Evidence map›Paper›PMID 33025072›Full record

ReviewDer Nervenarzt2021

[Memory clinics in Germany-structural requirements and areas of responsibility].

Lucrezia Hausner, Lutz Frölich, Christine A F von Arnim, Jens Bohlken, Richard Dodel, Markus Otto, Michael Rapp, Jörg Schulz, Tilmann Supprian, M Axel Wollmer and 2 more

Open access · hybridAbstract readReview
In one paragraph

Review in Der Nervenarzt, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. [Travel time to memory clinics in Bavaria: A geographical analyses within the framework of digiDEM Bayern].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2024
    Article
  5. Article
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

12 authors at 10 institutions in 1 country.

Lucrezia HausnerUniversität Heidelberg, Abteilung Gerontopsychiatrie, Zentralinstitut für Seelische Gesundheit Mannheim, Quadrat I 5, 68159, Mannheim, Deutschland. Lucrezia.Hausner@zi-mannheim.de.
Lutz FrölichUniversität Heidelberg, Abteilung Gerontopsychiatrie, Zentralinstitut für Seelische Gesundheit Mannheim, Quadrat I 5, 68159, Mannheim, Deutschland.
Christine A F von ArnimAbteilung für Geriatrie, Universitätsmedizin Göttingen, Göttingen, Deutschland.
Jens BohlkenReferat Demenz, Berufsverband Deutscher Nervenärzte e. V. (BVDN), Krefeld, Deutschland.
Richard DodelLehrstuhl für Geriatrie, Geriatriezentrum Haus Berge, Universität Duisburg-Essen, Essen, Deutschland.
Markus OttoInstitut für Neurologie, Universitätsklinikum Ulm, Ulm, Deutschland.
Michael RappSt. Hedwig Krankenhaus, Klinik für Psychiatrie und Psychotherapie, Gerontopsychiatrisches Zentrum, Psychiatrische Universitätsklinik der Charité, Berlin, Deutschland.
Jörg SchulzKlinik für Neurologie, Universitätsklinikum RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland.
Tilmann SupprianLVR Klinikum Düsseldorf, Abteilung Gerontopsychiatrie, Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Deutschland.
M Axel WollmerKlinik für Psychiatrie und Psychotherapie - Klinik für Gerontopsychiatrie, Asklepios Klinik Nord - Ochsenzoll, Hamburg, Deutschland.
Frank JessenMedizinische Fakultät, Klinik und Poliklinik für Psychiatrie und Psychotherapie, Uniklinik Köln, Kerpener Str. 62, 50924, Köln, Deutschland.
Deutsches Netzwerk Gedächtnisambulanzen
Central Institute of Mental Health · DEAsklepios Kliniken Hamburg · DECharité - Universitätsmedizin Berlin · DEDeutsche Gesellschaft für Psychoanalyse, Psychotherapie, Psychosomatik und Tiefenpsychologie · DEHeinrich Heine University Düsseldorf · DELeipzig University · DEUniversitätsklinikum Aachen · DEUniversitätsmedizin Göttingen · DEUniversity Hospital Ulm · DEUniversity of Duisburg-Essen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMemory clinics (MC) are institutions specialized in the (differential) diagnostics, treatment, education, management and counseling of diseases related to dementia and their risk stages. In Germany, they have a variety of different organizational forms. Due to the growing diagnostic options in neurodegenerative diseases, the increasing demand for early detection and prediction as well as foreseeable new diagnostic procedures and disease-modifying treatment, it is important to standardize the structural prerequisites and areas of responsibility of MC.

objectiveThe article proposes structural and organizational requirements and procedures and a harmonized mode of operation for MC in Germany.

methodExpert consensus of psychiatrists, neurologists and geriatricians from academic and nonacademic institutions.

resultsThe MC should provide the specialist standards of psychiatry and/or neurology. They need to implement the recommendations of the national guidelines on dementia (S3LL) with respect to the (differential) diagnostics and treatment of dementia. With respect to the early detection and prediction of neurodegenerative disorders, they extend beyond the current German guideline standards. In MC, mild cognitive impairment (MCI) is understood as an at-risk or prodromal stage of diseases related to dementia and biomarkers are consistently applied for etiological (early and differential) diagnostics. There is a requirement for close interaction with specialized diagnostic disciplines. Furthermore, MC should also offer comprehensive advice on social and legal issues and provide caregiver support. They should integrate current knowledge from research into care and serve as regional expert centers.

conclusionThe MC should implement evidence-based standards in diagnostics and treatment and introduce innovations in the care of patients with cognitive disorders and at-risk and prodromal stages. Their role in the German healthcare system must be strengthened. Sufficient and sustained funding needs to be established, since current reimbursement does not cover costs.

Indexed as

Cognition DisordersCognitive DysfunctionDementiaNeurodegenerative DiseasesGermanyHumansDementiaHarmonizationMCIMemory clinicStructure

Identifiers

PMID33025072
PMCPMC8257515
OpenAlexW3092219552

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.