Dementia Coding, Workup, and Treatment in the VA New England Healthcare System
المؤلفون المشاركون
Lanes, Stephan
Altincatal, Arman
Lawler, Elizabeth V.
Kosik, Nicole
Cho, Kelly
Gagnon, David R.
Driver, Jane A.
المصدر
International Journal of Alzheimer's Disease
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-02-18
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Growing evidence suggests that Alzheimer’s disease and other types of dementia are underdiagnosed and poorly documented.
In our study, we describe patterns of dementia coding and treatment in the Veteran’s Administration New England Healthcare System.
We conducted a retrospective cohort study with new outpatient ICD-9 codes for several types of dementia between 2002 and 2009.
We examined healthcare utilization, medication use, initial dementia diagnoses, and changes in diagnoses over time by provider type.
8,999 veterans received new dementia diagnoses during the study period.
Only 18.3% received a code for cognitive impairment other than dementia, most often “memory loss” (65.2%) prior to dementia diagnosis.
Two-thirds of patients received their initial code from a PCP.
The etiology of dementia was often never specified by ICD-9 code, even by specialists.
Patients followed up exclusively by PCPs had lower rates of neuroimaging and were less likely to receive dementia medication.
Emergency room visits and hospitalizations were frequent in all patients but highest in those seen by dementia specialists.
Dementia medications are commonly used off-label.
Our results suggest that, for the majority the patients, no prodrome of the dementia syndrome is documented with diagnostic code, and patients who do not see dementia specialists have less extensive diagnostic assessment and treatment.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Cho, Kelly& Gagnon, David R.& Driver, Jane A.& Altincatal, Arman& Kosik, Nicole& Lanes, Stephan…[et al.]. 2014. Dementia Coding, Workup, and Treatment in the VA New England Healthcare System. International Journal of Alzheimer's Disease،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1035952
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Cho, Kelly…[et al.]. Dementia Coding, Workup, and Treatment in the VA New England Healthcare System. International Journal of Alzheimer's Disease No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-1035952
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Cho, Kelly& Gagnon, David R.& Driver, Jane A.& Altincatal, Arman& Kosik, Nicole& Lanes, Stephan…[et al.]. Dementia Coding, Workup, and Treatment in the VA New England Healthcare System. International Journal of Alzheimer's Disease. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1035952
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1035952
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر