[Cognitive rehabilitation in secondary cognitive impairment]

Donato M, Augustovski F, Pichon-Riviere A, García Martí S, Alcaraz A, Bardach A, Ciapponi A
Record ID 32018001495
Spanish
Original Title: Rehabilitación cognitiva en déficit cognitivo secundario
Authors' recomendations: CONCLUSIONS The evidence included is very heterogeneous in the patient groups, and it includes very heterogeneous interventions, which many times are difficult to group. Low-quality evidence suggests that cognitive rehabilitation might not improve at short term the return to work, self-reported community integration, quality of life and several cognitive scales in patients with cognitive impairment secondary to traumatic brain lesions, Alzheimer’s disease and vascular dementia. Low-quality evidence suggests that cognitive rehabilitation based on memory training might improve subjective assessment of memory at short term in patients with cognitive impairment secondary to stroke, even though this benefit is not maintained at long term. In the case of patients with cognitive impairment secondary to multiple sclerosis, low-quality evidence suggests it might improve short and long term memory. Also, in patients with cognitive impairment secondary to multiple sclerosis, cognitive rehabilitation when compared with any other control might improve memory and working memory at short term. No economic evaluations of cognitive rehabilitation for the indications assessed have been identified. All the clinical practice guidelines from high-income countries consulted recommend cognitive rehabilitation in patients with cognitive impairment secondary to a traumatic brain lesion. For cognitive impairment secondary to stroke, most guidelines recommend cognitive rehabilitation and one of them does not mention it. The Argentine Neurology Society does not mention cognitive rehabilitation in its clinical practice guideline for Alzheimer’s disease. In Argentina, the Superintendence of Health Services does not mention cognitive rehabilitation in the Mandatory Medical Plan and it is not reimbursed by the Reimbursement Unique System.
Details
Project Status: Completed
Year Published: 2018
URL for published report: https://www.iecs.org.ar/home-ets/
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Argentina
MeSH Terms
  • Cognition
  • Cognition Disorders
  • Neurological Rehabilitation
  • Alzheimer Disease
  • Dementia
  • Dementia, Vascular
  • Stroke
  • Stroke Rehabilitation
  • Brain Injuries, Traumatic
  • Multiple Sclerosis
Contact
Organisation Name: Institute for Clinical Effectiveness and Health Policy
Contact Address: Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name: info@iecs.org.ar
Contact Email: info@iecs.org.ar
Copyright: Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.