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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 PersonnelDementia/diagnosis/etiology/psychology/therapyDiagnosis, DifferentialDisclosureExpert TestimonyHealth Knowledge, Attitudes, PracticeHumansNeurologic Examination/standardsPatient Education as Topic/standardsRisk Assessment
PMID: 22734183
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Other version: http://rms.medhyg.ch/numero-342-page-1130.htm
Research group Neuropsychologie et neurologie comportementale (951)
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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

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Deposited on : 2014-12-15

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