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Other version: http://rms.medhyg.ch/numero-342-page-1130.htm
Diagnostiquer et annoncer une démence : quels risques, quels bénéfices ?
|Published in||Revue médicale suisse. 2012, vol. 8, no. 342, p. 1130-4|
|Abstract||While dementias represent an important problem of social health, they remained underdiagnosed. Data from the literature suggests that only 30% of cognitive impairment are detected and correctly evaluated, while most of the patient (up to 90%) and caregivers (up to 70-80%) ask for a precise diagnosis. Proper evaluation increase diagnostic accuracy from 30% to 80% but 20% of diagnoses remains inexact. Diagnostic disclosure seems to have a positive impact on patient's affective symptoms but is associated to an increase of suicide during the following 3 months, and thus must be a progressive and controlled process. Accompanying a patient in this process necessitates complexes competencies from the primary care physician. Difficulties related to this disclosure are counterbalanced by benefits for both patient and families.|
|Keywords||Attitude of Health Personnel — Dementia/diagnosis/etiology/psychology/therapy — Diagnosis, Differential — Disclosure — Expert Testimony — Health Knowledge, Attitudes, Practice — Humans — Neurologic Examination/standards — Patient Education as Topic/standards — Risk Assessment|
|Research group||Neuropsychologie et neurologie comportementale (951)|
|HOLZER, Franz Josef et al. Diagnostiquer et annoncer une démence : quels risques, quels bénéfices ?. In: Revue médicale suisse, 2012, vol. 8, n° 342, p. 1130-4. https://archive-ouverte.unige.ch/unige:43428|