TY - JOUR
T1 - Toward a Sequential Strategy for Diagnosing Neurocognitive Disorders
T2 - A Consensus from the "Act On Dementia" European Joint Action
AU - Krolak-Salmon, Pierre
AU - Maillet, Audrey
AU - Vanacore, Nicola
AU - Selbaek, Geir
AU - Rejdak, Konrad
AU - Traykov, Latchezar
AU - Politis, Antonios
AU - Georges, Jean
AU - Borson, Soo
AU - Leperre-Desplanques, Armelle
PY - 2019
Y1 - 2019
N2 - Neurocognitive disorders causing progressive cognitive, functional, and behavioral impairment remain underdiagnosed. The needs for a timely diagnosis are now widely acknowledged since person-centered care helps to preserve life quality and prevent crises. One powerful barrier to detection in primary care is the lack of an easy-to-follow stepwise approach, grounded in evidence and consistent with high-quality specialty practice. To help fill this gap, the current European Joint Action proposes a graduated diagnosis strategy tailored to the patients' needs and wills, clarifying appropriate components for primary and specialty care. This strategy considers a first evaluation in primary care that may detect a neurocognitive disorder, that would lead to a second evaluation step allowing etiological diagnosis hypotheses performed mostly by the specialist. A third evaluation stage considering some biological, electrophysiological, or neuroimaging complementary techniques would be proposed to atypical cases or patients willing to consider access to research.
AB - Neurocognitive disorders causing progressive cognitive, functional, and behavioral impairment remain underdiagnosed. The needs for a timely diagnosis are now widely acknowledged since person-centered care helps to preserve life quality and prevent crises. One powerful barrier to detection in primary care is the lack of an easy-to-follow stepwise approach, grounded in evidence and consistent with high-quality specialty practice. To help fill this gap, the current European Joint Action proposes a graduated diagnosis strategy tailored to the patients' needs and wills, clarifying appropriate components for primary and specialty care. This strategy considers a first evaluation in primary care that may detect a neurocognitive disorder, that would lead to a second evaluation step allowing etiological diagnosis hypotheses performed mostly by the specialist. A third evaluation stage considering some biological, electrophysiological, or neuroimaging complementary techniques would be proposed to atypical cases or patients willing to consider access to research.
KW - Alzheimer’s disease
KW - detection
KW - diagnosis
KW - general practitioner
KW - memory
KW - neurocognitive disorder
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UR - http://www.scopus.com/inward/citedby.url?scp=85075812728&partnerID=8YFLogxK
U2 - 10.3233/JAD-190461
DO - 10.3233/JAD-190461
M3 - Review article
C2 - 31594224
AN - SCOPUS:85075812728
SN - 1387-2877
VL - 72
SP - 363
EP - 372
JO - Journal of Alzheimer's disease : JAD
JF - Journal of Alzheimer's disease : JAD
IS - 2
ER -