Diagnosing dementia: a comparison between a monodisciplinary and a multidisciplinary approach

F. R. J. Verhey*, J. Jolles, R. W. H. M. Ponds, N. Rozendaal, L. A. Plugge, R. C. W. de Vet, F. W. Vreeling, P. J. M. van der Lugt

*Corresponding author for this work

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Discrepancies were examined in diagnostic outcome between a monodisciplinary approach and multidisciplinary, criteria-based approach in patients referred to a university memory clinic. Of 278 patients not fulfilling dementia criteria, 19 had been previously diagnosed as demented (specificity: 0.93). In 60 of 152 demented patients, dementia had not been diagnosed before (sensitivity: 0.61). Underreporting was frequent for mildly demented patients and for patients with coexisting depressive symptoms. In patients referred by psychiatrists, sensitivity rates for dementia and Alzheimer's disease were low; in patients referred by neurologists, depression often went unreported. Results underscore the need for more frequent use of integrated multidisciplinary services for cognitively disturbed patients.
Original languageEnglish
Pages (from-to)78-85
JournalJournal of Neuropsychiatry and Clinical Neurosciences
Issue number1
Publication statusPublished - 1993
Externally publishedYes

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