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General Practitioners’ Judgment of their Elderly Patients’ Cognitive Status
Journal of General Internal Medicine, 10/27/09

Pentzek M et al. – The associations between GPs’ assessments of cognitive impairment and their familiarity with their patients and patients’ mobility, hearing, and morbidity provide important insights into how GPs make their judgments.

Methods

Cross–sectional data from an observational cohort study
Participants 138 GPs, 3,181 patients (80.13 ± 3.61 years, 65.23% female).
General practitioner questionnaire for each patient: familiarity with the patient, patient morbidity, judgment of cognitive status.
Home visits by trained interviewers: sociodemographic and clinical data, psychometric test performance.
Multivariate regression analysis was used to identify independent associations with the GPs’ judgment of “cognitively impaired” vs. “cognitively unimpaired.”

Results

Less familiar patients, less mobile patients, patients with impaired hearing, and patients with greater comorbidity were more likely to be rated as “cognitively impaired” by their GPs.

Can the cognitively impaired safely use patient-controlled analgesia?
Journal of Opioid Management, 11/03/09 Relevance Score: 79%

Distress of Caregivers of Older Adults Receiving Home Care in European Countries: Results From the AgeD in HOme Care Study
American Journal of Geriatric Psychiatry, 10/06/09 Relevance Score: 78%

Aging and Decision-Making: A Neurocognitive Perspective
Gerontology, 10/19/09 Relevance Score: 77%

Subjective Cognitive Complaints Relate to White Matter Hyperintensities and Future Cognitive Decline in Patients With Cardiovascular Disease
American Journal of Geriatric Psychiatry, 10/27/09 Relevance Score: 68%

Aging Minds and Twisting Attitudes: An fMRI Investigation of Age Differences in Inhibiting Prejudice
Psychology and Aging, 11/11/09 Relevance Score: 67%