Diagnosing dementia: a comparison between a monodisciplinary and a multidisciplinary approach

Frans R.J. Verhey; Jellemer Jolles; Rudolf W.H.M. Ponds; Nico Rozendaal; Leo A. Plugge; H.C.W. De Vet; Fred Vreeling; P.J.M. van der Lugt

doi:10.1176/jnp.5.1.78

Diagnosing dementia: a comparison between a monodisciplinary and a multidisciplinary approach

Frans R.J. Verhey^*, Jellemer Jolles, Rudolf W.H.M. Ponds, Nico Rozendaal, Leo A. Plugge, H.C.W. De Vet, Fred Vreeling, P.J.M. van der Lugt

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Discrepancies were examined in diagnostic outcome between a monodisciplinary approach and a multidisciplinary, criteria-based approach in patients referred to a university memory clinic. Of 278 patients not fulfilling dementia criteria, 19 had been previously diagnosed as demented (specificity: 0.93). In 60 of 152 demented patients, dementia had not been diagnosed before (sensitivity: 0.61). Underreporting was frequent for mildly demented patients and for patients with coexisting depressive symptoms. In patients referred by psychiatrists, sensitivity rates for dementia and Alzheimer's disease were low; in patients referred by neurologists, depression often went unreported. Results underscore the need for more frequent use of integrated multidisciplinary services for cognitively disturbed patients.

Original language	English
Pages (from-to)	78-85
Number of pages	8
Journal	Journal of Neuropsychiatry and Clinical Neurosciences
Volume	5
Issue number	1
DOIs	https://doi.org/10.1176/jnp.5.1.78
Publication status	Published - 1 Jan 1993

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abstract = "Discrepancies were examined in diagnostic outcome between a monodisciplinary approach and a multidisciplinary, criteria-based approach in patients referred to a university memory clinic. Of 278 patients not fulfilling dementia criteria, 19 had been previously diagnosed as demented (specificity: 0.93). In 60 of 152 demented patients, dementia had not been diagnosed before (sensitivity: 0.61). Underreporting was frequent for mildly demented patients and for patients with coexisting depressive symptoms. In patients referred by psychiatrists, sensitivity rates for dementia and Alzheimer's disease were low; in patients referred by neurologists, depression often went unreported. Results underscore the need for more frequent use of integrated multidisciplinary services for cognitively disturbed patients.",

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AU - Verhey, Frans R.J.

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AU - Ponds, Rudolf W.H.M.

AU - Rozendaal, Nico

AU - Plugge, Leo A.

AU - De Vet, H.C.W.

AU - Vreeling, Fred

AU - van der Lugt, P.J.M.

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AB - Discrepancies were examined in diagnostic outcome between a monodisciplinary approach and a multidisciplinary, criteria-based approach in patients referred to a university memory clinic. Of 278 patients not fulfilling dementia criteria, 19 had been previously diagnosed as demented (specificity: 0.93). In 60 of 152 demented patients, dementia had not been diagnosed before (sensitivity: 0.61). Underreporting was frequent for mildly demented patients and for patients with coexisting depressive symptoms. In patients referred by psychiatrists, sensitivity rates for dementia and Alzheimer's disease were low; in patients referred by neurologists, depression often went unreported. Results underscore the need for more frequent use of integrated multidisciplinary services for cognitively disturbed patients.

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DO - 10.1176/jnp.5.1.78

M3 - Article

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JO - Journal of Neuropsychiatry and Clinical Neurosciences

JF - Journal of Neuropsychiatry and Clinical Neurosciences

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Diagnosing dementia: a comparison between a monodisciplinary and a multidisciplinary approach

Abstract

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