. Guidelines from the Vascular Impairment of Cognition Classification Consensus Study / Skrobot, Olivia A.; Black, Sandra E.; Chen, Christopher; Decarli, Charles; Erkinjuntti, Timo; Ford, Gary A.; Kalaria, Rajesh N.; O'Brien, John; Pantoni, Leonardo; Pasquier, Florence; Roman, Gustavo C.; Wallin, Anders; Sachdev, Perminder; Skoog, Ingmar; Taragano, F. E.; Kril, J.; Cavalieri, M.; Jellinger, K. A.; Kovacs, G. G.; Engelborghs, S.; Lafosse, C.; Bertolucci, P. H.; Brucki, S.; Caramelli, P.; de Toledo Ferraz Alves, T. C.; Bocti, C.; Fulop, T.; Hogan, D. B.; Hsiung, G. R.; Kirk, A.; Leach, L.; Robillard, A.; Sahlas, D. J.; Guo, Q.; Tian, J.; Hokkanen, L.; Jokinen, H.; Benisty, S.; Deramecourt, V.; Hauw, J.; Lenoir, H.; Tsatali, M.; Tsolaki, M.; Sundar, U.; Coen, R. F.; Korczyn, A. D.; Altieri, M.; Baldereschi, M.; Caltagirone, C.; Caravaglios, G.; Di Carlo, A.; Di Piero, V.; Gainotti, G.; Galluzzi, S.; Logroscino, G.; Mecocci, P.; Moretti, D. V.; Padovani, A.; Fukui, T.; Ihara, M.; Mizuno, T.; Kim, S. Y.; Akinyemi, R.; Baiyewu, O.; Ogunniyi, A.; Szczudlik, A.; Bastos-Leite, A. J.; Firmino, H.; Massano, J.; Verdelho, A.; Kruglov, L. S.; Ikram, M. K.; Kandiah, N.; Arana, E.; Barroso-Ribal, J.; Calatayud, T.; Cruz-Jentoft, A. J.; López-Pousa, S.; Martinez-Lage, P.; Mataro, M.; Börjesson-Hanson, A.; Englund, E.; Laukka, E. J.; Qiu, C.; Viitanen, M.; Biessels, G. J.; de Leeuw, F. -E.; den Heijer, T.; Exalto, L. G.; Kappelle, L. J.; Prins, N. D.; Richard, E.; Schmand, B.; van den Berg, E.; van der Flier, W. M.; Bilgic, B.; Allan, L. M.; Archer, J.; Attems, J.; Bayer, A.; Blackburn, D.; Brayne, C.; Bullock, R.; Connelly, P. J.; Farrant, A.; Fish, M.; Harkness, K.; Ince, P. G.; Langhorne, P.; Mann, J.; Matthews, F. E.; Mayer, P.; Pendlebury, S. T.; Perneczky, R.; Peters, R.; Smithard, D.; Stephan, B. C.; Swartz, J. E.; Todd, S.; Werring, D. J.; Wijayasiri, S. N.; Wilcock, G.; Zamboni, G.; Au, R.; Borson, S.; Bozoki, A.; Browndyke, J. N.; Corrada, M. M.; Crane, P. K.; Diniz, B. S.; Etcher, L.; Fillit, H.; Greenberg, S. M.; Grinberg, L. T.; Hurt, S. W.; Lamar, M.; Mielke, M.; Ott, B. R.; Perry, G.; Powers, W. J.; Ramos-Estebanez, C.; Reed, B.; Roberts, R. O.; Romero, J. R.; Saykin, A. J.; Seshadri, S.; Silbert, L.; Stern, Y.; Zarow, C.; Ben-Shlomo, Yoav; Passmore, Anthony P.; Love, Seth; Kehoe, Patrick G.. - In: ALZHEIMER'S & DEMENTIA. - ISSN 1552-5260. - 14:3(2018), pp. 280-292. [10.1016/j.jalz.2017.09.007]

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

CAVALIERI, TOMASO MARIA;ALTIERI, MARIA GIOVANNA;Di Piero, V.;Gainotti, G.;Mecocci, P.;Padovani, A.;Richard, E.;
2018

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.
2018
consensus; criteria; delphi; guidelines; vascular cognitive impairment; vascular dementia; epidemiology; health policy; developmental neuroscience; neurology (clinical); geriatrics and gerontology; cellular and molecular neuroscience; psychiatry and mental health
01 Pubblicazione su rivista::01a Articolo in rivista
Progress toward standardized diagnosis of vascular cognitive impairment. Guidelines from the Vascular Impairment of Cognition Classification Consensus Study / Skrobot, Olivia A.; Black, Sandra E.; Chen, Christopher; Decarli, Charles; Erkinjuntti, Timo; Ford, Gary A.; Kalaria, Rajesh N.; O'Brien, John; Pantoni, Leonardo; Pasquier, Florence; Roman, Gustavo C.; Wallin, Anders; Sachdev, Perminder; Skoog, Ingmar; Taragano, F. E.; Kril, J.; Cavalieri, M.; Jellinger, K. A.; Kovacs, G. G.; Engelborghs, S.; Lafosse, C.; Bertolucci, P. H.; Brucki, S.; Caramelli, P.; de Toledo Ferraz Alves, T. C.; Bocti, C.; Fulop, T.; Hogan, D. B.; Hsiung, G. R.; Kirk, A.; Leach, L.; Robillard, A.; Sahlas, D. J.; Guo, Q.; Tian, J.; Hokkanen, L.; Jokinen, H.; Benisty, S.; Deramecourt, V.; Hauw, J.; Lenoir, H.; Tsatali, M.; Tsolaki, M.; Sundar, U.; Coen, R. F.; Korczyn, A. D.; Altieri, M.; Baldereschi, M.; Caltagirone, C.; Caravaglios, G.; Di Carlo, A.; Di Piero, V.; Gainotti, G.; Galluzzi, S.; Logroscino, G.; Mecocci, P.; Moretti, D. V.; Padovani, A.; Fukui, T.; Ihara, M.; Mizuno, T.; Kim, S. Y.; Akinyemi, R.; Baiyewu, O.; Ogunniyi, A.; Szczudlik, A.; Bastos-Leite, A. J.; Firmino, H.; Massano, J.; Verdelho, A.; Kruglov, L. S.; Ikram, M. K.; Kandiah, N.; Arana, E.; Barroso-Ribal, J.; Calatayud, T.; Cruz-Jentoft, A. J.; López-Pousa, S.; Martinez-Lage, P.; Mataro, M.; Börjesson-Hanson, A.; Englund, E.; Laukka, E. J.; Qiu, C.; Viitanen, M.; Biessels, G. J.; de Leeuw, F. -E.; den Heijer, T.; Exalto, L. G.; Kappelle, L. J.; Prins, N. D.; Richard, E.; Schmand, B.; van den Berg, E.; van der Flier, W. M.; Bilgic, B.; Allan, L. M.; Archer, J.; Attems, J.; Bayer, A.; Blackburn, D.; Brayne, C.; Bullock, R.; Connelly, P. J.; Farrant, A.; Fish, M.; Harkness, K.; Ince, P. G.; Langhorne, P.; Mann, J.; Matthews, F. E.; Mayer, P.; Pendlebury, S. T.; Perneczky, R.; Peters, R.; Smithard, D.; Stephan, B. C.; Swartz, J. E.; Todd, S.; Werring, D. J.; Wijayasiri, S. N.; Wilcock, G.; Zamboni, G.; Au, R.; Borson, S.; Bozoki, A.; Browndyke, J. N.; Corrada, M. M.; Crane, P. K.; Diniz, B. S.; Etcher, L.; Fillit, H.; Greenberg, S. M.; Grinberg, L. T.; Hurt, S. W.; Lamar, M.; Mielke, M.; Ott, B. R.; Perry, G.; Powers, W. J.; Ramos-Estebanez, C.; Reed, B.; Roberts, R. O.; Romero, J. R.; Saykin, A. J.; Seshadri, S.; Silbert, L.; Stern, Y.; Zarow, C.; Ben-Shlomo, Yoav; Passmore, Anthony P.; Love, Seth; Kehoe, Patrick G.. - In: ALZHEIMER'S & DEMENTIA. - ISSN 1552-5260. - 14:3(2018), pp. 280-292. [10.1016/j.jalz.2017.09.007]
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