Dementia in India – a call for action

Nulkar, Amit; Paralikar, Vasudeo; Juvekar, Sanjay

doi:10.29392/joghr.3.e2019078

Cited by 19 publications

(16 citation statements)

References 2 publications

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“…However, the Government of India has recently committed to spending 2.5% of its GDP on health by 2025.The results show there is scope for adolescent students to improve their dementia knowledge, with adolescents accurately answering less than half of the questions correctly. 2 Indeed, memory clinics have been successfully run-in primary care by primary care physicians. However post-diagnostic continuing care for dementia through primary care remains an area of research.…”

Section: Discussionmentioning

confidence: 99%

“…This is estimated to rise to 6.35 million by 2025 and to 13.33 million by 2050. 2 Dementia is aphasia, which are memory and cognitive disorders, a disease that is accompanied by one or more symptoms of real authentication or performance dysfunction chronically and the patient's social dependence increases over time. It is an increasing disease (American Psychiatric Association, 2000.…”

Section: Introductionmentioning

confidence: 99%

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A departing mystery: dementia related knowledge and attitude among dental professionals in Chennai

Premnath¹,

Velmurugan²,

Vignaraja³

et al. 2021

Int J Community Med Public Health

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Background: Improving dentist’s knowledge, perceptions and attitudes of dementia is important in the formation of dementia-friendly communities. The aim of the study was to evaluate dentist’s knowledge and attitudes of dementia. The purpose of this study was to examine dentist’s, interns, postgraduate’s knowledge and attitudes towards dementia and to provide basic data for educating about knowledge of dementia and strengthening positive attitudes towards dementia related patients.Methods: One hundred and ten dentists, dental post graduates, interns aged 22-46 years, from dental schools in Tamil Nadu were invited to complete a series of questions that assessed their dementia knowledge and attitudes.Results: A total of 110 dentists completed the questionnaire. Out of 24 questions on dementia knowledge and attitude, participants were on average able to answer less than half correctly. Responses to the attitude’s questionnaire showed that dentists had both positive and negative attitudes toward dementia.Conclusions: There is scope for dentists to improve their dementia knowledge and attitudes. Until a validated measure of dementia knowledge has been developed specifically for an dentist sample, researchers should avoid summary statistics (i.e.; total score) and instead focus on interrogating where the gaps in knowledge.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A departing mystery: dementia related knowledge and attitude among dental professionals in Chennai

Premnath¹,

Velmurugan²,

Vignaraja³

et al. 2021

Int J Community Med Public Health

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“…Under sub-theme 1, Adeloye et al [6], Nitrini et al [7], Noroozian et al [8], Nulkar et al [9], Nyame et al [10], Poon et al [11], Wang et al [12] describe the rising trend of dementia in China, Ghana, Nigeria, India, Iran, Latin American, and Southeast Asian countries, the paucity of epidemiological and other research into dementia, and the fragmentation of diagnosis, prevention, and care services in these settings leading to large gaps in diagnosis (up to 90%), treatment, and support services resulting in over-reliance on informal care by the family. Scarcity of funding aside, the lack of recognition towards dementia by governments and health authorities is seen by many of our authors as a key contributor to the paucity of research and delivery of necessary social and health services [7-10,12]. There is currently an absence of national dementia strategies across these LMICs.…”

Section: Jogh-joghr Theme Issue On Global Dementiamentioning

confidence: 99%

Tackling dementia globally: the Global Dementia Prevention Program (GloDePP) collaboration

Chan¹,

Asante²,

Calia³

et al. 2019

Journal of Global Health

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“…[ 6 7 ] Considering the large number of geriatric population in India and majority of them living in rural area, it is the need of hour to involve primary care services in prevention, early diagnosis and treatment of dementia. [ 8 ] Studies assessing the accuracy of dementia identification in primary care physician (PCP) has revealed that mild cognitive impairment (MCI), an early stage remain undiagnosed in primary care setting. [ 9 10 ] A recent metanalysis has shown that cognition-oriented treatments can improve cognitive performance in geriatric age group if started at early phase before the onset of clinical dementia.…”

Section: Introductionmentioning

confidence: 99%

Comparison of two screening instruments to detect dementia in Indian elderly subjects in a clinical setting

Tak

Rohilla

Jhanwar

2021

J Family Med Prim Care

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Objective: Cognitive screening in elderly patients receiving treatment for chronic medical conditions in a busy outpatient clinical setting is crucial to detect dementia at an earlier stage. Although Hindi Mini-Mental State Examination (HMSE) is an established screening tool for the geriatric population in India, but cannot be administered with the informant. Our study aims to compare two screening instruments, Informant based - Eight-item Interview to Differentiate Aging and Dementia (AD8) and HMSE among elderly patients attending medical outpatient service (OPD) in a tertiary care hospital. Method: A total of 776 subjects aged ≥65 years and receiving treatment from medicine OPD in a tertiary care hospital were screened for dementia using AD8 and HMSE. The clinical diagnosis was established after detailed clinical assessment using ICD-10 criterion. Sensitivity and specificity were calculated for both screening tools and ROC curves were plotted considering ICD-10 diagnosis as the gold standard. Results: Comparison of receiver operating characteristic (ROC) curves showed that HMSE (AUC = 0.77) were better than AD8 (AUC = 0.61) in detecting dementia. Although increasing the cut-off value of AD8 from a recommended score of ≥2 to ≥3 improved sensitivity from 35% to 48.9%, high false-positive rate limited its utility as a cognitive screening tool. Conclusion: Although AD8 is easy to use and quickly administered with either patient or informant, it does not seem to be a suitable cognitive screening test for Indian elderly with chronic medical disorders. HMSE at a cut-off score of ≤23 is able to find out dementia among geriatric patients in a busy medical setting.

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Dementia in India – a call for action

Cited by 19 publications

References 2 publications

A departing mystery: dementia related knowledge and attitude among dental professionals in Chennai

A departing mystery: dementia related knowledge and attitude among dental professionals in Chennai

Tackling dementia globally: the Global Dementia Prevention Program (GloDePP) collaboration

Comparison of two screening instruments to detect dementia in Indian elderly subjects in a clinical setting

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