ArticleCanadian geriatrics journal : CGJ2012
A review of barriers and enablers to diagnosis and management of persons with dementia in primary care.
Article in Canadian geriatrics journal : CGJ, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 108 papers, 7 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
108 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Alzheimer's Association clinical practice guideline for the Diagnostic Evaluation, Testing, Counseling, and Disclosure of Suspected Alzheimer's Disease and Related Disorders (DETeCD-ADRD): Executive summary of recommendations for primary care.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Guideline
- Barriers for access and utilization of dementia care services in Europe: a systematic review.BMC geriatrics · 2025Pooled it
- The Alzheimer's Association clinical practice guideline for the Diagnostic Evaluation, Testing, Counseling, and Disclosure of Suspected Alzheimer's Disease and Related Disorders (DETeCD-ADRD): Executive summary of recommendations for specialty care.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Guideline
- A Systematic Review of Home-Setting Psychoeducation Interventions for Behavioral Changes in Dementia: Some Lessons for the COVID-19 Pandemic and Post-Pandemic Assistance.Frontiers in psychiatry · 2020Pooled it
- Addenbrooke's Cognitive Examination III (ACE-III) and mini-ACE for the detection of dementia and mild cognitive impairment.The Cochrane database of systematic reviews · 2019Pooled it
- Case management for dementia in primary health care: a systematic mixed studies review based on the diffusion of innovation model.Clinical interventions in aging · 2014Pooled it
- Barriers to implementation of case management for patients with dementia: a systematic mixed studies review.Annals of family medicinePooled it
- Case Finding of Mild Cognitive Impairment and Dementia and Subsequent Care; Results of a Cluster RCT in Primary Care.PloS one · 2016Trial
- Primary care determinants for timely diagnosis of dementia.Family medicine and community health · 2026Article
- Medical Challenges in Caring for Older Adults With Type 2 Diabetes and Dementia: A Qualitative Interview Study Using SCAT to Compare Primary Care Physicians and Diabetes Specialists in Japan.Journal of general and family medicine · 2026Article
- Facing Dementia in Primary Care: Applying the COM-B Model to Develop a Complex Intervention to Improve Dementia Diagnosis Rates in General Practice.International journal of environmental research and public health · 2026Article
- Detecting multimorbidity patterns in Alzheimer's disease using unsupervised machine learning: A nationwide emergency department study (2007-2022).Journal of Alzheimer's disease : JAD · 2026Article
- Impact of Comprehensive Geriatric Assessments on Dementia Care.Geriatrics (Basel, Switzerland) · 2026Article
- How does Australian primary care face dementia? Identifying current practice and barriers in dementia diagnosis and management in Australian primary care - a qualitative interview study.BMC primary care · 2026Article
- A Single-Item Screening Tool for the Assessment of Hoarding: Preliminary Observations.The Journal of neuropsychiatry and clinical neurosciences · 2026Article
- An innovative health systems approach to support early detection of cognitive impairment in primary care - the brain health navigator.BMC primary care · 2025Article
- Prevalence and progress of underdiagnosis of probable dementia: a repeated cross-sectional study in 19 European countries.BMC medicine · 2025Article
- "It's Usually Not Dementia That's the Focus": Barriers and Facilitators of Dementia Care in Primary Care.Journal of general internal medicine · 2025Article
- Knowledge and Attitude of Nurses in Wuxi, China Towards Alzheimer's Disease: A Cross-Sectional Study.Nursing open · 2025Review
- Primary care preparedness to care for patients with ADRD: A national survey study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
48 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith the rise in the prevalence of dementia disorders and the growing critical impact of dementia on health-care resources, the provision of dementia care has increasingly come under scrutiny, with primary care physicians (PCP) being at the centre of such attention. PURPOSE: To critically examine barriers and enablers to timely diagnosis and optimal management of community living persons with dementia (PWD) in primary care.
methodsAn interpretive scoping review was used to synthesize and analyze an extensive body of heterogeneous Western literature published over the past decade.
resultsThe current primary care systems in many Western countries, including Canada, face many challenges in providing responsive, comprehensive, safe, and cost-effective dementia care. This paper has identified a multitude of highly inter-related obstacles to optimal primary dementia care, including challenges related to: a) the complex biomedical, psychosocial, and ethical nature of the condition; b) the gaps in knowledge, skills, attitudes, and resources of PWD/caregivers and their primary care providers; and c) the broader systemic and structural barriers negatively affecting the context of dementia care.
conclusionsFurther progress will require a coordinated campaign and significantly increased levels of commitment and effort, which should be ideally orchestrated by national dementia strategies focusing on the barriers and enablers identified in this paper.
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Registered trials
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