Against the stream: early diagnosis of dementia, is it so desirable?
Against the stream: early diagnosis of dementia, is it so desirable?
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DOI：
10.1192/bjb.2018.107
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发表时间：
2019-06-01
期刊：
影响因子：
2.6
通讯作者：
Kelly, Sarah
中科院分区：
文献类型：
--
作者：
Brayne, Carol;Kelly, Sarah
首相在痴呆症问题上的挑战要求提高痴呆症的诊断率，以对个人和照顾他们的人有益的假设为基础。随后的政策增加了临床实践的目标驱动，通过密集的病例识别实现痴呆症的早期诊断。然而，目前的证据基础和治疗方案并不支持痴呆症筛查，而且很少有经验证据表明，在没有更好地了解对个人和服务的益处、成本和潜在危害的情况下，这种密集的病例识别和早期痴呆症诊断是合理的。
The Prime Minister's challenge on dementia called for improved dementia diagnosis rates, based on assumptions of benefit to individuals and those who care for them. Subsequent policies have led to increased target drives for clinical practice to achieve early diagnosis of dementia through intense case identification. However, the current evidence base and treatment options do not support screening for dementia, and there is little empirical evidence that such intensive case identification and early diagnosis for dementia is justified without a better understanding of the benefits, costs and potential harms to individuals and services.