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With the growing aging population, reliance on specialists for detection and diagnosis is unsustainable, highlighting the need for primary care\u2010led assessment. Recent research findings on successful brain health prevention strategies, AD diagnostic tools, and anti\u2010amyloid treatments empower primary care to play a central role in early detection and intervention. Primary care\u2010focused resources are being developed, including tools for cognitive assessments and materials designed to educate patients about brain health and initiate discussions on lifestyle modifications, thereby making early detection more feasible and efficient. Identifying risk factors early enables providers to implement interventions that can slow cognitive decline and improve outcomes for patients and caregivers. If left undetected and unmanaged, MCI and ADRD can lead to worse outcomes, including increased falls, hospitalizations, financial vulnerability, and caregiver stress. Early detection enables the identification of reversible causes of cognitive impairment, supports the management of comorbidities worsened by cognitive decline, mitigates safety risks, and can preserve quality of life. Importantly, primary care is essential for addressing ADRD\u2010related health disparities that disproportionately affect racial minorities, rural populations, and those of lower socioeconomic status. With a focus on the United States healthcare system, this perspective addresses how implementing early detection practices into primary care can improve outcomes for patients and caregivers, reduce societal burdens, and promote health equity in ADRD care.<\/jats:p>","DOI":"10.1111\/joim.20098","type":"journal-article","created":{"date-parts":[[2025,5,24]],"date-time":"2025-05-24T00:08:48Z","timestamp":1748045328000},"page":"31-45","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":71,"title":["Implementing early detection of cognitive impairment in primary care to improve care for older adults"],"prefix":"10.1111","volume":"298","author":[{"given":"Nicole R.","family":"Fowler","sequence":"first","affiliation":[{"name":"Department of Medicine Indiana University School of Medicine  Indianapolis Indiana USA"},{"name":"Indiana University Center for Aging Research  Indianapolis Indiana USA"},{"name":"Regenstrief Institute, Inc.  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