Evidence map›Paper›PMID 28315047›Full record

SynthesisZeitschrift fur Gerontologie und Geriatrie2017

Putting dementia awareness into general practice : The CADIF approach.

Michael Pentzek, Horst Christian Vollmar, Stefan Wilm, Verena Leve

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Zeitschrift fur Gerontologie und Geriatrie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 36 citations in OpenAlex.

  1. Trial
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  3. Brain health care accelerator: A primary care-centered model for scaling dementia diagnosis and care.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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  14. The value of the GP's clinical judgement in predicting dementia: a multicentre prospective cohort study among patients in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
    Article
  15. Article
  16. [Dementia - View of sufferers and their relatives].Zeitschrift fur Gerontologie und Geriatrie · 2017
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Michael PentzekInstitute of General Practice (ifam) and Centre for Health and Society (chs), Medical Faculty, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany. pentzek@med.uni-duesseldorf.de.
Horst Christian VollmarInstitute of General Practice and Family Medicine, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
Stefan WilmInstitute of General Practice (ifam) and Centre for Health and Society (chs), Medical Faculty, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany.
Verena LeveInstitute of General Practice (ifam) and Centre for Health and Society (chs), Medical Faculty, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany.
Heinrich Heine University Düsseldorf · DEFriedrich Schiller University Jena · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInternational studies show that dementia is often recognized at later stages in general practice. Pure knowledge-sharing interventions could not change this in a sustainable manner. Concepts for changing attitudes of general practitioners (GPs) are required.

objectivesWhat barriers affect GPs' recognition of and diagnostic approach to dementia? What recommendations for a GP-specific diagnostic procedure can be derived from this?

methodsMetasynthesis of qualitative studies with GPs on barriers to dementia recognition, explication of the "frailty" concept and the diagnostic approach described therein and the development of an approach in cases of suspected cognitive decline in a multiprofessional team.

resultsA metasynthesis of qualitative studies revealed a lack of a general practice framework in the diagnostic approach of GPs, characterized by poor patient-centeredness and confusion of early detection, diagnostics and disclosure. The embedding of cognitive decline into the geriatric triad is intended to promote the focus on everyday function and quality of life, i.e. on caring instead of curing. The proposed concept for a transfer into practice emphasizes increased awareness for cognitive warning signs among practice personnel, a geriatric and personal approach to the patient, as well as follow-up assessment and monitoring.

conclusionIn contrast to early recognition, awareness initially does not imply an active search for cognitive deficits with questions and tests but a vigilance for red flags. The described scheme is a component of a complex intervention for attitude change among GPs towards dementia.

Indexed as

Attitude of Health PersonnelHealth Knowledge, Attitudes, PracticeAgedAged, 80 and overClinical CompetenceDementiaDiagnostic Techniques, NeurologicalEarly DiagnosisFemaleGeneral PracticeGeneral PractitionersHumansMaleMiddle AgedPhysician-Patient RelationsPrevalenceAttitudes of health personnelCognitionDementiaDiagnosisHealth services research

Identifiers

PMID28315047
OpenAlexW2596163433

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.