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Diagnostic evaluation of dementia in the secondary health care sector
Dementia and Geriatric Cognitive Disorders, 06/19/09

Phung TKT et al. – Adherence to clinical guidelines for dementia work-up is inadequate in the secondary health care sector. These findings call for improvement in organization of clinical dementia care, for education of specialists, and for changes in attitude towards making a diagnosis of dementia.

• Nationwide registry-based study of quality of diagnostic evaluation for dementia in secondary health care sector
• Randomization of 200 pts from pt population (4,682 pts) registered for first-time dementia diagnosis in nationwide hospital registries during last 6 mo of 2003
• Medical record review for work-up completeness on which dementia diagnosis was based
• Use of evidence-based dementia guidelines as reference standards

• Satisfactory or acceptable completion of basic dementia work-up documented in 51.3% of pts
• Follow-up investigations for only 11.5% of pts with unsatisfactory work-up
• Dementia syndrome confirmed in 88.5% of cases
• Correct subtypes diagnosed in only 35.1%

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