TY  - JOUR
A1  - Booker, Anke
A1  - Jacob, Louis E. C.
A1  - Rapp, Michael Armin
A1  - Bohlken, Jens
A1  - Kostev, Karel
T1  - Risk factors for dementia diagnosis in German primary care practices
JF  - International psychogeriatrics
N2  - Background: Dementia is a psychiatric condition the development of which is associated with numerous aspects of life. Our aim was to estimate dementia risk factors in German primary care patients.
 Methods: The case-control study included primary care patients (70-90 years) with first diagnosis of dementia (all-cause) during the index period (01/2010-12/2014) (Disease Analyzer, Germany), and controls without dementia matched (1:1) to cases on the basis of age, sex, type of health insurance, and physician. Practice visit records were used to verify that there had been 10 years of continuous follow-up prior to the index date. Multivariate logistic regression models were fitted with dementia as a dependent variable and the potential predictors.
 Conclusions: Risk factors for dementia found in this study are consistent with the literature. Nevertheless, the associations between statin, PPI and antihypertensive drug use, and decreased risk of dementia need further investigations.
KW  - dementia
KW  - Alzheimer
KW  - risk factors
KW  - statins
Y1  - 2016
U6  - https://doi.org/10.1017/S1041610215002082
SN  - 1041-6102
SN  - 1741-203X
VL  - 28
SP  - 1059
EP  - 1065
PB  - Cambridge Univ. Press
CY  - New York
ER  - 
TY  - JOUR
A1  - Meiberth, Dix Urs
A1  - Rapp, Michael Armin
A1  - Jessen, Frank
T1  - Gedächtnisambulanzstrukturen in Deutschland – Ergebnisse einer Klinikbefragung
JF  - Psychiatrische Praxis
N2  - Ziel der Studie Erfassung der Strukturen zur Frühdiagnostik von Demenzen an Krankenhäusern in Deutschland.

Methodik Fragebogenerhebung.
Ergebnisse 14 % von 1758 kontaktierten Einrichtungen antworteten. 52 % berichteten über ein entsprechendes Angebot, zum großen Teil mit leitlinienorientierten Verfahren, wie Liquordiagnostik. Das Diagnosespektrum umfasste zu 46 % Demenzen und zu 41 % Diagnosen der leichten oder subjektiven kognitiven Störung.

Schlussfolgerung Leitlinienbasierte Diagnostik und Früherkennungskonzepte sind in Gedächtnisambulanzen weitgehend etabliert.
N2  - Objective To assess the structures for early and differential diagnosis of dementia in hospitals in Germany.

Methods Written questionnaire to all German hospitals.

Results 14 % of 1.758 hospitals responded. Of those, 52 % reported to offer a special service for early dementia diagnosis, mostly on an outpatient basis. The applied methods were in agreement with the national guideline for diagnosis and treatment of dementias, including technical diagnostics, such as neuroimaging and cerebrospinal fluid examinations. 46 % of the diagnostic spectrum were dementia. 41 % were either diagnosed as mild cognitive impairment (MCI) or as subjective cognitive decline (SCD).

Conclusion Despite mostly insufficient reimbursement, a large proportion of the responding hospitals offer a specialized service, which largely adheres to guideline-based diagnostic procedures. The concepts of at-risk and prodromal stages of dementia seem to be largely established.
T2  - Memory Clinics in Germany - Results of a Hospital Survey
KW  - dementia
KW  - Alzheimer
KW  - memory clinic
KW  - early diagnosis
KW  - Demenz
KW  - Alzheimer
KW  - Gedächtnisambulanz
KW  - Frühdiagnose
Y1  - 2019
U6  - https://doi.org/10.1055/a-0825-9049
SN  - 0303-4259
SN  - 1439-0876
VL  - 46
IS  - 4
SP  - 213
EP  - 216
PB  - Thieme
CY  - Stuttgart
ER  -