Neurol. praxi. 2011;12(5):352-358

Is dementia diagnosed and treated correctly and timely? Results of a survey in the light of new recommendations

MUDr.Martin Vyhnálek1,2, doc.MUDr.Aleš Bartoš, Ph.D.3,4, MUDr.Václav Dostál10, MUDr.Vanda Franková114, doc.MUDr.Iva Holmerová, Ph.D.9, MUDr.Jan Laczó, Ph.D.1,2, MUDr.Vladimír Línek11, doc.MUDr.Irena Rektorová, Ph.D.8,13, MUDr.Pavel Ressner, Ph.D.7, MUDr.Robert Rusina5,6, MUDr.Kateřina Sheardová1, MUDr.Martin Vališ, Ph.D.12, doc.MUDr.Jakub Hort, Ph.D.1,2
1 Fakultní nemocnice u sv. Anny v Brně, Mezinárodní centrum klinického výzkumu (ICRC), Brno
2 Neurologická klinika 2. LF UK a FN v Motole, Praha
3 Psychiatrické centrum Praha, AD Centrum
4 Univerzita Karlova v Praze, 3. LF a FN KV, Neurologická klinika, Praha
5 Neurologická klinika FTNsP, Praha
6 Institut postgraduálního vzdělávání ve zdravotnictví, Praha
7 Neurologická klinika, Kognitivní centrum, FN Ostrava
8 1. neurologická klinika LF MU, FN u sv. Anny, Brno
9 Gerontologické centrum, UK FHS v Praze

A survey among 150 outpatient neurologists, psychiatrists and geriatricians aimed to ascertain the current practices in diagnosing and

treating cognitive disorders in the Czech Republic. More than half of the patients with a cognitive disorder were diagnosed in moderately

advanced and late stages. The results reveal insufficient use of imaging modalities for diagnosis. Most patients with the diagnosis of

Alzheimer's disease are treated with cognitive enhancers. A widespread use of inefficient nootropics has been shown.

Keywords: dementia, cognitive disorders, Alzheimer's disease, diagnosis, treatment, cognitive enhancers, acetylcholinesterase inhibitors

Published: November 1, 2011  Show citation

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Vyhnálek M, Bartoš A, Dostál V, Franková V, Holmerová I, Laczó J, et al.. Is dementia diagnosed and treated correctly and timely? Results of a survey in the light of new recommendations. Neurol. praxi. 2011;12(5):352-358.
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References

  1. Waldemar G, Dubois B, Emre M, Georges J, McKeith IG, Rossor M, Scheltens P, Tariska P, Winblad B, EFNS. Recommendations for the diagnosis and management of Alzheimer's disease and other disorders associated with dementia: EFNS guideline. Eur J Neurol. 2007; 14(1): 1-26. Go to original source... Go to PubMed...
  2. Hort J, O'Brien JT, Gainotti G, Pirttila T, Popescu BO, Rektorova I, Sorbi S, Scheltens P. EFNS Scientist Panel on Dementia. EFNS guidelines for the diagnosis and management of Alzheimer's disease. Eur J Neurol. 2010; 17(10): 1236-1248. Go to original source... Go to PubMed...
  3. Sheardová K, Hort J, Rusina R, Bartoš A, Línek V, Ressner P, Rektorová I. Doporučené postupy pro léčbu Alzheimerovy nemoci a dalších onemocnění spojených s demencí. Čes a slov Neurol Neurochir 2007; 70/103(5): 589-594.
  4. Ressner P, Hort J, Rektorová I, Bartoš A, Rusina R, Línek V, Sheardová K. Doporučené postupy pro diagnostiku Alzheimerovy nemoci a dalších onemocnění spojených s demencí. Čes a slov Neurol Neurochir 2008; 71/104(4): 494-501.
  5. Ressner P, Hort J, Rektorová I, Bartoš A, Rusina R, Línek V, Sheardová K. Doporučené postupy pro diagnostiku Alzheimerovy nemoci a ostatních demencí. Neurol. praxi 2009; 10(4): 237-241.
  6. Sheardová K, Hort J, Rusina R, Bartoš A, Línek V, Ressner P, Rektorová I. Doporučené postupy pro léčbu Alzheimerovy nemoci a ostatních demencí. Neurol. praxi 2009; 10(1): 28-31.
  7. McKhann GM, Knopman DS, Chertkow H, Hyman BT, Jack CR JR, Kawas CH, Klunk WE, Koroshetz WJ, Manly JJ, Mayeux R, Mohs RC, Morris JC, Rossor MN, Scheltens P, Carrillo MC, Thies B, Weintraub S, Phelps CH. The diagnosis of dementia due toAlzheimer's disease: recommendations from the National Institute on Aging-Alzheimer's Association workgroups on diagnostic guidelines for Alzheimer'sdisease. Alzheimers Dement. 2011; 7(3): 263-269. Go to original source... Go to PubMed...
  8. Albert MS, DeKosky ST, Dickson D, Dubois B, Feldman HH, Fox NC, Gamst A, Holtzman DM, Jagust WJ, Petersen RC, Snyder PJ, Carrillo MC, Thies B, Phelps CH. The diagnosis of mild cognitive impairment due to Alzheimer's disease: recommendations from the National Institute on Aging-Alzheimer's Associationworkgroups on diagnostic guidelines for Alzheimer's disease. Alzheimers Dement. 2011; 7(3): 270-279. Go to original source... Go to PubMed...
  9. Sperling RA, Aisen PS, Beckett LA, Bennett DA, Craft S, Fagan AM, Iwatsubo T, Jack CR Jr, Kaye J, Montine TJ, Park DC, Reiman EM, Rowe CC, Siemers E, Stern Y, Yaffe K, Carrillo MC, Thies B, Morrison-Bogorad M, Wagster MV, Phelps CH. Toward defining the preclinical stages of Alzheimer's disease: recommendations from the National Institute on Aging-Alzheimer's Association workgroups on diagnostic guidelines for Alzheimer's disease. Alzheimers Dement. 2011; 7(3): 280-292. Go to original source... Go to PubMed...




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