From suspicion of cognitive decline to dementia diagnosis: a systematic review of healthcare professionals' considerations and attitudes.
Background Initiating diagnostic testing for dementia is a dynamic and complex process that often involves balancing competing interests. This systematic review aims to provide an overview of healthcare professionals' considerations and attitudes during the process from suspicion of cognitive declin...
| Publicado en: | Age & Ageing Vol. 54; no. 6; pp. 1 - 17 |
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| Autores principales: | , , , , , , |
| Formato: | Artículo |
| Publicado: |
Oxford University Press / USA
Jun2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=186318549&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 186318549 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jun2025 vid: 54 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 186318549 10.1093/ageing/afaf176 ppf: 1 ppct: 16 formats: tig: atl: From suspicion of cognitive decline to dementia diagnosis: a systematic review of healthcare professionals' considerations and attitudes. aug: au: Visser, Fleur C W Kloppenburg-Lagendijk, Marleen Hempenius, Liesbeth Verwey, Nicolaas A Perry, Marieke Eersel, Marlise E A van Munster, Barbara C van affil: Department of Geriatric Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands Alzheimer Center Groningen, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands Department of Geriatric Medicine, Medical Center Leeuwarden, Leeuwarden, The Netherlands Neurology and Geriatric Department, Medical Center Leeuwarden, Leeuwarden, The Netherlands Vrije Universiteit, Amsterdam UMC, Neuroscience Campus, Amsterdam, The Netherlands Department of Primary and Community Care, Radboud University Medical Center, Radboudumc Alzheimer Center, Nijmegen, The Netherlands Radboud University Medical Center, Radboudumc Alzheimer Center, Nijmegen, The Netherlands Department of Geriatric Medicine, Martini Hospital, Groningen, The Netherlands su: Medical personnel Social factors Primary health care Psychosocial factors Cognition disorders diagnosis Diagnosis of dementia Medical information storage & retrieval systems Patients' families CINAHL database Decision making in clinical medicine Primary nursing Routine diagnostic tests Systematic reviews MEDLINE Nurse practitioners Attitudes of medical personnel Disease susceptibility Online information services Psychology information storage & retrieval systems sug: subj: Medical personnel Social factors Primary health care Psychosocial factors Cognition disorders diagnosis Diagnosis of dementia Medical information storage & retrieval systems Patients' families CINAHL database Decision making in clinical medicine Primary nursing Routine diagnostic tests Systematic reviews MEDLINE Nurse practitioners Attitudes of medical personnel Disease susceptibility Online information services Psychology information storage & retrieval systems keyword: Alzheimer's disease attitudes considerations decision-making diagnosis healthcare professionals older people primary care qualitative research timely diagnosis Alzheimer's disease attitudes considerations decision-making diagnosis healthcare professionals older people primary care qualitative research timely diagnosis ab: Background Initiating diagnostic testing for dementia is a dynamic and complex process that often involves balancing competing interests. This systematic review aims to provide an overview of healthcare professionals' considerations and attitudes during the process from suspicion of cognitive decline to deciding to initiate diagnostic testing. Methods Databases (PubMed, EMBASE, CINAHL and PsychINFO) were systematically searched on 29 January 2024 for qualitative and mixed-methods studies published since 2005. Search concepts were: 'dementia', 'considerations and attitudes', 'healthcare professionals' and 'diagnosis'. Two screeners independently conducted title/abstract-screening using ASReview (efficient and transparent systematic review machine learning framework), and full-text screening. Findings were analysed by thematic synthesis. Results Thirty-three studies were included. Most involved primary care physicians (n = 25), primary care nurses (n = 1) or a combination (n = 7). The overarching phenomenon was that starting the diagnostic workup for dementia is a delicate process. Clusters influencing this process were: complexities arising from the nature of dementia; interaction with the patient and family; individual determinants of primary care practitioners (PCPs); expectations regarding the consequences of a diagnosis; factors related to the healthcare system; and societal factors. Together these clusters form PCPs' strategies and actions for deciding whether to start the diagnostic workup. Conclusion Initiating the diagnostic workup for dementia is a delicate process influenced by various factors including fear, reluctance and stigma. The different strategies that PCPs use cannot be captured by a single right approach. Recommendations to better support PCPs in navigating this complex process include ensuring consistent communication and clarity about their roles, and promoting interprofessional collaboration. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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