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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...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group Ltd.
2012
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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. |
format | Online Article Text |
id | pubmed-3352696 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BMJ Publishing Group Ltd. |
record_format | MEDLINE/PubMed |
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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