BACKGROUND/AIMS: Our purpose was to analyze consultations with primary- and secondary-care physicians by demented people and identify factors that hamper or facilitate consultation. METHODS: In total, 498 demented subjects were evaluated within the Three-City Study, a population-based cohort of individuals aged >or=65 years.Primary- and secondary-care consultations (consultation with a specialist and/or treatment with anti-dementia drugs) were assessed by a neurologist or geriatrician. RESULTS: Thirty-five percent of the demented subjects did not seek advice for their cognitive problems and only 31% consulted a specialist. Consultation for primary care was principally dependent on the subjects' own awareness of the cognitive disorder and on their age. Factors associated with consultation for secondary care were younger age, higher education level, higher instrumental activities of daily living disability and awareness of the cognitive disorder by the subject, all of which predicted more frequent consultation. The level of cognitive performance had only a slight influence on primary care and none on secondary care. CONCLUSION: The failure to see a physician due to dementia, especially secondary-care practitioners, is frequent in the community, particularly in the oldest subjects. Copyright 2008 S. Karger AG, Basel.
BACKGROUND/AIMS: Our purpose was to analyze consultations with primary- and secondary-care physicians by demented people and identify factors that hamper or facilitate consultation. METHODS: In total, 498 demented subjects were evaluated within the Three-City Study, a population-based cohort of individuals aged >or=65 years.Primary- and secondary-care consultations (consultation with a specialist and/or treatment with anti-dementia drugs) were assessed by a neurologist or geriatrician. RESULTS: Thirty-five percent of the demented subjects did not seek advice for their cognitive problems and only 31% consulted a specialist. Consultation for primary care was principally dependent on the subjects' own awareness of the cognitive disorder and on their age. Factors associated with consultation for secondary care were younger age, higher education level, higher instrumental activities of daily living disability and awareness of the cognitive disorder by the subject, all of which predicted more frequent consultation. The level of cognitive performance had only a slight influence on primary care and none on secondary care. CONCLUSION: The failure to see a physician due to dementia, especially secondary-care practitioners, is frequent in the community, particularly in the oldest subjects. Copyright 2008 S. Karger AG, Basel.
Authors: Christian Rothermundt; Galina F Fischer; Sebastian Bauer; Jean-Yves Blay; Viktor Grünwald; Antoine Italiano; Bernd Kasper; Attila Kollár; Lars H Lindner; Aisha Miah; Stefan Sleijfer; Silvia Stacchiotti; Paul Martin Putora Journal: Oncologist Date: 2017-11-30
Authors: Hendrik van den Bussche; Birgitt Wiese; Daniela Koller; Marion Eisele; Hanna Kaduszkiewicz; Wolfgang Maier; Gerd Glaeske; Susanne Steinmann; Karl Wegscheider; Gerhard Schön Journal: BMC Health Serv Res Date: 2011-06-16 Impact factor: 2.655
Authors: K S Frederiksen; C Cooper; G B Frisoni; L Frölich; J Georges; M G Kramberger; C Nilsson; P Passmore; L Mantoan Ritter; D Religa; R Schmidt; E Stefanova; A Verdelho; M Vandenbulcke; B Winblad; G Waldemar Journal: Eur J Neurol Date: 2020-07-26 Impact factor: 6.089