General practitioners' judgment of their elderly patients' cognitive status.
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General practitioners' judgment of their elderly patients' cognitive status. / Pentzek, Michael; Fuchs, Angela; Wiese, Birgitt; Cvetanovska-Pllashniku, Gabriela; Haller, Franziska; Maier, Wolfgang; Riedel-Heller, Steffi G; Angermeyer, Matthias C; Bickel, Horst; Mösch, Edelgard; Weyerer, Siegfried; Werle, Jochen; Bussche van den, Hendrik; Eisele, Marion; Kaduszkiewicz, Hanna.
In: J GEN INTERN MED, Vol. 24, No. 12, 12, 2009, p. 1314-1317.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - General practitioners' judgment of their elderly patients' cognitive status.
AU - Pentzek, Michael
AU - Fuchs, Angela
AU - Wiese, Birgitt
AU - Cvetanovska-Pllashniku, Gabriela
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 - Bussche van den, Hendrik
AU - Eisele, Marion
AU - Kaduszkiewicz, Hanna
PY - 2009
Y1 - 2009
N2 - BACKGROUND: General practitioners (GP) play an important role in detecting cognitive impairment among their patients. OBJECTIVES: To explore factors associated with GPs' judgment of their elderly patients' cognitive status. DESIGN: Cross-sectional data from an observational cohort study (AgeCoDe study); General practice surgeries in six German metropolitan study centers; home visits by interviewers. PARTICIPANTS: 138 GPs, 3,181 patients (80.13 +/- 3.61 years, 65.23% female). MEASUREMENTS: 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 (adjusted odds ratio [aOR] 2.42, 95% CI 1.35-4.32, for poor vs. very high familiarity), less mobile patients (aOR 1.29, 95% CI 1.13-1.46), patients with impaired hearing (aOR 5.46, 95% CI 2.35-12.67 for serious vs. no problems), and patients with greater comorbidity (aOR 1.15, 95% CI 1.08-1.22) were more likely to be rated as "cognitively impaired" by their GPs. CONCLUSIONS: 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.
AB - BACKGROUND: General practitioners (GP) play an important role in detecting cognitive impairment among their patients. OBJECTIVES: To explore factors associated with GPs' judgment of their elderly patients' cognitive status. DESIGN: Cross-sectional data from an observational cohort study (AgeCoDe study); General practice surgeries in six German metropolitan study centers; home visits by interviewers. PARTICIPANTS: 138 GPs, 3,181 patients (80.13 +/- 3.61 years, 65.23% female). MEASUREMENTS: 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 (adjusted odds ratio [aOR] 2.42, 95% CI 1.35-4.32, for poor vs. very high familiarity), less mobile patients (aOR 1.29, 95% CI 1.13-1.46), patients with impaired hearing (aOR 5.46, 95% CI 2.35-12.67 for serious vs. no problems), and patients with greater comorbidity (aOR 1.15, 95% CI 1.08-1.22) were more likely to be rated as "cognitively impaired" by their GPs. CONCLUSIONS: 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.
M3 - SCORING: Zeitschriftenaufsatz
VL - 24
SP - 1314
EP - 1317
JO - J GEN INTERN MED
JF - J GEN INTERN MED
SN - 0884-8734
IS - 12
M1 - 12
ER -