Early diagnosis of dementia in primary care: a representative eight-year follow-up study in Lower Saxony, Germany

2006 ◽  
Vol 22 (1) ◽  
pp. 23-31 ◽  
Author(s):  
Lienhard Maeck ◽  
Sebastian Haak ◽  
Anita Knoblauch ◽  
Gabriela Stoppe
Keyword(s):  
Primary Care ◽  
Early Diagnosis ◽  
Lower Saxony ◽  
Follow Up Study ◽  
Diagnosis Of Dementia

scholarly journals Dementia Diagnostics in Primary Care: A Representative 8-Year Follow-Up Study in Lower Saxony, Germany

2007 ◽  
Vol 25 (2) ◽  
pp. 127-134 ◽  
Author(s):  
Lienhard Maeck ◽  
Sebastian Haak ◽  
Anita Knoblauch ◽  
Gabriela Stoppe
Keyword(s):  
Primary Care ◽  
Lower Saxony ◽  
Follow Up Study ◽  
Dementia Diagnostics

Diagnosis of dementia in primary care: results of a representative survey in Lower Saxony, Germany

1994 ◽  
Vol 244 (5) ◽  
pp. 278-283 ◽  
Author(s):  
Gabriela Stoppe ◽  
Hagen Sandholzer ◽  
Jürgen Staedt ◽  
Silke Winter ◽  
Jörg Kiefer ◽  
...  
Keyword(s):  
Primary Care ◽  
Representative Survey ◽  
Lower Saxony ◽  
Diagnosis Of Dementia

A five year follow-up study of dementia in persons with Down's syndrome: early symptoms and patterns of deterioration

2000 ◽  
Vol 17 (1) ◽  
pp. 5-11 ◽  
Author(s):  
Mary P Cosgrave ◽  
Janette Tyrrell ◽  
Mary McCarron ◽  
Michael Gill ◽  
Brian A Lawlor
Keyword(s):  
Clinical Features ◽  
Rating Scales ◽  
Age At Onset ◽  
Down's Syndrome ◽  
Memory Loss ◽  
Down’S Syndrome ◽  
Personal Hygiene ◽  
Follow Up Study ◽  
Diagnosis Of Dementia

AbstractObjectives: To investigate the development of dementia over a five year follow up period in a population of females with Down's syndrome; to examine age at onset and duration of dementia in the population; to document the clinical features of dementia and to highlight scores on functional and cognitive rating scales at diagnosis of dementia and at the onset of complete dependency.Method: A five year follow-up study of 80 female subjects on prevalence of dementia, early clinical features of dementia and patterns of scoring on rating scales at diagnosis and end-stage dementia was completed. Results: Over the five year study period the number of subjects diagnosed with dementia rose from seven (8.75%) to 35 (43.75%). Age related prevalence figures showed that dementia was more common with increasing age. The earliest recognisable symptoms of dementia were memory loss, spatial disorientation and loss of independence especially in the area of personal hygiene. These findings were confirmed by the rating scales used in the study.Conclusions: The earliest recognisable clinical features of dementia include memory loss and increased dependency. The results of this study should facilitate earlier diagnosis of dementia in DS.

scholarly journals Application and implementation of the GINA asthma guidelines by specialist and primary care physicians: a longitudinal follow-up study on 264 children

2007 ◽  
Vol 16 (6) ◽  
pp. 357-362 ◽  
Author(s):  
Sebastiano Guarnaccia ◽  
Andrea Lombardi ◽  
Alessandro Gaffurini ◽  
Mariateresa Chiarini ◽  
Serena Domenighini ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Follow Up Study

Which is more important for outcome: the physician's or the patient's understanding of a health problem? A 2-year follow-up study in primary care

2010 ◽  
Vol 32 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Lisbeth Frostholm ◽  
Eva Ørnbøl ◽  
Henriette Schou Hansen ◽  
Frede Olesen ◽  
John Weinman ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Problem ◽  
Follow Up Study

scholarly journals Improving the Recording of Diagnoses in Primary Care with Team Incentives: A Controlled Longitudinal Follow-Up Study

2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
Tuomo Lehtovuori ◽  
Timo Kauppila ◽  
Jouko Kallio ◽  
Anna M. Heikkinen ◽  
Marko Raina ◽  
...  
Keyword(s):  
Primary Care ◽  
Interrupted Time Series ◽  
Interrupted Time Series Analysis ◽  
Follow Up Study ◽  
Primary Care Teams ◽  
Before And After ◽  
Quasi Experimental ◽  
Clinically Significant ◽  
Made In

Introduction. We studied whether primary care teams respond to financial group bonuses by improving the recording of diagnoses, whether this intervention leads to diagnoses reflecting the anticipated distribution of diseases, and how the recording of a significant chronic disease, diabetes, alters after the application of these bonuses. Methods. We performed an observational register-based retrospective quasi-experimental follow-up study with before-and-after setting and two control groups in primary healthcare of a Finnish town. We studied the rate of recorded diagnoses in visits to general practitioners with interrupted time series analysis. The distribution of these diagnoses was also recorded. Results. After group bonuses, the rate of recording diagnoses increased by 17.9% (95% CI: 13.6–22.3) but not in either of the controls (−2.0 to −0.3%). The increase in the rate of recorded diagnoses in the care teams varied between 14.9% (4.7–25.2) and 33.7% (26.6–41.3). The distribution of recorded diagnoses resembled the respective distribution of diagnoses in the former studies of diagnoses made in primary care. The rate of recorded diagnoses of diabetes did not increase just after the intervention. Conclusions. In primary care, the completeness of diagnosis recording can be, to varying degrees, influenced by group bonuses without guarantee that recording of clinically significant chronic diseases is improved.

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