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Diagnosis of dementia. II—Diagnostic methods: A survey of current consultant practice and review of the literature

✍ Scribed by C. W. Smith; E. J. Byrne; T. Arie; J. M. Lilley

Publisher
John Wiley and Sons
Year
1992
Tongue
English
Weight
623 KB
Volume
7
Category
Article
ISSN
0885-6230

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✦ Synopsis

Inaccuracy in the diagnosis of the dementia syndrome is widely reported. In a postal survey which asked hospital specialists about their use of diagnostic criteria and explored their knowledge of the aetiology of the syndrome, clear differences between research findings and clinical practice emerged. Clinicians are unlikely to use research diagnostic criteria and about half of t k respondents consider the results of investigations to be essential in the diagnosis of the dementia syndrome. The frequency of contact with new patients with the dementia syndrome influenced some aspects of knowledge of its aetiology. KEY woms-Dementia, diagnosis.

Knowledge about the causes of the dementia syndrome is rapidly expanding, but advances in the research laboratory can take time to filter through to clinical practice. Knowledge is not the only determinant of the diagnostic process as it pertains to dementia: attitudes, skills and the age of the doctor are some others which are involved. But knowledge is relatively easy to assess and, in order to examine some aspects of knowledge about dementia and also the effects of the age of both doctor and patient on clinical practice, we undertook a postal survey of hospital specialists in the UK. There are limitations in the validity of a questionnaire method of assessing practice, for what people report that they do is not always what they actually do. In paper I (Byrne et al., 1991) we made a critical appraisal of the relationship between clinical and pathological diagnosis. In this paper we report the method and results of our survey in regard to the syndrome of dementia and its aetiological diagnosis. A third paper will report on the use of investigations in the diagnosis of dementia.

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