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O2‐08‐01: Diagnosis of dementia in primary care: The effect of screening
Author(s) -
Eichler Tilly,
Thyrian Jochen Rene,
Teipel Stefan J.,
Hoffmann Wolfgang
Publication year - 2015
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2015.07.171
Subject(s) - dementia , medicine , geriatric depression scale , medical diagnosis , medical record , quality of life (healthcare) , depression (economics) , randomized controlled trial , disease , psychiatry , depressive symptoms , cognition , nursing , pathology , economics , macroeconomics
then patients were told to complete it independently. One hundred and thirty patients with cognitive concerns and amatched sample of 133 without cognitive concerns were enrolled and completed the CAMCI. A report of CAMCI results was automatically generated and placed in the patient’s electronic medical record (EMR). Two raters, blinded to the results of the CAMCI reports, reviewed the EMRs of enrolled patients who visited their PCP within 3 months of receipt of the CAMCI report. Raters recorded care strategies documented at that visit by the PCP.We identified 28 different types of documented care strategies, which we grouped as related to Cognition or to Safety & Self-Care. Examples of Cognition strategies include discussion of test results with the patient or ordering laboratory tests to rule out organic causes of cognitive impairment. Safety strategies included, for example, discussion of driving ability or management of medications. Negative binomial regression analyses revealed that patients who were scored as being at higher risk of MCI on the CAMCI received significantly greater documentation of both Cognition (p < 0.0001) and Safety & Self-Care care strategies (p < 0.0001). These findings remained significant when we included PCPs’ cognitive concern prior to knowing the test results, patients’ age, sex, co-morbidities and living arrangements in the regression model. These findings suggest that PCPs are responding to CAMCI tests results, as they documented a greater variety of care strategies in patients with higher risk scores for MCI.