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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.

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