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Mild cognitive impairment – beyond controversies, towards a consensus: report of the International Working Group on Mild Cognitive Impairment
Bengt G. Winblad, Katie Palmer, Miia Kivipelto, Vesna Jelić, Laura Fratiglioni, Lars‐Olof Wahlund, Agneta K. Nordberg, Lars Bäckman et al.. Journal of Internal Medicine, 2004-08-20
Topic: Risk, prevention and care in population studies
The First Key Symposium was held in Stockholm, Sweden, 2-5 September 2003. The aim of the symposium was to integrate clinical and epidemiological perspectives on the topic of Mild Cognitive Impairment (MCI). A multidisciplinary, international group of experts discussed the current status and future directions of MCI, with regard to clinical presentation, cognitive and functional assessment, and the role of neuroimaging, biomarkers and genetics. Agreement on new perspectives, as well as recommendations for management and future research were discussed by the international working group. The specific recommendations for the general MCI criteria include the following: (i) the person is neither normal nor demented; (ii) there is evidence of cognitive deterioration shown by either objectively measured decline over time and/or subjective report of decline by self and/or informant in conjunction with objective cognitive deficits; and (iii) activities of daily living are preserved and complex instrumental functions are either intact or minimally impaired.
Key findings
- The First Key Symposium was held in Stockholm, Sweden, 2-5 September 2003.
- The aim of the symposium was to integrate clinical and epidemiological perspectives on the topic of Mild Cognitive Impairment (MCI).
- A multidisciplinary, international group of experts discussed the current status and future directions of MCI, with regard to clinical presentation, cognitive and functional assessment, and the role of neuroimaging, biomarkers and genetics.
- Agreement on new perspectives, as well as recommendations for management and future research were discussed by the international working group.
- The specific recommendations for the general MCI criteria include the following: (i) the person is neither normal nor demented; (ii) there is evidence of cognitive deterioration shown by either objectively measured decline over time and/or subjective report of decline by self and/or informant in conjunction with objective cognitive deficits; and (iii) activities of daily living are preserved and complex instrumental functions are either intact or minimally impaired.
Why it matters
An international working group agreed on general criteria for mild cognitive impairment: the person is neither normal nor demented, there is evidence of cognitive deterioration, and activities of daily living are preserved with complex instrumental functions intact or minimally impaired. The group also discussed the role of neuroimaging, biomarkers, and genetics, and made recommendations for management and future research.
Study details
- Evidence strengthLow
How this study scored 63/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of Internal Medicine) |
| Journal's citation record | 2 / 4 | Journal of Internal Medicine: journal h-index 237 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2004 — older than 20 years, still counted |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 7 / 7 | Cited 4,963 times (OpenAlex, 2026-10-10) |
| Citations per year | 5 / 5 | 206.8 citations a year over 24 year(s) since 2004 |
| Impact for its field and year | 6 / 6 | Cited 50.8× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 6 / 6 | Cited by 277 other studies in this library |
| Still being cited | 4 / 4 | Cited 663 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 4 / 4 | Last-listed author Ronald Carl Petersen: h-index 209 (OpenAlex, whole career) |
| Institution's track record | 3 / 3 | National Institutes of Health: institution h-index 2,723 (OpenAlex) |
| Multi-centre collaboration | 3 / 3 | OpenAlex lists 19 institution(s) in 8 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 15324367) |
| Free to read | 2 / 2 | Free to read |
| Total | 63 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1111/j.1365-2796.2004.01380.x
- PubMed: 15324367
- Original source →
- Free full text: Journal of Internal Medicine →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
APA 7th
Winblad, B. G., Palmer, K., Kivipelto, M., Jelić, V., Fratiglioni, L., Wahlund, L., et al. (2004). Mild cognitive impairment – beyond controversies, towards a consensus: report of the International Working Group on Mild Cognitive Impairment. Journal of Internal Medicine. https://doi.org/10.1111/j.1365-2796.2004.01380.x
Vancouver
Winblad BG, Palmer K, Kivipelto M, Jelić V, Fratiglioni L, Wahlund L, et al. Mild cognitive impairment – beyond controversies, towards a consensus: report of the International Working Group on Mild Cognitive Impairment. Journal of Internal Medicine. 2004. doi:10.1111/j.1365-2796.2004.01380.x. PMID: 15324367.
BibTeX
@article{winblad2004-15324367,
author = {Winblad, Bengt G. and Palmer, Katie and Kivipelto, Miia and Jelić, Vesna and Fratiglioni, Laura and Wahlund, Lars‐Olof and Nordberg, Agneta K. and Bäckman, Lars and others},
title = {{Mild cognitive impairment – beyond controversies, towards a consensus: report of the International Working Group on Mild Cognitive Impairment}},
journal = {Journal of Internal Medicine},
year = {2004},
doi = {10.1111/j.1365-2796.2004.01380.x},
pmid = {15324367},
url = {https://doi.org/10.1111/j.1365-2796.2004.01380.x}
}
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