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Systematic review of recent dementia practice guidelines
Jennifer Ngo1, Jayna M Holroyd-Leduc1
1Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
Age and Ageing
|October 25, 2014
Summary
This study synthesized dementia care guidelines to improve diagnosis and management. While many recommendations agreed, comparing guidelines was difficult due to differing evidence grading systems.
Area of Science:
- Gerontology
- Neurology
- Evidence-Based Medicine
Background:
- Dementia is a common cognitive disorder impacting daily life, relationships, and quality of life.
- Effective diagnosis and management strategies are crucial for patient and family care.
- High-quality clinical practice guidelines enhance dementia care consistency and quality.
Purpose of the Study:
- To synthesize existing practice recommendations for dementia diagnosis and management.
- To base the synthesis on moderate-to-high quality dementia guidelines.
- To provide a consolidated overview of evidence-based dementia care practices.
Main Methods:
- Systematic literature search of EMBASE, MEDLINE, and grey literature (2008-2013).
- Quality appraisal of 39 retrieved guidelines using the AGREE-II tool by two independent reviewers.
- Extraction of practice recommendations from 12 moderate-to-high quality guidelines.
Main Results:
- General agreement was found across guidelines for numerous practice recommendations.
- Specific recommendations covered various aspects of dementia diagnosis and management.
- Extracted recommendations were compared based on evidence level and strength of recommendation.
Conclusions:
- Despite general agreement, direct comparison of guidelines was challenging.
- Variations in grading schemes hindered straightforward comparisons between guidelines.
- The synthesis highlights areas of consensus and challenges in dementia guideline harmonization.
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