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Apart from nihilism and stigma: what influences general practitioners' accuracy in identifying incident dementia?

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Apart from nihilism and stigma: what influences general practitioners' accuracy in identifying incident dementia? / Pentzek, Michael; Wollny, Anja; Wiese, Birgitt; Jessen, Frank; Haller, Franziska; Maier, Wolfgang; Riedel-Heller, Steffi G; Angermeyer, Matthias C; Bickel, Horst; Mösch, Edelgard; Weyerer, Siegfried; Werle, Jochen; Bachmann, Cadja; Zimmermann, Thomas; Bussche van den, Hendrik; Abholz, Heinz-Harald; Fuchs, Angela.

In: AM J GERIAT PSYCHIAT, Vol. 17, No. 11, 11, 2009, p. 965-975.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Pentzek, M, Wollny, A, Wiese, B, Jessen, F, Haller, F, Maier, W, Riedel-Heller, SG, Angermeyer, MC, Bickel, H, Mösch, E, Weyerer, S, Werle, J, Bachmann, C, Zimmermann, T, Bussche van den, H, Abholz, H-H & Fuchs, A 2009, 'Apart from nihilism and stigma: what influences general practitioners' accuracy in identifying incident dementia?', AM J GERIAT PSYCHIAT, vol. 17, no. 11, 11, pp. 965-975. <http://www.ncbi.nlm.nih.gov/pubmed/20104054?dopt=Citation>

APA

Pentzek, M., Wollny, A., Wiese, B., Jessen, F., Haller, F., Maier, W., Riedel-Heller, S. G., Angermeyer, M. C., Bickel, H., Mösch, E., Weyerer, S., Werle, J., Bachmann, C., Zimmermann, T., Bussche van den, H., Abholz, H-H., & Fuchs, A. (2009). Apart from nihilism and stigma: what influences general practitioners' accuracy in identifying incident dementia? AM J GERIAT PSYCHIAT, 17(11), 965-975. [11]. http://www.ncbi.nlm.nih.gov/pubmed/20104054?dopt=Citation

Vancouver

Pentzek M, Wollny A, Wiese B, Jessen F, Haller F, Maier W et al. Apart from nihilism and stigma: what influences general practitioners' accuracy in identifying incident dementia? AM J GERIAT PSYCHIAT. 2009;17(11):965-975. 11.

Bibtex

@article{62210065e373435593e2b01b8054a29d,
title = "Apart from nihilism and stigma: what influences general practitioners' accuracy in identifying incident dementia?",
abstract = "OBJECTIVES: To assess the accuracy of the General Practitioner's (GP) judgment in the recognition of incident dementia cases and to explore factors associated with recognition. DESIGN: Prospective observational cohort study, two follow-up assessments (FU 1 and FU 2) within 3 years after baseline. SETTING: One hundred thirty-eight general practice surgeries in the six study centers of a prospective German study. PARTICIPANTS: Participants were between 75 and 89 years of age at baseline and were recruited from the GPs' patient lists. In FU 1, 2,402 patients and in FU 2, 2,177 patients were analyzed. MEASUREMENTS: GPs' judgments on their patients' cognitive status as index test; at-home patient interviews and tests, consensus diagnosis as reference; validity of the GP judgment; associations between patient factors and GPs' dementia recognition. RESULTS: One hundred eleven incident dementia cases with complete data were identified in FU 1 and FU 2. Overall sensitivity of the GP judgment was 51.4%, specificity 95.9%, positive predictive value 23.6%, and negative predictive value 98.8%. GPs missed dementia more frequently in patients living alone. GPs overrated the presence of dementia more frequently in patients with problems in mobility or hearing, in patients with memory complaints, and in patients with a GP-documented depression. CONCLUSION: GPs miss nearly half of incident dementia cases. They should be alert not to miss dementia in patients living alone. Without seeking additional information, a positive GP judgment seems not sufficient for case finding. GPs should be aware of their tendency to overestimate dementia in depressed and frail patients.",
keywords = "Germany, Humans, Male, Aged, Female, Aged, 80 and over, Psychiatric Status Rating Scales, Questionnaires, Cognition Disorders diagnosis, Prospective Studies, Predictive Value of Tests, Follow-Up Studies, Dementia diagnosis, Incidence, Clinical Competence, Early Diagnosis, Physician's Practice Patterns, Physician-Patient Relations, Physicians, Family psychology, Germany, Humans, Male, Aged, Female, Aged, 80 and over, Psychiatric Status Rating Scales, Questionnaires, Cognition Disorders diagnosis, Prospective Studies, Predictive Value of Tests, Follow-Up Studies, Dementia diagnosis, Incidence, Clinical Competence, Early Diagnosis, Physician's Practice Patterns, Physician-Patient Relations, Physicians, Family psychology",
author = "Michael Pentzek and Anja Wollny and Birgitt Wiese and Frank Jessen and Franziska Haller and Wolfgang Maier and Riedel-Heller, {Steffi G} and Angermeyer, {Matthias C} and Horst Bickel and Edelgard M{\"o}sch and Siegfried Weyerer and Jochen Werle and Cadja Bachmann and Thomas Zimmermann and {Bussche van den}, Hendrik and Heinz-Harald Abholz and Angela Fuchs",
year = "2009",
language = "Deutsch",
volume = "17",
pages = "965--975",
journal = "AM J GERIAT PSYCHIAT",
issn = "1064-7481",
publisher = "Lippincott Williams and Wilkins",
number = "11",

}

RIS

TY - JOUR

T1 - Apart from nihilism and stigma: what influences general practitioners' accuracy in identifying incident dementia?

AU - Pentzek, Michael

AU - Wollny, Anja

AU - Wiese, Birgitt

AU - Jessen, Frank

AU - Haller, Franziska

AU - Maier, Wolfgang

AU - Riedel-Heller, Steffi G

AU - Angermeyer, Matthias C

AU - Bickel, Horst

AU - Mösch, Edelgard

AU - Weyerer, Siegfried

AU - Werle, Jochen

AU - Bachmann, Cadja

AU - Zimmermann, Thomas

AU - Bussche van den, Hendrik

AU - Abholz, Heinz-Harald

AU - Fuchs, Angela

PY - 2009

Y1 - 2009

N2 - OBJECTIVES: To assess the accuracy of the General Practitioner's (GP) judgment in the recognition of incident dementia cases and to explore factors associated with recognition. DESIGN: Prospective observational cohort study, two follow-up assessments (FU 1 and FU 2) within 3 years after baseline. SETTING: One hundred thirty-eight general practice surgeries in the six study centers of a prospective German study. PARTICIPANTS: Participants were between 75 and 89 years of age at baseline and were recruited from the GPs' patient lists. In FU 1, 2,402 patients and in FU 2, 2,177 patients were analyzed. MEASUREMENTS: GPs' judgments on their patients' cognitive status as index test; at-home patient interviews and tests, consensus diagnosis as reference; validity of the GP judgment; associations between patient factors and GPs' dementia recognition. RESULTS: One hundred eleven incident dementia cases with complete data were identified in FU 1 and FU 2. Overall sensitivity of the GP judgment was 51.4%, specificity 95.9%, positive predictive value 23.6%, and negative predictive value 98.8%. GPs missed dementia more frequently in patients living alone. GPs overrated the presence of dementia more frequently in patients with problems in mobility or hearing, in patients with memory complaints, and in patients with a GP-documented depression. CONCLUSION: GPs miss nearly half of incident dementia cases. They should be alert not to miss dementia in patients living alone. Without seeking additional information, a positive GP judgment seems not sufficient for case finding. GPs should be aware of their tendency to overestimate dementia in depressed and frail patients.

AB - OBJECTIVES: To assess the accuracy of the General Practitioner's (GP) judgment in the recognition of incident dementia cases and to explore factors associated with recognition. DESIGN: Prospective observational cohort study, two follow-up assessments (FU 1 and FU 2) within 3 years after baseline. SETTING: One hundred thirty-eight general practice surgeries in the six study centers of a prospective German study. PARTICIPANTS: Participants were between 75 and 89 years of age at baseline and were recruited from the GPs' patient lists. In FU 1, 2,402 patients and in FU 2, 2,177 patients were analyzed. MEASUREMENTS: GPs' judgments on their patients' cognitive status as index test; at-home patient interviews and tests, consensus diagnosis as reference; validity of the GP judgment; associations between patient factors and GPs' dementia recognition. RESULTS: One hundred eleven incident dementia cases with complete data were identified in FU 1 and FU 2. Overall sensitivity of the GP judgment was 51.4%, specificity 95.9%, positive predictive value 23.6%, and negative predictive value 98.8%. GPs missed dementia more frequently in patients living alone. GPs overrated the presence of dementia more frequently in patients with problems in mobility or hearing, in patients with memory complaints, and in patients with a GP-documented depression. CONCLUSION: GPs miss nearly half of incident dementia cases. They should be alert not to miss dementia in patients living alone. Without seeking additional information, a positive GP judgment seems not sufficient for case finding. GPs should be aware of their tendency to overestimate dementia in depressed and frail patients.

KW - Germany

KW - Humans

KW - Male

KW - Aged

KW - Female

KW - Aged, 80 and over

KW - Psychiatric Status Rating Scales

KW - Questionnaires

KW - Cognition Disorders diagnosis

KW - Prospective Studies

KW - Predictive Value of Tests

KW - Follow-Up Studies

KW - Dementia diagnosis

KW - Incidence

KW - Clinical Competence

KW - Early Diagnosis

KW - Physician's Practice Patterns

KW - Physician-Patient Relations

KW - Physicians, Family psychology

KW - Germany

KW - Humans

KW - Male

KW - Aged

KW - Female

KW - Aged, 80 and over

KW - Psychiatric Status Rating Scales

KW - Questionnaires

KW - Cognition Disorders diagnosis

KW - Prospective Studies

KW - Predictive Value of Tests

KW - Follow-Up Studies

KW - Dementia diagnosis

KW - Incidence

KW - Clinical Competence

KW - Early Diagnosis

KW - Physician's Practice Patterns

KW - Physician-Patient Relations

KW - Physicians, Family psychology

M3 - SCORING: Zeitschriftenaufsatz

VL - 17

SP - 965

EP - 975

JO - AM J GERIAT PSYCHIAT

JF - AM J GERIAT PSYCHIAT

SN - 1064-7481

IS - 11

M1 - 11

ER -