To the Editor: In their Commentary,
Dr Brayne and colleagues1 contend that there is insufficient evidence to recommend screening for dementia in primary care. However, they acknowledge that the presence of dementia is widely missed by physicians. Professional organizations concerned with the health of older adults have called for diagnostic assessment of dementia when it is suspected.2 Screening is a valid approach for determining when there is a reasonable chance that dementia is present and increasing the proportion of cases detected.
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