| Title: |
Clinical judgement by primary care physicians for the diagnosis of all‐cause dementia or cognitive impairment in symptomatic people |
| Authors: |
Creavin, Sam T.; Noel-Storr, Anna H.; Langdon, Ryan J; Richard, Edo; Creavin, Alexandra L.; Cullum, Sarah; Purdy, Sarah; Ben-Shlomo, Yoav |
| Source: |
Creavin, S T, Noel-Storr, A H, Langdon, R J, Richard, E, Creavin, A L, Cullum, S, Purdy, S & Ben-Shlomo, Y 2022, 'Clinical judgement by primary care physicians for the diagnosis of all‐cause dementia or cognitive impairment in symptomatic people', Cochrane Database of Systematic Reviews, vol. 6, no. 6, CD012558. https://doi.org/10.1002/14651858.CD012558.pub2 |
| Publication Year: |
2022 |
| Collection: |
University of Bristol: Bristol Reserach |
| Description: |
Background In primary care, general practitioners (GPs) unavoidably reach a clinical judgement about a patient as part of their encounter with patients, and so clinical judgement can be an important part of the diagnostic evaluation. Typically clinical decision making about what to do next for a patient incorporates clinical judgement about the diagnosis with severity of symptoms and patient factors, such as their ideas and expectations for treatment. When evaluating patients for dementia, many GPs report using their own judgement to evaluate cognition, using information that is immediately available at the point of care, to decide whether someone has or does not have dementia, rather than more formal tests. Objectives To determine the diagnostic accuracy of GPs’ clinical judgement for diagnosing cognitive impairment and dementia in symptomatic people presenting to primary care. To investigate the heterogeneity of test accuracy in the included studies. Search methods We searched MEDLINE (Ovid SP), Embase (Ovid SP), PsycINFO (Ovid SP), Web of Science Core Collection (ISI Web of Science), and LILACs (BIREME) on 16 September 2021. Selection criteria We selected cross‐sectional and cohort studies from primary care where clinical judgement was determined by a GP either prospectively (after consulting with a patient who has presented to a specific encounter with the doctor) or retrospectively (based on knowledge of the patient and review of the medical notes, but not relating to a specific encounter with the patient). The target conditions were dementia and cognitive impairment (mild cognitive impairment and dementia) and we included studies with any appropriate reference standard such as the Diagnostic and Statistical Manual of Mental Disorders (DSM), International Classification of Diseases (ICD), aetiological definitions, or expert clinical diagnosis. Data collection and analysis Two review authors screened titles and abstracts for relevant articles and extracted data separately with differences resolved by ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/pmid/35709018; info:eu-repo/semantics/altIdentifier/hdl/https://hdl.handle.net/1983/0fd442f4-79c0-4efd-953b-e69b9ca419c6 |
| DOI: |
10.1002/14651858.CD012558.pub2 |
| Availability: |
https://hdl.handle.net/1983/0fd442f4-79c0-4efd-953b-e69b9ca419c6; https://research-information.bris.ac.uk/en/publications/0fd442f4-79c0-4efd-953b-e69b9ca419c6; https://doi.org/10.1002/14651858.CD012558.pub2; https://research-information.bris.ac.uk/ws/files/330053647/Creavin_et_al_2022_Cochrane_Database_of_Systematic_Reviews.pdf |
| Rights: |
info:eu-repo/semantics/openAccess |
| Accession Number: |
edsbas.48983C8E |
| Database: |
BASE |