Chilean health professionals perception of knowledge about dementia

Olavarría, Loreto; Mardones, C.; Delgado, Carolina; Slachevsky, Andrea

doi:10.1016/j.jns.2015.08.429

Cited by 5 publications

(8 citation statements)

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“…Given the inherent complexity of dementia syndromes, a better knowledge on their clinical profiles might be one of the main factors that may shape the correct diagnosis [124]. As a matter of fact, a lack of specialists in mental health for the elderly, limited training and low confidence of physicians contributes to dementia underdiagnosis [124,125]. For this reason, there is an important need for training across different levels of the health care system, particularly at the primary care level.…”

Section: Discussionmentioning

confidence: 99%

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Alzheimer’s Disease or Behavioral Variant Frontotemporal Dementia? Review of Key Points Toward an Accurate Clinical and Neuropsychological Diagnosis

Musa

Slachevsky

Muñoz-Neira

et al. 2020

JAD

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Alzheimer's disease (AD) and frontotemporal dementia (FTD) are the most common neurodegenerative early-onset dementias. Despite the fact that both conditions have a very distinctive clinical pattern, they present with an overlap in their cognitive and behavioral features that may lead to misdiagnosis or delay in diagnosis. The current review intends to summarize briefly the main differences at the clinical, neuropsychological, and behavioral levels, in an attempt to suggest which aspects would facilitate an adequate diagnosis in a clinical setting, especially in Latin American and low-and middle-income countries, where the resources needed for a differential diagnosis (such as MRI or biomarkers) are not always available. A timely diagnosis of AD and FTD have significant implications for the medical management and quality of life of patients and careers.

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Section: Discussionmentioning

confidence: 99%

“…Finally, multiple factors such as resources, culture, language, and stigmas affect the accurate diagnosis [22,124]. New challenges need to be integrated into this matter, in order to contribute to better comprehension and knowledge about dementia and their different types, especially in public health centers.…”

Section: Discussionmentioning

confidence: 99%

Alzheimer’s Disease or Behavioral Variant Frontotemporal Dementia? Review of Key Points Toward an Accurate Clinical and Neuropsychological Diagnosis

Musa

Slachevsky

Muñoz-Neira

et al. 2020

JAD

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“…Poor awareness is also found among health care providers. In Chile, 51% of health professionals from different professional areas considered that their knowledge about dementia was insufficient and 81% did not feel prepared to care for a person with dementia 71 …”

Section: Knowledge Creationmentioning

confidence: 99%

Dementia in Latin America: Paving the way toward a regional action plan

Parra¹,

Báez²,

Sedeño³

et al. 2020

Alzheimer's & Dementia

121

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Across Latin American and Caribbean countries (LACs), the fight against dementia faces pressing challenges, such as heterogeneity, diversity, political instability, and socioeconomic disparities. These can be addressed more effectively in a collaborative setting that fosters open exchange of knowledge. In this work, the Latin American and Caribbean Consortium on Dementia (LAC‐CD) proposes an agenda for integration to deliver a Knowledge to Action Framework (KtAF). First, we summarize evidence‐based strategies (epidemiology, genetics, biomarkers, clinical trials, nonpharmacological interventions, networking, and translational research) and align them to current global strategies to translate regional knowledge into transformative actions. Then we characterize key sources of complexity (genetic isolates, admixture in populations, environmental factors, and barriers to effective interventions), map them to the above challenges, and provide the basic mosaics of knowledge toward a KtAF. Finally, we describe strategies supporting the knowledge creation stage that underpins the translational impact of KtAF.

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“…This is particularly the case in countries such as Chile that have undergone rapid demographic change over the last two decades, requiring substantial adaptation by the health services. Indeed, a recent survey suggested that Chilean physicians generally have poor training in dementia [24]. Therefore, it is possible that the observed differences in dementia mortality between the south and the central region (i.e., the capital of Chile) could be partly explained by expertise of physicians in relation to dementia.…”

Section: Discussionmentioning

confidence: 99%

Geographical Variation in Dementia Mortality in Italy, New Zealand, and Chile: The Impact of Latitude, Vitamin D, and Air Pollution

Russ¹,

Murianni

Icaza

et al. 2016

Dement Geriatr Cogn Disord

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Background: Dementia risk is reported as being higher in the north compared to the south, which may be related to vitamin D deficiency. If this were the case, an opposite gradient of risk would be observed in the southern hemisphere, but this has not been investigated previously. Methods: We calculated standardised mortality ratios (SMRs) for deaths in 2012 where dementia (Alzheimer's disease, vascular or unspecified dementia) was recorded as the underlying cause for 20 regions in Italy, 20 District Health Board areas in New Zealand and 29 Health Service areas in Chile. Results: Dementia SMRs were higher in northern than central or southern Italy. The inverse pattern was seen in women in New Zealand, with rates higher on South Island than North Island. However, dementia risk was raised in eight regions in the north and centre of Chile in both men and women. Conclusions: Geographical variation plays a key role in dementia risk, but patterns vary in men and women. In the northern hemisphere, dementia mortality is higher in the north, but the pattern in the southern hemisphere is more complex.

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Chilean health professionals perception of knowledge about dementia

Cited by 5 publications

References 0 publications

Alzheimer’s Disease or Behavioral Variant Frontotemporal Dementia? Review of Key Points Toward an Accurate Clinical and Neuropsychological Diagnosis

Alzheimer’s Disease or Behavioral Variant Frontotemporal Dementia? Review of Key Points Toward an Accurate Clinical and Neuropsychological Diagnosis

Dementia in Latin America: Paving the way toward a regional action plan

Geographical Variation in Dementia Mortality in Italy, New Zealand, and Chile: The Impact of Latitude, Vitamin D, and Air Pollution

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