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[Early recognition or screening of dementia in general practice].
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift) |
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ID |
4634695 |
Author(s) |
Bally, Klaus; Giezendanner, Stéphanie; Monsch, Andreas U |
Author(s) at UniBasel |
Monsch, Andreas U.
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Year |
2021 |
Title |
[Early recognition or screening of dementia in general practice]. |
Journal |
Therapeutische Umschau. Revue therapeutique |
Volume |
78 |
Number |
2 |
Pages / Article-Number |
73-81 |
Mesh terms |
Aged; Aged, 80 and over; Dementia, diagnosis; General Practice; General Practitioners; Humans; Mass Screening; Referral and Consultation |
Abstract |
Early recognition or screening of dementia in general practice; Abstract.; General practitioners play a key role in timely dementia diagnosis. In view that there are currently no drugs to prevent the progression of dementia or are effective in patients with mild cognitive impairment, a general screening of older people to recognize pre-symptomatic stages of dementia is not recommended. Crucial for a timely diagnosis is the GP's perception of warning signs, so-called "red flags". If the patients, family members, authorities or even the GP notice even discreet signs of a possible early dementia, a neuropsychological and medical evaluation should be initiated. Personal history, history by informant, a physical examination, supplemented by a GP's psychiatric evaluation and ideally the careful assessment with the MoCA form the basis of a preliminary clarification in general practice. If dementia is suspected, this clarification should be supplemented by an in-depth laboratory examination and, if applicable, neuroimaging before the patient is referred, depending on the findings, to a memory clinic or a consultant specialist to confirm the diagnosis and if appropriate initiate pharmacological and non-pharmacological therapies. |
ISSN/ISBN |
0040-5930 |
Full Text on edoc |
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Digital Object Identifier DOI |
10.1024/0040-5930/a001241 |
PubMed ID |
http://www.ncbi.nlm.nih.gov/pubmed/33615869 |
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