The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.
Agreement on Diagnosis Among Patients, Companions, and Professionals After a Dementia Evaluation
Open accessAbstract
A diagnosis of dementia is challenging to deliver and to hear; yet, agreement on diagnosis is essential for effective treatment for dementia. We examined consensus on the results of an evaluation of dementia in 90 patients assessed at an Alzheimer's Disease Research Center. Diagnostic impressions were obtained from 5 sources: (1) the physician's chart; (2) the patient who was evaluated; (3) a companion present at the evaluation; (4) a diagnostic summary written by a nurse present during the evaluation; and (5) raters who watched a video of the diagnostic disclosure conversation. Overall, diagnostic consensus was only moderate. Patients and companions exhibited just fair agreement with one another. Agreement was better between physicians and companions compared with that between physicians and patients, although it was imperfect between physicians and video raters and the written summary. Agreement among sources varied by dementia severity, with the lowest agreement occurring in instances of very mild dementia. This study documents discrepancies that can arise in diagnostic communication, which could influence adjustment to a diagnosis of dementia and decisions regarding future planning and care.
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“Furthermore, only about half of Medicare beneficiaries who have a diagnosis of Alzheimer's or another dementia in their Medicare billing records report being told of the diagnosis.”
From 2024 Alzheimer's disease facts and figures (2024) · cites this paper as [264]
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Cites
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Morris, J. C. (1993) · Neurology · doi:10.1212/wnl.43.11.2412-a · Cited by 9,882
Self-citationA New Clinical Scale for the Staging of Dementia
Hughes, C. P., Berg, L., Danziger, W., Coben, L. A., & Martin, R. L. (1982) · British Journal of Psychiatry · doi:10.1192/bjp.140.6.566 · Cited by 7,056
Practice Guideline for the Treatment of Patients With Obsessive-Compulsive Disorder
(2008) · APA Practice Guidelines for the Treatment of Psychiatric Disorders: Comprehensive Guidelines and Guideline Watches · doi:10.1176/appi.books.9780890423363.149114 · Cited by 1,028
The enduring and evolving nature of the patient–physician relationship
ROTER, D. L. (2000) · Patient Education and Counseling · doi:10.1016/s0738-3991(99)00086-5 · Cited by 532
Emotional impact of dementia diagnosis: Exploring persons with dementia and caregivers’ perspectives
Aminzadeh, F., Byszewski, A. M., Molnar, F., & Eisner, M. (2007) · Aging & Mental Health · doi:10.1080/13607860600963695 · Cited by 228
Carpenter, B. D., Xiong, C., Porensky, E. K., Lee, M. M., Brown, P. J., Coats, M. A., Johnson, D. K., & Morris, J. C. (2008) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2007.01600.x · Cited by 204
Self-citationShould Patients with Alzheimer's Disease Be Told Their Diagnosis?
Drickamer, M. A., & Lachs, M. S. (1992) · New England Journal of Medicine · doi:10.1056/nejm199204023261410 · Cited by 133
Disclosing a Dementia Diagnosis: A Review of Opinion and Practice, and a Proposed Research Agenda
Carpenter, B. D., & Dave, J. B. (2004) · The Gerontologist · doi:10.1093/geront/44.2.149 · Cited by 130
Self-citationFairhill Guidelines on Ethics of the Care of People With Alzheimer's Disease: A Clinical Summary*
Post, S. G., & Whitehouse, P. J. (1995) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1995.tb06625.x · Cited by 125
Do Symptoms Predict Cardiac Arrhythmias and Mortality in Patients With Syncope?
Oh, J. H., Hanusa, B. H., & Kapoor, W. N. (1999) · Archives of Internal Medicine · doi:10.1001/archinte.159.4.375 · Cited by 102
Research works printed but not linked: 1
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2016 Alzheimer's disease facts and figures
Alzheimer's Association (2016) · Alzheimer's & Dementia · doi:10.1016/j.jalz.2016.03.001 · Cited by 5,069
2023 Alzheimer's disease facts and figures
(2023) · Alzheimer's & Dementia · doi:10.1002/alz.13016 · Cited by 3,212
2024 Alzheimer's disease facts and figures
(2024) · Alzheimer's & Dementia · doi:10.1002/alz.13809 · Cited by 2,536
2019 Alzheimer’s disease facts and figures.
Alzheimer's Association (2019) · Alzheimer's & Dementia · doi:10.1016/j.jalz.2019.01.010 · Cited by 2,461
2020 Alzheimer's disease facts and figures
(2020) · Alzheimer's & Dementia · doi:10.1002/alz.12068 · Cited by 2,353
Metadata
- Authors
- Zaleta, A. K., Carpenter, B. D., Porensky, E. K., Xiong, C., & Morris, J. C.
- Affiliations
- Washington University in St. Louis (US)
- Corresponding author
- Zaleta, Alexandra K.
- Carpenter, Brian D.
- Porensky, Emily K.
- Venue
- Alzheimer Disease & Associated Disorders
- Published
- 2012-07
- Volume
- 26
- Issue
- 3
- Pages
- 232-237
- ISSN
- 0893-0341 (ISSN-L)
- PMC
- PMC3277665
- OpenAlex
- W85783613
- Cited by
- 31
- References
- 26
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 3 · 2020: 4 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 2 · 2015: 4 · 2014: 1
- FWCI
- 0.22
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Alzheimer Disease & Associated Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (P50AG005681, P01AG003991)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- dementia diagnosis, diagnostic agreement, diagnosis disclosure, physician-patient communication, dementia severity, adjustment to diagnosis, Alzheimer's disease
- MeSH terms
- Aged, Dementia, Female, Humans, Male, Patients, Physicians, Reproducibility of Results, Caregivers
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