دورية أكاديمية
أعرض في EDS

Effectiveness of dementia follow-up care by memory clinics or general practitioners: randomised controlled trial.

التفاصيل البيبلوغرافية
العنوان: Effectiveness of dementia follow-up care by memory clinics or general practitioners: randomised controlled trial.
المؤلفون: Meeuwsen EJ; Department of Geriatrics/Alzheimer Centre Nijmegen, Radboud University Nijmegen Medical Centre, PO Box 9101, 6500 HB Nijmegen, Netherlands. e.meeuwsen@ger.umcn.nl, Melis RJ, Van Der Aa GC, Golüke-Willemse GA, De Leest BJ, Van Raak FH, Schölzel-Dorenbos CJ, Verheijen DC, Verhey FR, Visser MC, Wolfs CA, Adang EM, Olde Rikkert MG
المصدر: BMJ (Clinical research ed.) [BMJ] 2012 May 15; Vol. 344, pp. e3086. Date of Electronic Publication: 2012 May 15.
نوع المنشور: Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: British Medical Association Country of Publication: England NLM ID: 8900488 Publication Model: Electronic Cited Medium: Internet ISSN: 1756-1833 (Electronic) Linking ISSN: 09598138 NLM ISO Abbreviation: BMJ Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : British Medical Association
مواضيع طبية MeSH: Ambulatory Care* , General Practice*, Dementia/*therapy, Aged ; Aged, 80 and over ; Cost of Illness ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Netherlands ; Outcome Assessment, Health Care ; Quality of Life
مستخلص: Objective: To examine the effectiveness of post-diagnosis dementia treatment and coordination of care by memory clinics compared with general practitioners.
Design: Multicentre randomised controlled trial.
Setting: Nine memory clinics and 159 general practitioners in the Netherlands.
Participants: 175 patients with a new diagnosis of mild to moderate dementia living in the community and their informal caregivers.
Interventions: Usual care provided by memory clinic or general practitioner.
Main Outcome Measures: Caregiver rated quality of life of the patient measured with the quality of life in Alzheimer's disease instrument and self perceived burden of the informal caregiver measured with the sense of competence questionnaire (intention to treat analysis).
Results: The quality of life of the patients in the memory clinic group was 0.5 (95% confidence interval -0.7 to 1.6) points higher than in the general practitioner group. Caregivers' burden was 2.4 (-5.8 to 1.0) points lower in the memory clinic group than in the general practitioner group.
Conclusion: No evidence was found that memory clinics were more effective than general practitioners with regard to post-diagnosis treatment and coordination care for patients with dementia. Without further evidence on the effectiveness of these modalities, other arguments, such as cost minimisation, patients' preferences, or regional health service planning, can determine which type of dementia care is offered.
Trial Registration: Clinical trials NCT00554047.
التعليقات: Comment in: BMJ. 2012;344:e4286. (PMID: 22734092)
References: Br J Psychiatry. 2008 Apr;192(4):300-5. (PMID: 18378994)
Aging Ment Health. 2011 Jan;15(1):23-33. (PMID: 21271388)
J Health Soc Behav. 1978 Mar;19(1):2-21. (PMID: 649936)
J Am Geriatr Soc. 2010 Mar;58(3):557-63. (PMID: 20210818)
Int J Geriatr Psychiatry. 2010 Sep;25(9):917-22. (PMID: 20803721)
Semin Neurol. 2002 Mar;22(1):63-70. (PMID: 12170394)
Int J Geriatr Psychiatry. 2008 Feb;23(2):119-28. (PMID: 17582827)
Int J Geriatr Psychiatry. 2010 Sep;25(9):908-11. (PMID: 20803719)
J Nutr Health Aging. 2009 Mar;13(3):242-8. (PMID: 19262961)
Int J Geriatr Psychiatry. 2009 Jan;24(1):15-24. (PMID: 18727132)
Br J Psychiatry. 2003 Sep;183:248-54. (PMID: 12948999)
Int J Geriatr Psychiatry. 2010 Sep;25(9):885-6. (PMID: 20803713)
J Neuropsychiatry Clin Neurosci. 2000 Spring;12(2):233-9. (PMID: 11001602)
BMJ. 2009 Feb 09;338:b550. (PMID: 19204043)
J Clin Epidemiol. 2007 Dec;60(12):1234-8. (PMID: 17998077)
J Psychiatr Res. 1975 Nov;12(3):189-98. (PMID: 1202204)
Int J Geriatr Psychiatry. 2010 Sep;25(9):912-6. (PMID: 20803720)
Aging Ment Health. 2011 Jan;15(1):34-9. (PMID: 21271389)
Arch Gen Psychiatry. 2009 Mar;66(3):313-23. (PMID: 19255381)
Br J Gen Pract. 2010 Mar;60(572):193-8. (PMID: 20202364)
Tijdschr Gerontol Geriatr. 1991 Apr;22(2):53-9. (PMID: 2042235)
J R Soc Med. 2009 Nov;102(11):456-7. (PMID: 19875530)
N Engl J Med. 2011 May 5;364(18):1685-7. (PMID: 21542739)
Psychosom Med. 2002 May-Jun;64(3):510-9. (PMID: 12021425)
BMJ. 2010 Jun 03;340:c2466. (PMID: 20522656)
BMJ. 2005 Apr 9;330(7495):843. (PMID: 15817555)
Br J Gen Pract. 2010 May;60(574):373. (PMID: 20423590)
Int J Geriatr Psychiatry. 1999 Aug;14(8):626-32. (PMID: 10489653)
J Psychiatr Ment Health Nurs. 2011 Feb;18(1):81-8. (PMID: 21214688)
BMJ. 1998 Oct 17;317(7165):1075. (PMID: 9774302)
Postgrad Med J. 2006 Mar;82(965):199-206. (PMID: 16517802)
BMJ. 2009 Mar 10;338:b931. (PMID: 19276132)
BMJ. 2006 Dec 9;333(7580):1196. (PMID: 17114212)
Psychol Med. 1972 Feb;2(1):50-5. (PMID: 5012602)
J Neurol. 1999 Feb;246(2):73-8. (PMID: 10195400)
Neurology. 1993 Nov;43(11):2412-4. (PMID: 8232972)
Soc Sci Med. 1996 Jul;43(1):41-9. (PMID: 8816009)
BMJ. 1999 Sep 11;319(7211):670-4. (PMID: 10480822)
Stat Med. 2001 Dec 30;20(24):3931-46. (PMID: 11782044)
سلسلة جزيئية: ClinicalTrials.gov NCT00554047
تواريخ الأحداث: Date Created: 20120517 Date Completed: 20120719 Latest Revision: 20240526
رمز التحديث: 20240526
مُعرف محوري في PubMed: PMC3352696
DOI: 10.1136/bmj.e3086
PMID: 22589500
قاعدة البيانات: MEDLINE
الوصف
تدمد:1756-1833
DOI:10.1136/bmj.e3086