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Diagnostic Behavior for Mild Cognitive Impairment in General and Neuropsychiatric Practices in Germany

Jens Bohlken1, Karel Kostev2

  • 1Praxis für Neurologie und Psychiatrie, Berlin, Germany.

Journal of Alzheimer'S Disease : JAD
|March 19, 2019
PubMed

Insights

Diagnostic methods are more frequently used for patients with mild cognitive impairment (MCI) than for patients with dementia (PwD). Further research is needed to develop practice-oriented MCI guidelines.

Area of Science:

  • Neurology
  • Geriatrics
  • Public Health

Background:

  • Diagnostic methods for mild cognitive impairment (MCI) in routine care are not well-documented.
  • Understanding current diagnostic practices is crucial for improving patient care and developing clinical guidelines.

Purpose of the Study:

  • To estimate the frequency of diagnostic procedures used in routine care for patients with mild cognitive impairment (PwMCI).
  • To compare diagnostic procedure utilization in incident PwMCI versus incident patients with dementia (PwD).

Main Methods:

  • Retrospective analysis of the Disease Analyzer database for incident PwMCI and PwD between 2016-2017.
  • Matching 4,700 PwMCI with 4,700 PwD by age and sex.
  • Identifying diagnostic procedures based on medical fee schedule items.

Main Results:

  • All diagnostic procedures were utilized more frequently in PwMCI compared to PwD.
  • This suggests a higher intensity of diagnostic workup for MCI patients in routine clinical practice.

Conclusions:

  • Current diagnostic approaches for MCI are more intensive than for dementia.
  • There is a clear need for developing a practice-oriented guideline for MCI diagnosis and management.
Keywords:
Alzheimer’s diseasemild cognitive impairmentpreclinical dementiaprevalencereal-world data

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