Screening bei der hausärztlichen Versorgung der chronischen Erkrankungen Depression, pAVK und Demenz

Hensler, Stefan; Engeser, Peter; Kaduszkiewicz, Hanna

doi:10.1055/s-2006-933418

Cited by 3 publications

(2 citation statements)

References 35 publications

(11 reference statements)

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“…In Germany, 1.4 million older adults suffer from dementia at the moment and prevalence of dementia is expected to rise up to 2.2 million people by the year 2030 (Deutsche Alzheimer Gesellschaft, 2012). However, dementia detection rates in primary care setting are too low suggesting a possible benefit of improving detection rates by implementing routine dementia screenings (Hensler et al ., 2006). In Germany, screenings for dementia in primary care are currently not conducted regularly and primary care physicians often hesitate to initiate further diagnostic steps.…”

Section: Introductionmentioning

confidence: 99%

Acceptance of and attitudes towards Alzheimer's disease screening in elderly German adults

Braun

Reiner

Tegeler

et al. 2013

Int. Psychogeriatr.

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This study suggests that acceptance can reliably be assessed with the section "Acceptance of Alzheimer's disease screenings" of the German PRISM-PC questionnaire. Furthermore, the majority of elderly German adults would like to be screened for Alzheimer's disease regularly, which might be an effective starting point in order to implement routine dementia screenings. As the sample is a convenience sample of (relatively) healthy older adults, generalizability of these results is limited.

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Section: Introductionmentioning

confidence: 99%

Acceptance of and attitudes towards Alzheimer's disease screening in elderly German adults

Braun

Reiner

Tegeler

et al. 2013

Int. Psychogeriatr.

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show abstract

“…Einen anderen Referenzstandard gibt es eben bei der Depression kaum, denn auch der weitere Verlauf ist v ö llig heterogen und kann nicht als Referenz die Diagnose im Nachhinein best ä tigen oder verwerfen. Wer also, wie immer wieder auch aus der Allgemeinmedizin heraus [1,21,27,42], Depressionsfrageb ö gen kritisiert und es f ü r Irrsinn h ä lt, durch Abz ä hlen von Symptom-Items eine Depression zu diagnostizieren, muss tats ä chlich diese Kritik auf das Konzept des zugrundeliegenden diagnostischen Systems des ICD-10 bzw. DSM-IV beziehen und nicht auf die Frageb ö gen, die dieses Konzept lediglich abbilden 4 .…”

Section: Was Also Hat Sich In Der Klassifi Kation Der Depression Ge äunclassified

Diagnostische Konzepte der Depression in aktuellen allgemeinmedizinischen Publikationen

Sielk¹

2007

Z Allg Med

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Depressionsscreening bei Patienten mit somatischen Erkrankungen

Thombs

Körner

2011

Nervenarzt

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Depression is increasingly recognized as a common and disabling condition, and improving depression care has been prioritized by policy-makers in Germany and elsewhere. Screening for depression, which refers to the routine use of depression screening tools or sets of questions to identify patients who may have depression, but whose depression is otherwise not recognized by their physician, is one solution that has been proposed. However, there has never been a clinical trial that has found better depression outcomes for patients screened for depression compared to patients not screened when the same treatment and care resources are made available to both groups. There are, on the other hand, many negative trials that have failed to find benefit to patients from depression screening. Thus, depression screening has not been shown to benefit patients, may lead to important harm, and would consume a substantial amount of scarce resources. Prior to recommending that physicians routinely screen patients for depression, well-designed randomized controlled trials are needed that compare depression outcomes for patients screened versus patients not screened with the same treatment options available to both screened and non-screened patients.

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Screening bei der hausärztlichen Versorgung der chronischen Erkrankungen Depression, pAVK und Demenz

Cited by 3 publications

References 35 publications

Acceptance of and attitudes towards Alzheimer's disease screening in elderly German adults

Acceptance of and attitudes towards Alzheimer's disease screening in elderly German adults

Diagnostische Konzepte der Depression in aktuellen allgemeinmedizinischen Publikationen

Depressionsscreening bei Patienten mit somatischen Erkrankungen

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