Article (Scientific journals)
The need for a consensus in the use of assessment tools for Alzheimer's disease: The Feasibility Study (assessment tools for dementia in Alzheimer Centres across Europe), a European Alzheimer's Disease Consortium's (EADC) survey
Diaz, S. P. R.; Gregorio, P. G.; Casado, J. M. R. et al.
2005In International Journal of Geriatric Psychiatry, 20 (8), p. 744-748
Peer Reviewed verified by ORBi
 

Files


Full Text
Diaz_AD_IJGP05.pdf
Publisher postprint (65.94 kB)
Request a copy

All documents in ORBi are protected by a user license.

Send to



Details



Keywords :
dementia; Alzheimer's disease; vascular dementia; mild cognitive impairment; assessment tools; neuropsychological assessment; EADC
Abstract :
[en] Aims To ensure that all Alzheimer centres across Europe are capable of using a similar method of data collection. Information about the patient assessment tools used by each participating centre was obtained and normal clinical practice in each EADC centre was documented by collecting data from routine new patient consultation. Methods Twenty new consecutive patients with objective memory impairment were recruited in each Alzheimer centre over 6 months. Each patient consultation was carried out according to routine clinical practice. Patient data were recorded using the anonymous patient protocol (demographic, diagnosis, MMSE score, patient assessment scales, and most prominent behavioural problem). Information about neuropsychological assessment tools used in each centre was take to account to harmonise research practice for future multicentre collaboration. Results Seven hundred and four patients from 36 memory clinics in 13 countries across Europe participated in the study. [M:F ratio 0.67. Mean age 75.4 SD 9.3 (51-102) Mean MMSE 21 SD 6 (0-30)] Five hundred and fifty-five patients had a clinical diagnosis of dementia [Alzheimer's disease (68.5%), vascular dementia (10.3%), frontal lobe dementia (5.6%), Lewy body dementia (4.1%), mixed dementia (5.6%)]. Duration of symptoms: 0-6 months 6.5%; 6-12 months 16.1%; 1-2 years 30.5%; 2-5 years 46.9%. Assessment scales used: Clinical Dementia Rating (CDR) 48.9%, Reisberg's Global Deterioration Scale (GDS) 38.6%, ADL/IADL (Lawton and Brody, 1969) 37.5%, Neuropsychological Inventory (NPI) 28.6%, Geriatric Depression Scale 22%, ADL (Katz et al., 1963) 19.2%, ADAS-Cog 14.9%, Cornell Scale for Depression 12.9%, Grober and Bushke Selective Reminding Test 11.5%, ADCS/ADL 7.7%. 64.8% of the patients experienced behavioural symptoms: apathy 13.6%; anxiety 12.8%; dysphoria 9.9%; irritability 7.8%; agitation 5.5%; hallucinations 3.6%; delusions 3.6%, sleep disorder 2.4%; desinhibition 2%. Conclusions The most common type of cognitive decline was Alzheimer's disease followed by mild cognitive impairment and vascular dementia. CDR, GDS Reisberg, and ADL/IADL were used widely (40-50%). The NPI, geriatric depression scale and ADL (Katz, 1963) were only used in 20% of the centres. We verified large differences in the tools use in the EADC centres to evaluate patients with dementia across Europe. There is a need for a consensus in the use of assessment tools for dementia in Alzheimer's centres in Europe. Copyright (c) 2005 John Wiley
Disciplines :
Psychiatry
Sociology & social sciences
Geriatrics
Author, co-author :
Diaz, S. P. R.
Gregorio, P. G.
Casado, J. M. R.
Reynish, E.
Ousset, P. J.
Vellas, B.
Salmon, Eric  ;  Université de Liège - ULiège > Département des sciences cliniques > Neuroimagerie des troubles de la mémoire et révalid. cogn.
Language :
English
Title :
The need for a consensus in the use of assessment tools for Alzheimer's disease: The Feasibility Study (assessment tools for dementia in Alzheimer Centres across Europe), a European Alzheimer's Disease Consortium's (EADC) survey
Publication date :
August 2005
Journal title :
International Journal of Geriatric Psychiatry
ISSN :
0885-6230
eISSN :
1099-1166
Publisher :
John Wiley & Sons Ltd, Chichester, United Kingdom
Volume :
20
Issue :
8
Pages :
744-748
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 12 June 2010

Statistics


Number of views
85 (1 by ULiège)
Number of downloads
0 (0 by ULiège)

Scopus citations®
 
35
Scopus citations®
without self-citations
30
OpenCitations
 
32

Bibliography


Similar publications



Contact ORBi