Apart From Nihilism and Stigma: What Influences General Practitioners' Accuracy in Identifying Incident Dementia?

Pentzek, Michael; Wollny, Anja; Wiese, Birgitt; Jessen, Frank; Haller, Franziska; Maier, Wolfgang; Riedel‐Heller, Steffi G.; Angermeyer, Matthias C.; Bickel, Horst; Mösch, Edelgard; Weyerer, Siegfried; Werle, Jochen; Bachmann, Cadja; Zimmermann, Thomas; Bussche, Hendrik van den; Abholz, Heinz-Harald; Fuchs, Ângela

doi:10.1097/jgp.0b013e3181b2075e

Cited by 80 publications

(75 citation statements)

References 40 publications

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“…From other studies it is known that recognition and more detailed documentation of dementia in general practice is more likely in advanced stages of dementia. 11,12 Therefore among the patients not included in the study there may be a number having mild cognitive impairment or mild dementia. These cases would have been identified when applying standardised diagnostic procedures like neuropsychological instruments.…”

Section: Strengths and Limitations Of The Studymentioning

confidence: 99%

Are patients with dementia treated as well as patients without dementia for hypertension, diabetes, and hyperlipidaemia?

Müther

Abholz²,

Wiese³

et al. 2010

Br J Gen Pract

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BackgroundPatients suffering from dementia are at risk of being treated differently by GPs from patients without it. Explanations for this could be stigmatisation, treatment with a palliative approach, and the result of the disease process. AimTo ascertain whether patients with dementia are treated differently, the index diseases of hypertension, diabetes, and hyperlipidaemia were used to measure care. Design of studyRetrospective matched control study. SettingGerman general practice. MethodSixteen GP practices recruited all their patients with dementia and at least one of the index diseases. Patients without dementia but only the index diseases were matched for age, sex, index disease, and practice, resulting in 216 pairs of patients with and without dementia. From the files, blood pressure, blood sugar/glycated haemoglobin, cholesterol, the dates of measurement, the number of doctor-patient contacts, and the prescribed medication to treat the three conditions under scrutiny were documented. For analysis, t-tests and χ²-tests were used.

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Section: Strengths and Limitations Of The Studymentioning

confidence: 99%

Are patients with dementia treated as well as patients without dementia for hypertension, diabetes, and hyperlipidaemia?

Müther

Abholz²,

Wiese³

et al. 2010

Br J Gen Pract

Self Cite

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show abstract

“…Our group and other independent researchers have extensively cited this test with its original name, the "clinical utility index" (CUI) in at least 10 peer reviewed articles to date. [1][2][3][4][5][6][7][8][9][10][11] we have also made its validation freely available online 12 and included it in several book chapters. and satisfactory utility >=0.49 and poor utility < 0.49.…”

mentioning

confidence: 99%

Sensitivity × PPV is a recognized test called the clinical utility index (CUI+)

2011

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“…There are two possible explanations for this finding. First, several studies have shown that GPs have difficulties in diagnosing dementia, especially the mild cases (Mitchell et al 2011;Pentzek and Abholz 2004;Pentzek et al 2009). This lack of expertise would result in a delayed diagnosis of dementia patients.…”

Section: Discussionmentioning

confidence: 99%

Health Among the Elderly in Germany. New Evidence on Disease, Disability and Care Need

Doblhammer¹

2014

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Apart From Nihilism and Stigma: What Influences General Practitioners' Accuracy in Identifying Incident Dementia?

Cited by 80 publications

References 40 publications

Are patients with dementia treated as well as patients without dementia for hypertension, diabetes, and hyperlipidaemia?

Are patients with dementia treated as well as patients without dementia for hypertension, diabetes, and hyperlipidaemia?

Sensitivity × PPV is a recognized test called the clinical utility index (CUI+)

Health Among the Elderly in Germany. New Evidence on Disease, Disability and Care Need

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