Identification and diagnostic evaluation of possible dementia in general practice. A prospective study.

Abstract:

OBJECTIVE:To investigate the rate of diagnostic evaluation of dementia for patients in whom a suspicion of dementia was raised, and to investigate reasons why a diagnostic evaluation was not always being performed. DESIGN:A prospective study among elderly patients aged 65+, and a follow-up study. SETTING:In all, 17 general practices in Copenhagen with 40 865 patients on their lists of whom 2934 were aged 65+. SUBJECTS:A total of 793 patients consulting their GP regardless of reason of encounter, in October and November 2002. MAIN OUTCOME MEASURES:MMSE score < or = 23, GP clinical impression of dementia, laboratory-screening tests prescribed by the GPs and referral status after 6 months, and follow-up questionnaire. RESULTS:Of 793 patients a total of 138 patients were identified with possible dementia. Among the identified patients 26 (20%) were referred for further evaluation within 6 months, and 4 (3%) were treated for depression or referred for another condition. A total of 6 patients were lost to follow-up. In the remaining 102 undiagnosed patients the main reasons for not performing a diagnostic evaluation of dementia were patient/relative hesitation (34%), the GP thought that it would not have any consequences for the patient, or the GP estimated that the patient was too fragile (21%). CONCLUSION:In 17% of elderly patients in general practice a suspicion of dementia could be raised based on the clinical impression of the GP or MMSE score. However, only 23% of this group were evaluated by their GP or referred to a memory clinic within a subsequent period of 6 months.

authors

Waldorff FB,Rishøj S,Waldemar G

doi

10.1080/02813430510031324

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

221-6

issue

4

eissn

0281-3432

issn

1502-7724

pii

R1362772886048W3

journal_volume

23

pub_type

杂志文章
  • Impaired health status, and mental health, lower vitality and social functioning in women general practitioners in Sweden. A cross-sectional survey.

    abstract:OBJECTIVE:The aim was to analyse differences between female and male general practitioners (GPs) in health status and lifestyle and compared with the general population in health-related quality of life. DESIGN:A simple random sample of 1004 GPs from the whole of Sweden (71.2%) participated in a survey in May 1996 abo...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/028134399750002692

    authors: Sundquist J,Johansson SE

    更新日期:1999-06-01 00:00:00

  • Swedish general practitioners' practice behaviour in hypertension care.

    abstract:OBJECTIVE:To examine care organization and practice behaviour in hypertension care among Swedish general practitioners. DESIGN:A postal questionnaire followed by a structured interview, in a two-step study design. SETTING:Uppsala-Orebro region in mid-Sweden (population 1.9 mill.) PARTICIPANTS:General practitioners e...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813439308994828

    authors: Ribacke M

    更新日期:1993-09-01 00:00:00

  • The quality of the sickness certificate. A case control study of patients with symptom and disease specific diagnoses in primary health care in Sweden.

    abstract::Objective: To compare information in sickness certificates and rehabilitation activities for patients with symptom diagnoses vs patients with disease specific diagnoses. Design: Retrospective case control study 2013-2014. Setting: Primary health care, Sweden. Subjects. Patients with new onset sickness certificates wit...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813432.2019.1639905

    authors: Starzmann K,Hjerpe P,Boström KB

    更新日期:2019-09-01 00:00:00

  • Relationship based care - how general practice developed and why it is undermined within contemporary healthcare systems.

    abstract::Objective: Investigating the state of generalism in medicine from the outlook of general practice. Line of argument: General practice developed when its pioneers, in continuing relationships, learnt to know their patients through the variety of medical situations. From the 50s, there is an increasing literature on the...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813432.2019.1639909

    authors: Rudebeck CE

    更新日期:2019-09-01 00:00:00

  • Clinical and bacteriological outcome of different doses and duration of pivmecillinam compared with placebo therapy of uncomplicated lower urinary tract infection in women: the LUTIW project.

    abstract:OBJECTIVE:To analyse associations between symptoms and bacteriuria in uncomplicated lower urinary tract infection in women (LUTIW) and to evaluate outcome of therapy with three different regimens of pivmecillinam or placebo. DESIGN:Prospective, multicentre, randomized, double-blind, and placebo-controlled therapy stud...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1080/02813430601183074

    authors: Ferry SA,Holm SE,Stenlund H,Lundholm R,Monsen TJ

    更新日期:2007-03-01 00:00:00

  • Usual care and management of fall risk increasing drugs in older dizzy patients in Dutch general practice.

    abstract:OBJECTIVE:For general practitioners (GPs) dizziness is a challenging condition to deal with. Data on the management of dizziness in older patients are mostly lacking. Furthermore, it is unknown whether GPs attempt to decrease Fall Risk Increasing Drugs (FRIDs) use in the management of dizziness in older patients. The a...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813432.2016.1160634

    authors: Stam H,Harting T,Sluijs Mv,van Marum R,Horst Hv,Wouden JC,Maarsingh OR

    更新日期:2016-06-01 00:00:00

  • Active listing and more consultations in primary care are associated with shorter mean hospitalisation and interacting with psychiatric disorders when adjusting for multimorbidity, age and sex.

    abstract:OBJECTIVE:Patient-provider relationships with primary care and need for hospitalisations are related within the complex networks comprising healthcare. Our objective was to analyse mean days hospitalised, using registration status (active or passive listing) with a provider and number of consultations as proxies of pat...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813432.2018.1499514

    authors: Ranstad K,Midlöv P,Halling A

    更新日期:2018-09-01 00:00:00

  • Patient satisfaction with conventional, complementary, and alternative treatment for cluster headache in a Norwegian cohort.

    abstract:OBJECTIVE:Cluster headache (CH) may cause excruciating pain and not all patients get satisfactory help. Patient dissatisfaction with general practitioners (GPs) and neurologists, and use of complementary and alternative treatment (CAM) may reflect this. The authors studied patient satisfaction with doctors' treatment a...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813432.2014.944410

    authors: Bekkelund SI,Ofte HK,Alstadhaug KB

    更新日期:2014-09-01 00:00:00

  • Awareness and treatment of cardiovascular disease risk factors among middle-aged Swedish men and women.

    abstract:OBJECTIVE:To study awareness and treatment of risk factors for cardiovascular disease in a primary care district where a screening program for hypercholesterolaemia involving one third of the population had been conducted 7 years earlier. DESIGN:A semi-structured telephone survey on four risk factors; blood pressure, ...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/028134398750003124

    authors: Ovhed I,Odeberg H,Troein M,Råstam L

    更新日期:1998-09-01 00:00:00

  • Abdominal obesity and insulin resistance in patients with type 2 diabetes in a Swedish community. Skaraborg hypertension and diabetes project.

    abstract:OBJECTIVE:To explore the association between abdominal obesity and insulin resistance in patients with type 2 diabetes. DESIGN:A cross-sectional observational study. SETTING:Primary care in Skara, Sweden. SUBJECTS:A total of 198 men and 186 women with type 2 diabetes who consecutively completed an annual check-up in...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813430601035290

    authors: Bari MR,Ostgren CJ,Råstam L,Lindblad U

    更新日期:2006-12-01 00:00:00

  • Wound management for 287 patients with chronic leg ulcers demands 12 full-time nurses. Leg ulcer epidemiology and care in a well-defined population in southern Sweden.

    abstract:OBJECTIVE:To study the prevalence, aetiology and treatment of chronic leg and foot ulcers, and to estimate the nurse's time in wound management. DESIGN:A structured questionnaire with 19 questions about chronic ulcers and wound management was sent to all district and community nurses in the county during 1 week in Mar...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章,多中心研究

    doi:10.1080/028134300448788

    authors: Oien RF,Håkansson A,Ovhed I,Hansen BU

    更新日期:2000-12-01 00:00:00

  • An algorithm for a selective use of throat swabs in the diagnosis of group A streptococcal pharyngo-tonsillitis in general practice.

    abstract::A prospective evaluation was made of an algorithm for a selective use of throat swabs in patients with sore throat in general practice. The algorithm states that a throat swab should be obtained (a) in all children younger than 15 years; (b) in patients aged 15 years or more who have pain on swallowing and at least th...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813439209014077

    authors: Hoffmann S

    更新日期:1992-12-01 00:00:00

  • Point-of-care ultrasound (POCUS) in Norwegian general practice.

    abstract::Objective: To assess the use of point-of-care ultrasound (POCUS) in Norwegian general practice.Design: Retrospective register study based on general practitioners' (GPs') reimbursement claims.Setting: Norwegian general practice excluding out-of-hours clinics in 2009, 2012 and 2016.Subjects: GPs who scanned patients fo...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813432.2020.1753385

    authors: Myklestul HC,Skonnord T,Brekke M

    更新日期:2020-06-01 00:00:00

  • General practitioners' patterns of antimicrobial drugs prescription in the therapy of acute pharyngitis.

    abstract:OBJECTIVE:To analyse the patterns of antibiotic prescription in the treatment of acute pharyngitis among a group of general practitioners (GPs). DESIGN:From the records of their patients, 11 specialists in general practice have collected post hoc data on their patients and on acute pharyngitis in the period from Octob...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章,多中心研究

    doi:10.1080/02813430050202523

    authors: Katić M,Katić V,Ivanković D,Culig J,Budak A

    更新日期:2000-03-01 00:00:00

  • Dental health behaviour among 25-44-year-old Danes.

    abstract::The purpose of the present investigation was to describe dental health behaviour in an adult Danish population and to study whether oral hygiene habits and consumption of sweets were affected by living conditions. The study group comprised 749 persons in the age group 25-44 years (82% of the original sample) and data ...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813438609013971

    authors: Petersen PE

    更新日期:1986-02-01 00:00:00

  • Sputum colour for diagnosis of a bacterial infection in patients with acute cough.

    abstract:OBJECTIVE:Sputum colour plays an important role in the disease concepts for acute cough, both in the patients' and the doctors' view. However, it is unclear whether the sputum colour can be used for diagnosis of a bacterial infection. DESIGN:Cross-sectional study. SETTING:A total of 42 GP practices in Dusseldorf, Ger...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813430902759663

    authors: Altiner A,Wilm S,Däubener W,Bormann C,Pentzek M,Abholz HH,Scherer M

    更新日期:2009-01-01 00:00:00

  • The use of the brief child abuse potential inventory in the general population in Finland.

    abstract::Objective: The purpose of this research was to analyze psychometric information in the Brief Child Abuse Potential Inventory (BCAP) in a Finnish general population sample. Design: A self-report survey of parents in a primary health care setting and a hospital setting was used to evaluate the use of the BCAP. Setting: ...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813432.2019.1608629

    authors: Ellonen N,Rantanen H,Lepistö S,Helminen M,Paavilainen E

    更新日期:2019-06-01 00:00:00

  • Key questions--a strategy for modifying clinical communication. Transforming tacit skills into a clinical method.

    abstract:BACKGROUND:A clinical communicative method designed to promote the doctor's understanding of women's "undefined" disorders is presented and discussed. The method is composed of key questions, which are problem-oriented speech acts, inviting the patient to share with the doctor her conception of illness. The questions a...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章,评审

    doi:10.3109/02813439409003686

    authors: Malterud K

    更新日期:1994-06-01 00:00:00

  • Vaginal application of lactobacilli in the prophylaxis of recurrent lower urinary tract infection in women.

    abstract:OBJECTIVE:To examine whether vaginal application of Lactobacillus casei v. rhamnosus reduces the reinfection rate in cystitis-prone women. DESIGN:A controlled, randomized, double-blind clinical trial. SETTING:Division for General Practice, University of Bergen, Norway. INTERVENTION:Vaginal application of lactobacill...

    journal_title:Scandinavian journal of primary health care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.3109/02813439409029247

    authors: Baerheim A,Larsen E,Digranes A

    更新日期:1994-12-01 00:00:00

  • From exercise and education to movement and interaction. Treatment groups in primary care for women with chronic muscular pain.

    abstract:OBJECTIVE:To develop a group-based treatment programme in primary health care for women with chronic muscle pain, and adjust programme development according to experiences obtained by the participating women and health personnel. The aim of the programme was to help the women develop a tool for handling their chronic s...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813430152706783

    authors: Steihaug S,Ahlsen B,Malterud K

    更新日期:2001-12-01 00:00:00

  • The intensity and variability of symptoms in dyspepsia.

    abstract::During the waiting time for upper gastrointestinal endoscopy 165 patients with dyspepsia completed a questionnaire and a diary for daily measurements of the symptoms pain, heartburn, and global complaints. 23 patients (14%) had peptic ulcer disease (PUD), 18 oesophagitis (11%), and the rest were labelled nonulcer dysp...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813439308994902

    authors: Johannessen T,Petersen H,Kristensen P,Kleveland PM,Dybdahl J,Sandvik AK,Brenna E,Waldum H

    更新日期:1993-03-01 00:00:00

  • Whiplash injuries from car accidents in a Swedish middle-sized town during 1993-95.

    abstract:OBJECTIVE:To assess the incidence of whiplash associated disorders (WAD) after minor whiplash injuries in car accidents. DESIGN:A cohort defined by means of a health-care-based registration of traffic injuries and followed up by postal questionnaire after 12 months. SETTING:Primary and hospital care in a Swedish midd...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/028134300453359

    authors: Herrström P,Lannerbro-Geijer G,Högstedt B

    更新日期:2000-09-01 00:00:00

  • Insulin resistance in the oral glucose tolerance test--a link with hypertension.

    abstract::Insulin resistance was evaluated in 807 middle-aged subjects at a health survey, with use of an index measured in 75 g oral glucose tolerance tests. The mean value of insulin resistance was higher in a hypertensive group than among the normotensives, independent of body mass index, physical activity, smoking sex, age,...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813439109026582

    authors: Cederholm J,Wibell L

    更新日期:1991-03-01 00:00:00

  • Improving health centre physicians' child-psychiatric networks.

    abstract:OBJECTIVE:To study changes in Finnish GPs' child-psychiatric networks over a one-year period. DESIGN:Postal questionnaire. SETTING:Health centres in the area of Tampere University Hospital with a catchment population of one million. INTERVENTION:A one-off course in the field of child psychiatry was held 56 times in ...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813430510018374

    authors: Heikkinen A,Puura K,Mattila K

    更新日期:2005-03-01 00:00:00

  • Fear of cancer among patients in general practice.

    abstract::The general practitioners dealing with cancer has other parameters than statistics of incidence and prevalence. In 400 consecutive interviews with patients in general practice when asked if the consultation was brought about because of fear or thoughts of cancer, eight % answered "yes" and 11% "partly". When asked if ...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813438409017697

    authors: Nylenna M

    更新日期:1984-02-01 00:00:00

  • The when and how of the gynaecological examination: a survey among Norwegian general practitioners.

    abstract::Introduction: Little is known about the indications general practitioners (GPs) perceive as relevant for performing gynaecological examinations (GEs), how GPs master the GE and associated procedures, and how they handle the sensitive nature of GEs. Methods: In 2015, 70 medical students at the University of Bergen dist...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813432.2019.1619829

    authors: Hjörleifsson S,Bjorvatn B,Meland E,Rørtveit G,Hannestad Y,Bondevik GT

    更新日期:2019-06-01 00:00:00

  • The added value of the registration of home accidents in general practice.

    abstract:OBJECTIVES:To determine the number, the nature and the circumstances of home accidents managed in general practices, and to compare the results with the European Home and Leisure Accidents Surveillance System (EHLASS) data. DESIGN:A prospective population survey of all domestic accidents managed in 138 sentinel genera...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:

    authors: Devroey D,Van Casteren V,Walckiers D

    更新日期:2002-06-01 00:00:00

  • Research and development work in primary health care in Sweden.

    abstract::In this report a review is given on research and development work in primary health care (PHC) in Sweden. PHC has by tradition been very weak in Sweden. As a result of the new Health Care Act of 1983, however, PHC has entered an era of rapid development. A brief historical description of primary health care research a...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813438509013926

    authors: Haglund BJ

    更新日期:1985-05-01 00:00:00

  • Mental impairment and driving licences for elderly people--a survey among Norwegian general practitioners.

    abstract:OBJECTIVE:Study how GPs assess mental function when a health certificate for elderly drivers has to be issued. DESIGN:Postal questionnaire survey. SETTING:Nationwide survey. SUBJECTS:Random sample of 532 Norwegian general practitioners, response rate 54%. MAIN OUTCOME MEASURES:Open and closed questions. RESULTS:Va...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813439608997089

    authors: Braekhus A,Engedal K

    更新日期:1996-12-01 00:00:00

  • Health for all through research on primary care.

    abstract::This paper first explores what Health for All (HFA) means as a policy goal. It calls for major changes in health care. In the European Region of WHO, 38 targets show how approaches to health problems, lifestyles, environment, health care and support measures (e.g., planning, management and training) should be changed ...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813439209014026

    authors: Vuori H

    更新日期:1992-03-01 00:00:00