Diagnostic evaluation of dementia in the secondary health care sector

Research output: Contribution to journalJournal articleResearchpeer-review

Thien Kieu Thi Phung, Birgitte Bo Andersen, Lars Vedel Kessing, Preben Bo Mortensen, Gunhild Waldemar, Thien Kieu Thi Phung, Birgitte Bo Andersen, Lars Vedel Kessing, Preben Bo Mortensen, Gunhild Waldemar

BACKGROUND: We conducted a nationwide registry-based study of the quality of diagnostic evaluation for dementia in the secondary health care sector. METHOD: Two hundred patients were randomly selected from the patient population (4,682 patients) registered for the first time with a dementia diagnosis in the nationwide hospital registries during the last 6 months of 2003. Through medical record review, we evaluated the completeness of the work-up on which the dementia diagnosis was based, using evidence-based dementia guidelines as reference standards. RESULTS: Satisfactory or acceptable completion of the basic dementia work-up was documented in 51.3% of the patients. Only 11.5% of those with unsatisfactory work-up were referred to follow-up investigations. Dementia syndrome was confirmed in 88.5% of the cases, but correct subtypes were diagnosed in only 35.1%. CONCLUSION: The adherence to clinical guidelines concerning dementia work-up is inadequate in the secondary health care sector. Our findings call for improvement in the organization of clinical dementia care, for education of specialists and for changes in attitude towards making a diagnosis of dementia.
Original languageEnglish
JournalDementia and Geriatric Cognitive Disorders
Volume27
Issue number6
Pages (from-to)534-42
Number of pages8
ISSN1420-8008
DOIs
Publication statusPublished - 2009

Bibliographical note

Keywords: Aged; Alzheimer Disease; Cognition; Delivery of Health Care; Dementia; Denmark; Guidelines as Topic; Humans; Magnetic Resonance Imaging; Medical Records; Neuropsychological Tests; Reference Standards; Registries; Reproducibility of Results; Specialization; Tomography, X-Ray Computed

ID: 19978253