ArticleAmerican journal of Alzheimer's disease and other dementias2018
Association Between Dementia Severity and Recommended Lifestyle Changes: A Retrospective Cohort Study.
Article in American journal of Alzheimer's disease and other dementias, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- The Impact of Dementia Caregiving on the Health of the Spousal Caregiver.Medicina (Kaunas, Lithuania) · 2026Review
- Digital Health Technologies Applied in Patients With Early Cognitive Change: Scoping Review.Journal of medical Internet research · 2025Article
- Improving quality measurement for dementia care.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Review
- Association of dementia diagnosis, cognitive impairment levels, and their combination with care costs among publicly funded long-term care recipients.Innovation in aging · 2025Article
- Regional variation in diagnostic intensity of dementia among older U.S. adults: An observational study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024Observational
- Reliability and Validity of a Tablet-Based Neuropsychological Test (the Hellocog) for Screening Dementia.Psychiatry investigation · 2024Article
- Longevity in the South Carolina Alzheimer's disease registry.Frontiers in neurology · 2024Article
- Detection Rates of Mild Cognitive Impairment in Primary Care for the United States Medicare Population.The journal of prevention of Alzheimer's disease · 2024Observational
- Expected and diagnosed rates of mild cognitive impairment and dementia in the U.S. Medicare population: observational analysis.Alzheimer's research & therapy · 2023Article
- Patient cognitive impairment associated with higher home health care delivery costs.Health services research · 2022Article
- Patient and caregiver perspectives on a tool to increase recognition of undiagnosed dementia: a qualitative study.BMC geriatrics · 2021Article
- Practical recommendations for timely, accurate diagnosis of symptomatic Alzheimer's disease (MCI and dementia) in primary care: a review and synthesis.Journal of internal medicine · 2021Review
- Acute Healthcare Utilization of a Multidisciplinary Neurocognitive Dementia Patient Cohort.Journal of clinical neurology (Seoul, Korea) · 2020Article
- Uncovering barriers to early diagnosis of Alzheimer's disease: a European perspective.Alzheimer's & dementia (New York, N. Y.)Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveEarly diagnosis of dementia leads to early treatment which is beneficial to patients and the community. We reviewed initial evaluations from the Spectrum Health Medical Group Neurocognitive Clinic (SHMGNC) to evaluate dementia stage at the time of diagnosis.
methodsWe retrospectively reviewed 110 randomly chosen initial evaluations from September 2008 to December 2015 at the SHMGNC. Patients underwent a neurological examination, Montreal Cognitive Assessment, and a battery of neuropsychological testing.
resultsOf all, 78.9% had moderate or severe dementia at diagnosis. The SHMGNC recommended lifestyle changes (medication assistance, financial assistance, driving restrictions, and institutional care) in 75.8% of patients with dementia. The severity of dementia was associated with the number of lifestyle changes recommended. Cohabitation with a caregiver did not lead to an early diagnosis of dementia.
conclusionsPatients are not undergoing evaluation at the onset of the dementia process. Diagnosis is delayed. Home-based, patient-centered care may improve early screening and detection of dementia.
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