{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T11:57:01Z","timestamp":1790855821969,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,4,2]],"date-time":"2018-04-02T00:00:00Z","timestamp":1522627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100004312","name":"Eli Lilly and Company","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004312","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To examine the effect of the Medicare Annual Wellness Visit (AWV) on the detection of cognitive impairment and on follow\u2010up cognitive care for older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective matched\u2010cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A 5% random sample of fee\u2010for\u2010service Medicare beneficiaries continuously enrolled for 12 months before and after an index ambulatory visit occurring from 2011 to 2013 with no claims evidence of cognitive impairment before index.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Outcomes include 12\u2010month post\u2010index visit claims\u2010based measurements of cognitive impairment, including new Alzheimer's disease and related dementia (ADRD) diagnoses; medications for ADRD; and cognitive care\u2010related diagnostic examination such as neurobehavioral testing, brain imaging, and blood tests for thyroid\u2010stimulating hormone (TSH), serum B12, folate, and syphilis. We also measured changes in burden of anticholinergic medication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were no clinically relevant differences between the AWV and control groups in the rates of incident ADRD diagnoses (6.16% vs 6.86%, p&lt;.001) and initiation of ADRD medications (1.00% vs 1.08%, p=.15), although there were differences favoring the AWV group in rates of TSH (39.80% vs 28.36%, p&lt;.001), B12 (9.41% vs 6.97%, p&lt;.001), folate (4.76% vs 3.72%, p&lt;.001), and neurobehavioral (0.75% vs 0.55%, p&lt;.001) testing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although the AWV is correlated with an increase in some measures of cognitive care, such as laboratory testing for reversible causes of cognitive impairment, it does not appear to substantially increase recognition of undetected ADRD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.15330","type":"journal-article","created":{"date-parts":[[2018,4,2]],"date-time":"2018-04-02T14:13:35Z","timestamp":1522678415000},"page":"969-975","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["One\u2010Year Effect of the Medicare Annual Wellness Visit on Detection of Cognitive Impairment: A Cohort Study"],"prefix":"10.1111","volume":"66","author":[{"given":"Nicole R.","family":"Fowler","sequence":"first","affiliation":[{"name":"School of Medicine Indiana University Indianapolis IN"},{"name":"Regenstrief Institute, Center for Aging Research Indiana University Indianapolis IN"},{"name":"Sandra Eskenazi Center for Brain Care Innovation Eskenazi Health Indianapolis IN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noll L.","family":"Campbell","sequence":"additional","affiliation":[{"name":"School of Medicine Indiana University Indianapolis IN"},{"name":"Regenstrief Institute, Center for Aging Research Indiana University Indianapolis IN"},{"name":"Sandra Eskenazi Center for Brain Care Innovation Eskenazi Health Indianapolis IN"},{"name":"College of Pharmacy Purdue University West Lafayette IN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerhardt M.","family":"Pohl","sequence":"additional","affiliation":[{"name":"Eli Lilly and Company Indianapolis IN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leanne M.","family":"Munsie","sequence":"additional","affiliation":[{"name":"Eli Lilly and Company Indianapolis IN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noam Y","family":"Kirson","sequence":"additional","affiliation":[{"name":"Analysis Group, Inc Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Urvi","family":"Desai","sequence":"additional","affiliation":[{"name":"Analysis Group, Inc Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erich J.","family":"Trieschman","sequence":"additional","affiliation":[{"name":"Analysis Group, Inc Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark K.","family":"Meiselbach","sequence":"additional","affiliation":[{"name":"Analysis Group, Inc Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Scott","family":"Andrews","sequence":"additional","affiliation":[{"name":"Eli Lilly and Company Indianapolis IN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malaz A.","family":"Boustani","sequence":"additional","affiliation":[{"name":"School of Medicine Indiana University Indianapolis IN"},{"name":"Regenstrief Institute, Center for Aging Research Indiana University Indianapolis IN"},{"name":"Sandra Eskenazi Center for Brain Care Innovation Eskenazi Health Indianapolis IN"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,4,2]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"The ABCs of Annual Wellness Visit (AWV) (online). Available athttps:\/\/www.cms.gov\/Outreach\u2010and\u2010Education\/Medicare\u2010Learning\u2010Network\u2010MLN\/MLNProducts\/downloads\/AWV_chart_ICN905706.pdfAccessed May 15 2017."},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2012.09.011"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.56.9.1154"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.56.9.1143"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-7020-4087-0.00061-9"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2012.03923.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.2217\/1745509X.4.3.311"},{"key":"e_1_2_7_9_1","first-page":"225","article-title":"The cognitive impact of anticholinergics: A clinical review","volume":"4","author":"Campbell N","year":"2009","journal-title":"Clin Interv Aging"},{"key":"e_1_2_7_10_1","first-page":"e132","article-title":"Dementia screening: Saying no to the USPSTF and yes to brief cognitive evaluation","volume":"4","author":"Clionsky M","year":"2014","journal-title":"Journal of Alzheimer's Disease & Parkinsonism"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2012.08.008"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3181e7f2ab"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2012.02.005"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/phar.1843"},{"key":"e_1_2_7_15_1","unstructured":"Beneficiaries Utilizing Free Preventive Services by State 2016 (online). Available athttps:\/\/downloads.cms.gov\/files\/Beneficiaries%20Utilizing%20Free%20Preventive%20Services%20by%20State%20YTD%202016.pdfAccessed January 10 2018"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2016.06.397"},{"key":"e_1_2_7_17_1","unstructured":"MedPage Today. Use of ACA\u2010Mandated Wellness Visit Not Optimal\u2014Patients Who Would Benefit Most from Cognitive Screening Less Likely to Undergo Annual Check\u2010Up (online). Available athttps:\/\/www.medpagetoday.com\/meetingcoverage\/aaic\/59311Accessed May 15 2017."},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201400524"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2015.03.023"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.4342"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(93)90103-8"},{"key":"e_1_2_7_23_1","unstructured":"U.S. Department of Labor Bureau of Labor Statistics. Consumer Price Index (online). Available athttps:\/\/www.bls.gov\/cpi\/Accessed May 15 2017."},{"key":"e_1_2_7_24_1","first-page":"S142","article-title":"The 2012 update to the Anticholinergic Cognitive Burden Scale","volume":"61","author":"Campbell NL","year":"2013","journal-title":"J Am Geriatr Soc"},{"key":"e_1_2_7_25_1","unstructured":"HUD USPS ZIP Code Crosswalk Files. Office of Policy Development and Research U.S. Department of Housing and Urban Development (online). Available athttps:\/\/www.huduser.gov\/portal\/datasets\/usps_crosswalk.htmlAccessed May 15 2017."},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0045186"},{"key":"e_1_2_7_27_1","unstructured":"YangD DaltonJE. A Unified Approach to Measuring the Effect Size Between Two Groups Using SAS. SAS Global Forum 2012 (online). Available athttps:\/\/www.lerner.ccf.org\/qhs\/software\/lib\/stddiff.pdfAccessed May 15 2017."},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dadm.2015.06.009"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-2009-1099"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjgs.15330","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.15330","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jgs.15330","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.15330","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T16:50:10Z","timestamp":1762188610000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.15330"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,2]]},"references-count":28,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2018,5]]}},"alternative-id":["10.1111\/jgs.15330"],"URL":"https:\/\/doi.org\/10.1111\/jgs.15330","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,2]]},"assertion":[{"value":"2018-04-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}