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Automated, Long-term Behavioral Assay for Cognitive Functions in Multiple Genetic Models of Alzheimer's Disease, Using IntelliCage
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[Dementia: counting noses remains a challenge].

Robbert Huijsman1,2

  • 1Erasmus Universiteit, Erasmus School of Health Policy and Management, Rotterdam.

Nederlands Tijdschrift Voor Geneeskunde
|August 4, 2021
PubMed
Summary

This study estimates the lifetime risk of dementia, finding it is likely underestimated. Improved dementia care and registration are crucial for accurate data and better patient outcomes.

Area of Science:

  • Gerontology
  • Public Health
  • Epidemiology

Background:

  • Dementia poses a significant public health challenge, necessitating accurate lifetime risk estimations.
  • Understanding dementia prevalence is vital for healthcare planning and resource allocation.

Purpose of the Study:

  • To comment on and analyze the lifetime risk of dementia based on nationwide health and mortality data.
  • To highlight limitations in current dementia registration practices and suggest improvements.

Main Methods:

  • Utilized linked data from 7 Dutch registries covering causes of death and healthcare utilization.
  • Calculated lifetime dementia risk stratified by sex.

Main Results:

  • Estimated lifetime dementia risk at 29.4% for women and 18.3% for men.

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  • In 2017, 62% of dementia-related deaths occurred in nursing homes.
  • The lifetime risk of dementia is likely underestimated by 3-5 percentage points due to registration challenges.

    • Conclusions:

    • Current dementia registration methods are inadequate and likely lead to underestimation of lifetime risk.
    • Recommends integrated client records and enhanced dementia care practices, including diagnostics, quality of life focus, psycho-social interventions, advanced care planning, and prevention programs.