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.
|Number of pages||8|
|Journal||Journal of Neuropsychiatry and Clinical Neurosciences|
|Publication status||Published - 1 Jan 1993|
Verhey, F. R. J., Jolles, J., Ponds, R. W. H. M., Rozendaal, N., Plugge, L. A., De Vet, H. C. W., Vreeling, F., & van der Lugt, P. J. M. (1993). Diagnosing dementia: a comparison between a monodisciplinary and a multidisciplinary approach. Journal of Neuropsychiatry and Clinical Neurosciences, 5(1), 78-85. https://doi.org/10.1176/jnp.5.1.78