George T Grossberg1, Daniel D Christensen, Patrick A Griffith, Diana R Kerwin, Gail Hunt, Eric J Hall. 1. Department of Psychiatry, St Louis University School of Medicine, Missouri ; Departments of Psychiatry, Neurology, and Pharmacology, Neuropsychiatric Institute, University of Utah School of Medicine, Salt Lake City ; Department of Internal Medicine, Meharry Medical College, Nashville, Tennessee ; Division of Geriatrics and Gerontology, Medical College of Wisconsin, Milwaukee ; National Alliance for Caregiving, Bethesda, Maryland ; and Alzheimer's Foundation of America, New York, NY.
Abstract
OBJECTIVE: To develop a set of recommendations for primary care physicians (PCPs) suggesting how best to communicate with patients, caregivers, and other family members regarding the diagnosis and management of Alzheimer's disease (AD). PARTICIPANTS: A national roundtable of 6 leading professionals involved in treating or advocating for patients with AD was convened on March 14, 2008. This roundtable included 4 leading academic physicians with diverse backgrounds (a geriatric psychiatrist, a neuropsychiatrist, a neurologist, and a geriatrician) from geographically diverse regions of the United States, who were invited on the basis of their national reputation in the field and experience working with minority populations with dementia; the executive director of a national AD advocacy organization; the executive director of a national advocacy organization for caregivers; and a medical correspondent with expertise in interviewing and small group leadership. EVIDENCE: Expert opinion supported by academic literature (search limited to PubMed, English language, 1996-2008, search terms: Alzheimer's disease, primary care, diagnosis, management, caregiver, family, patient-physician relationship). CONSENSUS PROCESS: Moderated dialogue aimed at generating consensus opinion; only statements endorsed by all authors were included in the final article. CONCLUSIONS: Diagnosis and management of AD by PCPs, utilizing specialist consultation as needed, may contribute to earlier diagnosis and treatment, improved doctor-patient and doctor-caregiver communication, increased attention to caregiver needs, and better clinical and quality-of-life outcomes for patients and caregivers. A set of expert panel recommendations describing practical strategies for achieving these goals was successfully developed.
OBJECTIVE: To develop a set of recommendations for primary care physicians (PCPs) suggesting how best to communicate with patients, caregivers, and other family members regarding the diagnosis and management of Alzheimer's disease (AD). PARTICIPANTS: A national roundtable of 6 leading professionals involved in treating or advocating for patients with AD was convened on March 14, 2008. This roundtable included 4 leading academic physicians with diverse backgrounds (a geriatric psychiatrist, a neuropsychiatrist, a neurologist, and a geriatrician) from geographically diverse regions of the United States, who were invited on the basis of their national reputation in the field and experience working with minority populations with dementia; the executive director of a national AD advocacy organization; the executive director of a national advocacy organization for caregivers; and a medical correspondent with expertise in interviewing and small group leadership. EVIDENCE: Expert opinion supported by academic literature (search limited to PubMed, English language, 1996-2008, search terms: Alzheimer's disease, primary care, diagnosis, management, caregiver, family, patient-physician relationship). CONSENSUS PROCESS: Moderated dialogue aimed at generating consensus opinion; only statements endorsed by all authors were included in the final article. CONCLUSIONS: Diagnosis and management of AD by PCPs, utilizing specialist consultation as needed, may contribute to earlier diagnosis and treatment, improved doctor-patient and doctor-caregiver communication, increased attention to caregiver needs, and better clinical and quality-of-life outcomes for patients and caregivers. A set of expert panel recommendations describing practical strategies for achieving these goals was successfully developed.
Authors: Howard Feldman; Serge Gauthier; Jane Hecker; Bruno Vellas; Birol Emir; Vera Mastey; Ponni Subbiah Journal: J Am Geriatr Soc Date: 2003-06 Impact factor: 5.562
Authors: Yves Rolland; Fabien Pillard; Adrian Klapouszczak; Emma Reynish; David Thomas; Sandrine Andrieu; Daniel Rivière; Bruno Vellas Journal: J Am Geriatr Soc Date: 2007-02 Impact factor: 5.562
Authors: Kenneth E Covinsky; Robert Newcomer; Patrick Fox; Joan Wood; Laura Sands; Kyle Dane; Kristine Yaffe Journal: J Gen Intern Med Date: 2003-12 Impact factor: 5.128
Authors: Jan Lecouturier; Claire Bamford; Julian C Hughes; Jillian J Francis; Robbie Foy; Marie Johnston; Martin P Eccles Journal: BMC Health Serv Res Date: 2008-05-01 Impact factor: 2.655
Authors: Michael M Witte; Norman L Foster; Adam S Fleisher; Monique M Williams; Kimberly Quaid; Michael Wasserman; Gail Hunt; J Scott Roberts; Gil D Rabinovici; James L Levenson; Ann Marie Hake; Craig A Hunter; Luann E Van Campen; Michael J Pontecorvo; Helen M Hochstetler; Linda B Tabas; Paula T Trzepacz Journal: Alzheimers Dement (Amst) Date: 2015-07-26
Authors: Mahmood Rasool; Arif Malik; Sulayman Waquar; Qura Tul-Ain; Tassadaq H Jafar; Rabia Rasool; Aasia Kalsoom; Muhammad A Ghafoor; Sheikh A Sehgal; Kalamegam Gauthaman; Muhammad I Naseer; Mohammed H Al-Qahtani; Peter N Pushparaj Journal: Front Pharmacol Date: 2018-08-02 Impact factor: 5.810