Differences in prevalence of dementia based on community survey and general practitioner recognition
Differences in prevalence of dementia based on community survey and general practitioner recognition
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DOI：
10.1017/s0033291700035947
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发表时间：
1996-11-01
影响因子：
6.9
通讯作者：
VanTilburg, W
中科院分区：
文献类型：
--
作者：
Eefsting, JA;Boersma, F;VanTilburg, W
进行了一项研究，同时使用GP和流行病学评估程序（MMSE，CAMDEX），以确定同一人群中患有DSM-III-R痴呆的个体。此外，对CAMDEX诊断为痴呆的患者进行了1年随访评估。在非制度化群体中，由全科医生和流行病学测试组合评估，根据全科医生的痴呆症患病率为2.2%，而基于流行病学方法的患病率为5.2%。一般而言，CAMDEX诊断的痴呆症在1年随访时得到证实，因此两种患病率估计值之间的差异必须归因于GP的低敏感性。GP的敏感性与求助行为有关，低接触率患者的敏感性较低。这也与GP（认知障碍）使用的诊断标签不太具体有关，以及与访问他们的GP的患者对认知障碍的认识不佳有关。
A study was conducted, which simultaneously used GPs and epidemiological assessment procedures (MMSE, CAMDEX), to identify individuals with DSM-III-R dementia in the same population. In addition, a 1-year follow-up assessment was conducted in patients with a CAMDEX-diagnosis of dementia. In the non-institutionalized group, which was assessed both by the GP and with the epidemiological test battery, the prevalence of dementia according to the GP was 2.2%, whereas the prevalence based on the epidemiological approach amounted to 5.2%. In general CAMDEX-diagnoses of dementia were confirmed at 1-year follow-up, and thus the discrepancy between the two prevalence estimates must be attributed to the low sensitivity of the GPs. Sensitivity of the GP was related to help-seeking behaviour, with low sensitivity in patients with a low contact rate. It was also related to the use of less specific diagnostic labels by the GP (cognitive impairment), and to poor recognition of cognitive impairment in patients who visited their GP.