General practitioners' attitude toward early and pre-dementia diagnosis of AD in five European countries-A MOPEAD project survey.

Alzheimer's disease dementia early diagnosis general practitioners mild cognitive impairment primary care

Journal

Alzheimer's & dementia (Amsterdam, Netherlands)
ISSN: 2352-8729
Titre abrégé: Alzheimers Dement (Amst)
Pays: United States
ID NLM: 101654604

Informations de publication

Date de publication:
2021
Historique:
received: 23 09 2020
accepted: 08 10 2020
entrez: 5 3 2021
pubmed: 6 3 2021
medline: 6 3 2021
Statut: epublish

Résumé

General practitioners (GPs) play a key role in early identification of dementia, yet diagnosis is often missed or delayed in primary care. As part of the multinational Models of Patient Engagement for Alzheimer's Disease project, we assess GPs' attitude toward early and pre-dementia diagnosis of AD and explore barriers to early diagnosis. Our survey covered general attitude toward early diagnosis, diagnostic procedures, resources, and opinion on present and future treatment options across five European countries. In total 343 GPs completed the survey; 74% of GPs indicated that an early diagnosis is valuable. There were country-specific differences in GPs' perceptions of reimbursement and time available for the patient. If a drug were available to slow down the progression of AD, 59% of the GPs would change their implementation of early diagnosis. Our findings provide insight into GPs' attitudes by exploring differences in perception and management of early diagnosis.

Identifiants

pubmed: 33665337
doi: 10.1002/dad2.12130
pii: DAD212130
pmc: PMC7901232
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e12130

Informations de copyright

© 2020 The Authors. Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring published by Wiley Periodicals, LLC on behalf of Alzheimer's Association.

Déclaration de conflit d'intérêts

Laura Campo is a full‐time employee of Eli Lilly Italia S.p.A. and shareholder of Eli Lilly. Anders Wimo works as a consultant for Biogen and has received a research grant from MSD outside of this study. The other authors report no conflicts of interest regarding the publication of this article.

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Auteurs

Lena Sannemann (L)

Department of Psychiatry University of Cologne Faculty of Medicine and University Hospital Cologne Cologne Germany.

Theresa Müller (T)

Department of Psychiatry University of Cologne Faculty of Medicine and University Hospital Cologne Cologne Germany.

Lisa Waterink (L)

Department of Neurology Alzheimer Center Amsterdam, Amsterdam Neuroscience Vrije Universiteit Amsterdam Amsterdam UMC Amsterdam the Netherlands.

Marissa Zwan (M)

Department of Neurology Alzheimer Center Amsterdam, Amsterdam Neuroscience Vrije Universiteit Amsterdam Amsterdam UMC Amsterdam the Netherlands.

Anders Wimo (A)

Department of Neurobiology Division of Neurogeriatrics, Care Sciences and Society, Karolinska Institutet Solna Sweden.

Erik Stomrud (E)

Clinical Memory Research Unit Lund University Malmö Sweden.
Emmaboda Health Centre Region Kalmar County Emmaboda Sweden.

Susana Pinó (S)

Research Center and Memory Clinic, Fundació ACE, Institut Català de Neurociències Aplicades Universitat Internacional de Catalunya Barcelona Spain.

Jordi Arrufat (J)

EAP Sarrià-Vallvidrera-Les Planes Barcelona Spain.

Octavio Rodríguez-Gomez (O)

Research Center and Memory Clinic, Fundació ACE, Institut Català de Neurociències Aplicades Universitat Internacional de Catalunya Barcelona Spain.
Networking Research Center on Neurodegenerative Diseases (CIBERNED) Instituto de Salud Carlos III Madrid Spain.

Alba Benaque (A)

Research Center and Memory Clinic, Fundació ACE, Institut Català de Neurociències Aplicades Universitat Internacional de Catalunya Barcelona Spain.

Jaka Bon (J)

Department of Neurology Center for Cognitive Impairments University Medical Center Ljubljana and Medical Faculty University of Ljubljana Ljubljana Slovenia.

Daniel Ferreira (D)

Department of Neurobiology Division of Clinical Geriatrics, Centre for Alzheimer Research, Care Sciences, and Society, Karolinska Institutet Huddinge Stockholm Sweden.

Gunilla Johansson (G)

Department of Neurobiology Division of Neurogeriatrics, Care Sciences and Society, Karolinska Institutet Solna Sweden.

Amanda Dron (A)

Modus Research and Innovation Limited Dundee Technology Park Dundee UK.

Annette Dumas (A)

ASDM Consulting Brussels Belgium.

Jean Georges (J)

Alzheimer Europe Luxembourg Luxembourg.

Milica G Kramberger (MG)

Department of Neurology Center for Cognitive Impairments University Medical Center Ljubljana and Medical Faculty University of Ljubljana Ljubljana Slovenia.

Pieter Jelle Visser (PJ)

Department of Neurology Alzheimer Center Amsterdam, Amsterdam Neuroscience Vrije Universiteit Amsterdam Amsterdam UMC Amsterdam the Netherlands.
Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience Maastricht University Maastricht the Netherlands.

Bengt Winblad (B)

Department of Neurobiology Division of Neurogeriatrics, Care Sciences and Society, Karolinska Institutet Solna Sweden.
Theme Aging Karolinska University Hospital Stockholm Sweden.

Laura Campo (L)

Eli Lilly and Company Firenze Italy.

Mercè Boada (M)

Research Center and Memory Clinic, Fundació ACE, Institut Català de Neurociències Aplicades Universitat Internacional de Catalunya Barcelona Spain.
Networking Research Center on Neurodegenerative Diseases (CIBERNED) Instituto de Salud Carlos III Madrid Spain.

Frank Jessen (F)

Department of Psychiatry University of Cologne Faculty of Medicine and University Hospital Cologne Cologne Germany.
German Center for Neurodegenerative Diseases (DZNE) Bonn Germany.
Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD) University of Cologne Köln Germany.

Classifications MeSH