Case‐finding in clinical practice: An appropriate strategy for dementia identification?

Alzheimer's and Dementia: Translational Research and Clinical Interventions - Tập 4 - Trang 288-296 - 2018
Janice M. Ranson, Elżbieta Kuźma1, William Hamilton1, Iain Lang1,2, David J. Llewellyn1
1University of Exeter Medical School, Exeter, UK
2The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (CLAHRC) South West Peninsula, Exeter, UK

Tóm tắt

AbstractEarlier diagnosis of dementia is increasingly being recognized as a public health priority. As screening is not generally recommended, case‐finding in clinical practice is encouraged as an alternative dementia identification strategy. The approaches of screening and case‐finding are often confused, with uncertainty about what case‐finding should involve and under what circumstances it is appropriate. We propose a formal definition of dementia case‐finding with a clear distinction from screening. We critically examine case‐finding policy and practice and propose evidence requirements for implementation in clinical practice. Finally, we present a case‐finding pathway and discuss the available evidence for best practice at each stage, with recommendations for research and practice. In conclusion, dementia case‐finding is a promising strategy but currently not appropriate due to the substantial gaps in the evidence base for several components of this approach.

Tài liệu tham khảo

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Alzheimer's and Dementia: Translational Research and Clinical Interventions

Tập 4

288-296

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