TY - JOUR
T1 - Diagnosing dementia: a comparison between a monodisciplinary and a multidisciplinary approach
AU - Verhey, F. R. J.
AU - Jolles, J.
AU - Ponds, R. W. H. M.
AU - Rozendaal, N.
AU - Plugge, L. A.
AU - de Vet, R. C. W.
AU - Vreeling, F. W.
AU - van der Lugt, P. J. M.
PY - 1993
Y1 - 1993
N2 - Discrepancies were examined in diagnostic outcome between a monodisciplinary approach and 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.
AB - Discrepancies were examined in diagnostic outcome between a monodisciplinary approach and 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.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=0027509364&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/8428140
U2 - https://doi.org/10.1176/jnp.5.1.78
DO - https://doi.org/10.1176/jnp.5.1.78
M3 - Article
C2 - 8428140
SN - 0895-0172
VL - 5
SP - 78
EP - 85
JO - Journal of neuropsychiatry and clinical neurosciences
JF - Journal of neuropsychiatry and clinical neurosciences
IS - 1
ER -