en
Scientific article
French

Diagnostiquer et annoncer une démence : quels risques, quels bénéfices ?

Published inRevue médicale suisse, vol. 8, no. 342, p. 1130-1134
Publication date2012
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
Citation (ISO format)
HOLZER, Franz Josef et al. Diagnostiquer et annoncer une démence : quels risques, quels bénéfices ? In: Revue médicale suisse, 2012, vol. 8, n° 342, p. 1130–1134.
Main files (1)
Article (Published version)
accessLevelRestricted
Identifiers
ISSN of the journal1660-9379
471views
2downloads

Technical informations

Creation12/05/2014 2:05:00 PM
First validation12/05/2014 2:05:00 PM
Update time03/14/2023 10:27:12 PM
Status update03/14/2023 10:27:12 PM
Last indexation01/16/2024 3:12:37 PM
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack