174 Accuracy Of The Diagnosis Of Dementia In The General Practice In Italy

Conference: 
Author(s): 
Massimo Franceschi
Text: 
OBJECTIVE:
The aim of this study was to evaluate the accuracy of the diagnoses of dementia and dementia types made by GPs in comparison with the gold standard diagnosis formulated in an hospital setting
METHODS.
Nineteen GPs working in the southern part of Milan (Italy) underwent a 6-hour training course on the diagnostic criteria of dementia and depression, and the use of simple diagnostic tools
RESULTS
Over the following six months, GPs examined ( twice in one month ) 104 consecutive patients aged more than 65 years with first-time reports of memory problems. The specificity and sensitivity of the GPs’ diagnoses of dementia were respectively 100% and 82%, with a positive predictive value of 85% and a significant (pIn the case of Alzheimer’s disease (AD) and vascular dementia, sensitivity and specificity were much less, and the concordance was significant (pThe GPs’ diagnoses were much cheaper than those obtained in hospital.
CONCLUSIONS
These data confirm the adequate accuracy of trained GPs in diagnosing dementia; in order to ensure a more accurate differentiation of dementia types, a more specialised work-up is required but primary care setting is enough for practical purposes.
Literature: 
174 Accuracy of the Diagnosis of Dementia in the General Practice in Italy