Dementia is a challenging diagnosis for many Americans, with almost 10% of adults aged 65 and older suffering from the condition. Along with this, 22% experience mild cognitive impairment. The toll of dementia extends beyond the individual, with over 11 million Americans providing unpaid care for loved ones with the disease. Caregivers face emotional and economic strain as they help with daily activities for those with dementia, as noted by the CDC.
Alzheimer's disease, the most common form of dementia, currently has no known cure. However, recent research suggests that up to 13% of older patients diagnosed with dementia may actually have a treatable liver condition that mimics dementia. Dr. Jasmohan Bajaj and colleagues found that 13% of patients diagnosed with dementia had an elevated Fibrosis-4 (FIB-4) score for cirrhosis, indicating a possible treatable cause of cognitive impairment.
Early diagnosis of treatable dementia can spare patients and families significant heartache and costs. The researchers recommend screening tests like FIB-4 for patients presenting with dementia symptoms. This information underscores the importance of educating healthcare professionals about potential treatable causes of cognitive impairment.
On the legislative front, some states have laws that require physicians to report suspected dementia in older drivers to the Department of Motor Vehicles. While these laws aim to keep impaired drivers off the road, research suggests they may lead to underdiagnosis of dementia as patients hide symptoms to retain their driving privileges.
In conclusion, while most forms of dementia remain incurable, the possibility of treatable causes underscores the importance of early and accurate diagnosis. Disseminating knowledge about potential treatable conditions to healthcare providers and policymakers is crucial in improving care for those with dementia.