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The Recognition, Assessment and Management of Dementing Disorders: Conclusions from the Canadian Consensus Conference on Dementia

Published online by Cambridge University Press:  02 December 2014

C. Patterson ,
A. Grek ,
S. Gauthier ,
H. Bergman ,
C. Cohen ,
J.W. Feightner ,
H. Feldman  and
D.B. Hogan
C. Patterson
Affiliation:
Department of Medicine, McMaster University, Hamilton, ON, Canada
A. Grek
Affiliation:
Department of Psychiatry, McMaster University, Hamilton, ON, Canada
S. Gauthier
Affiliation:
McGill Centre for Studies in Aging, McGill University Montreal, QC, Canada
H. Bergman
Affiliation:
Division of Geriatric, Medicine, McGill University Montreal, QC, Canada
C. Cohen
Affiliation:
Department of Psychiatry, University of Toronto, Toronto, ON, Canada
J.W. Feightner
Affiliation:
Department of Family Medicine, University of Western, Ontario, London, ON, Canada
H. Feldman
Affiliation:
Department of Medicine (Neurology), University of British Columbia, Vancouver, BC, Canada
D.B. Hogan
Affiliation:
Division of Geriatric Medicine, University of Calgary, Calgary, AB, Canada
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Abstract

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Objective:

i) To develop evidence based consensus statements on which to build clinical practice guidelines for primary care physicians towards the recognition, assessment and management of dementing disorders; ii) to disseminate and evaluate the impact of these statements and guidelines built on these statements.

Options:

Structured approach to assessment, including recommended laboratory tests, choices for neuroimaging and referral; management of complications (especially behaviour problems and depression) and use of cognitive enhancing agents.

Potential outcomes:

Consistent and improved clinical care of persons with dementia; cost containment by more selective use of laboratory investigations, neuroimaging and referrals; appropriate use of cognitive enhancing agents.

Evidence:

Authors of each background paper were entrusted to: perform a literature search, discover additional relevant material including references cited in retrieved articles; consult with other experts in the field and then synthesize information. Standard rules of evidence were applied. Based upon this evidence, consensus statements were developed by a group of experts, guided by a steering committee of eight individuals from the areas of Neurology, Geriatric Medicine, Psychiatry, Family Medicine, Preventive Health Care and Health Care Systems.

Values:

Recommendations have been developed with particular attention to the context of primary care and are intended to support family physicians in their ongoing assessment and care of patients with dementia.

Benefits, harms and costs:

Potential for improved clinical care of individuals with dementia. A dissemination and evaluation strategy will attempt to measure the impact of the recommendations.

Recommendations:

See text.

Validation:

Four other sets of consensus statements and/or guidelines have been published recently. These recommendations are generally congruent with our own consensus statements. The consensus statements have been endorsed by relevant bodies in Canada.

Sponsors:

Funding was provided by equal contributions from seven pharmaceutical companies and by a grant from the Consortium of Canadian Centres for Clinical Cognitive Research (C5R). Contributions were received from two Canadian universities (McGill, McMaster). Several societies supported delegates to the conference.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 28 , Supplement S1: Canadian Consensus Conference on Dementia , May 2001 , pp. S3 - S16
Copyright
Copyright © The Canadian Journal of Neurological 2001

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