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Effectiveness of dementia follow-up care by memory clinics or general practitioners: randomised controlled trial

Objective To examine the effectiveness of post-diagnosis dementia treatment and coordination of care by memory clinics compared with general practitioners. Design Multicentre randomised controlled trial. Setting Nine memory clinics and 159 general practitioners in the Netherlands. Participants 175 p...

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Autores principales: Meeuwsen, Els J, Melis, René J F, Van Der Aa, Geert C H M, Golüke-Willemse, Gertie A M, De Leest, Benoit J M, Van Raak, Frank H J M, Schölzel-Dorenbos, Carla J M, Verheijen, Desiree C M, Verhey, Frans R J, Visser, Marieke C, Wolfs, Claire A, Adang, Eddy M M, Olde Rikkert, Marcel G M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group Ltd. 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3352696/
https://www.ncbi.nlm.nih.gov/pubmed/22589500
http://dx.doi.org/10.1136/bmj.e3086
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author Meeuwsen, Els J
Melis, René J F
Van Der Aa, Geert C H M
Golüke-Willemse, Gertie A M
De Leest, Benoit J M
Van Raak, Frank H J M
Schölzel-Dorenbos, Carla J M
Verheijen, Desiree C M
Verhey, Frans R J
Visser, Marieke C
Wolfs, Claire A
Adang, Eddy M M
Olde Rikkert, Marcel G M
author_facet Meeuwsen, Els J
Melis, René J F
Van Der Aa, Geert C H M
Golüke-Willemse, Gertie A M
De Leest, Benoit J M
Van Raak, Frank H J M
Schölzel-Dorenbos, Carla J M
Verheijen, Desiree C M
Verhey, Frans R J
Visser, Marieke C
Wolfs, Claire A
Adang, Eddy M M
Olde Rikkert, Marcel G M
author_sort Meeuwsen, Els J
collection PubMed
description Objective To examine the effectiveness of post-diagnosis dementia treatment and coordination of care by memory clinics compared with general practitioners. Design Multicentre randomised controlled trial. Setting Nine memory clinics and 159 general practitioners in the Netherlands. Participants 175 patients with a new diagnosis of mild to moderate dementia living in the community and their informal caregivers. Interventions Usual care provided by memory clinic or general practitioner. Main outcome measures Caregiver rated quality of life of the patient measured with the quality of life in Alzheimer’s disease instrument and self perceived burden of the informal caregiver measured with the sense of competence questionnaire (intention to treat analysis). Results The quality of life of the patients in the memory clinic group was 0.5 (95% confidence interval −0.7 to 1.6) points higher than in the general practitioner group. Caregivers’ burden was 2.4 (−5.8 to 1.0) points lower in the memory clinic group than in the general practitioner group. Conclusion No evidence was found that memory clinics were more effective than general practitioners with regard to post-diagnosis treatment and coordination care for patients with dementia. Without further evidence on the effectiveness of these modalities, other arguments, such as cost minimisation, patients’ preferences, or regional health service planning, can determine which type of dementia care is offered. Trial registration Clinical trials NCT00554047.
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spelling pubmed-33526962012-05-16 Effectiveness of dementia follow-up care by memory clinics or general practitioners: randomised controlled trial Meeuwsen, Els J Melis, René J F Van Der Aa, Geert C H M Golüke-Willemse, Gertie A M De Leest, Benoit J M Van Raak, Frank H J M Schölzel-Dorenbos, Carla J M Verheijen, Desiree C M Verhey, Frans R J Visser, Marieke C Wolfs, Claire A Adang, Eddy M M Olde Rikkert, Marcel G M BMJ Research Objective To examine the effectiveness of post-diagnosis dementia treatment and coordination of care by memory clinics compared with general practitioners. Design Multicentre randomised controlled trial. Setting Nine memory clinics and 159 general practitioners in the Netherlands. Participants 175 patients with a new diagnosis of mild to moderate dementia living in the community and their informal caregivers. Interventions Usual care provided by memory clinic or general practitioner. Main outcome measures Caregiver rated quality of life of the patient measured with the quality of life in Alzheimer’s disease instrument and self perceived burden of the informal caregiver measured with the sense of competence questionnaire (intention to treat analysis). Results The quality of life of the patients in the memory clinic group was 0.5 (95% confidence interval −0.7 to 1.6) points higher than in the general practitioner group. Caregivers’ burden was 2.4 (−5.8 to 1.0) points lower in the memory clinic group than in the general practitioner group. Conclusion No evidence was found that memory clinics were more effective than general practitioners with regard to post-diagnosis treatment and coordination care for patients with dementia. Without further evidence on the effectiveness of these modalities, other arguments, such as cost minimisation, patients’ preferences, or regional health service planning, can determine which type of dementia care is offered. Trial registration Clinical trials NCT00554047. BMJ Publishing Group Ltd. 2012-05-15 /pmc/articles/PMC3352696/ /pubmed/22589500 http://dx.doi.org/10.1136/bmj.e3086 Text en © Meeuwsen et al 2012 This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/ and http://creativecommons.org/licenses/by-nc/2.0/legalcode.
spellingShingle Research
Meeuwsen, Els J
Melis, René J F
Van Der Aa, Geert C H M
Golüke-Willemse, Gertie A M
De Leest, Benoit J M
Van Raak, Frank H J M
Schölzel-Dorenbos, Carla J M
Verheijen, Desiree C M
Verhey, Frans R J
Visser, Marieke C
Wolfs, Claire A
Adang, Eddy M M
Olde Rikkert, Marcel G M
Effectiveness of dementia follow-up care by memory clinics or general practitioners: randomised controlled trial
title Effectiveness of dementia follow-up care by memory clinics or general practitioners: randomised controlled trial
title_full Effectiveness of dementia follow-up care by memory clinics or general practitioners: randomised controlled trial
title_fullStr Effectiveness of dementia follow-up care by memory clinics or general practitioners: randomised controlled trial
title_full_unstemmed Effectiveness of dementia follow-up care by memory clinics or general practitioners: randomised controlled trial
title_short Effectiveness of dementia follow-up care by memory clinics or general practitioners: randomised controlled trial
title_sort effectiveness of dementia follow-up care by memory clinics or general practitioners: randomised controlled trial
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3352696/
https://www.ncbi.nlm.nih.gov/pubmed/22589500
http://dx.doi.org/10.1136/bmj.e3086
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