Progress towards standardised diagnosis of vascular cognitive impairment: guidelines from the vascular impairment of cognition classification consensus study (VICCCS)
the VICCCS Group,
Alzheimer's & Dementia
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Kehoe, P., Skrobot, O., Black, S., Chen, C., DeCarli, C., Erkinjunttie, T., Ford, G., et al. (2017). Progress towards standardised diagnosis of vascular cognitive impairment: guidelines from the vascular impairment of cognition classification consensus study (VICCCS). Alzheimer's & Dementia https://doi.org/10.1016/j.jalz.2017.09.007
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 (NINDS-CSN) neuropsychological assessment protocols and recommendations for imaging. DISCUSSION: VICCCS-2 suggests standardised use of NINDS-CSN recommendations on neuropsychological and imaging assessment for diagnosis of VCI so as to promote research collaboration.
This work was supported by a project grant (Ref117) from the Alzheimer’s Society (UK).
Alzheimer's Society (226 (AS-DTC-2014-027))
External DOI: https://doi.org/10.1016/j.jalz.2017.09.007
This record's URL: https://www.repository.cam.ac.uk/handle/1810/271610
Attribution-NonCommercial-NoDerivatives 4.0 International
Licence URL: http://creativecommons.org/licenses/by-nc-nd/4.0/
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