Little is known about the diagnostic methods currently used in routine care for patients with mild cognitive impairment (PwMCI). We estimated the frequency of diagnostic procedures in incident PwMCI compared to incident patients with dementia (PwD) in 2016-2017. The study is based on the Disease Analyzer database. After matching by age and sex, 4,700 PwMCI and 4,700 PwD were available. The diagnostic procedures were identified on the basis of the related medical fee schedule items. All diagnostic procedures were used more frequently in PwMCI than in PwD. The drafting of a practice-oriented MCI guideline is an important task for the future.
PetersenRC, LopezO, ArmstrongMJ, GetchiusTSD, GanguliM, GlossD, GronsethGS, MarsonD, PringsheimT, DayGS, SagerM, StevensJ, Rae-GrantA (2018) Practice guideline update summary: Mild cognitive impairment: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology. Neurology90, 126–135.
HlavkaJP, MattkeS, LiuJL (2018) Assessing the preparedness of the health care system infrastructure in six European countries for an Alzheimer’s treatment. RAND Corporation, Santa Monica, CA, https://www.rand.org/pubs/research_reports/RR2503.html
8.
BohlkenJ, KostevK (2019) Coded prevalence of mild cognitive impairment in general and neuropsychiatrists practices in Germany between 2007 and 2017. J Alzheimers Dis67, 1313–1318.
9.
DillingH (2011) Internationale Klassifikation psychischer Störungen: ICD-10 Kapitel V (F); klinisch-diagnostische Leitlinien (8., überarb. Aufl. unter Berücksichtigung der Änderungen entsprechend ICD-10-GM 2011.). Huber, Bern.
10.
RathmannW, BongaertsB, CariusHJ, KruppertS, KostevK (2018) Basic characteristics and representativeness of the German Disease Analyzer database. Int J Clin Pharmacol Ther56, 459–466.
11.
DiehlJ, StaehelinH, WiltfangJ, HampelH, CalabreseP, MonschA, SchmidR, RomeroB, SchunkM, KuhlmannHP, Wolter-HenselerDK, MauererC, StoppeG, KurzA (2003) [German-speaking memory clinics: State of the art and practical recommendations]. Z Gerontol Geriatr36, 189–196.
12.
Schulz M J. Bohlken, Schulz, Maike, Hering, R, von Stillfried, D, Bätzing-Feigenbaum (2014) Diagnostische und therapeutische Leistungsdichte von neu erkrankten, zu Hause lebenden Patientenmit Demenz ZI Versorgungsatlas 18.9.2014, 1-33. https://www.versorgungsatlas.de/.../VA_48_2014_Demenz_Infoblatt_20140916.pdf
13.
ThyrianJR, HoffmannW (2012) Dementia care and general physicians–a survey on prevalence, means, attitudes and recommendations. Cent Eur J Public Health20, 270–275.
14.
van den BusscheH, WieseB, SchönG, EiseleM, KollerD, SteinmannS, GlaeskeG, KaduszkiewiczH (2013) Die vertragsärztliche Versorgung von Patienten mit Demenz im Spiegel der Abrechungsdaten einer GKV-Kasse. Z Allg Med89, 55–60.
15.
DonathC, GrässelE, Grossfeld-SchmitzM, MennP, LauterbergJ, WunderS, MarxP, RuckdäschelS, MehligH, HolleR (2010) Effects of general practitioner training and family support services on the care of home-dwelling dementia patients—results of a controlled cluster-randomized study. BMC Health Serv Res10, 314.
16.
StrohmaierU, KellerF, KilimannI, MichalowskyB, WuchererD, ZwingmannI, TeipelS, HoffmannW, ThyrianJR (2018) Patients with dementia in primary care: Who is referred to a neurologist/psychiatrist and what patient-oriented factors are associated with the visit?J Alzheimers Dis64, 925–932.
17.
ThyrianJR, EichlerT, PoochA, AlbuerneK, DreierA, MichalowskyB, WuchererD, HoffmannW (2016) Systematic, early identification of dementia and dementia care management are highly appreciated by general physicians in primary care - results within a cluster-randomized-controlled trial (DelpHi). J Multidiscip Healthc9, 183–190.
18.
LohmannH, KulessaF, HollingH, JohnenA, ReulS, LuegG, DuningT (2017) [Implementation of the German S3 guidelines on dementia in clinical practice: Wish or reality?]. Nervenarzt88, 895–904.
19.
MitchellT, WoodwardM, HiroseY (2008) A survey of attitudes of clinicians towards the diagnosis and treatment of mild cognitive impairment in Australia and New Zealand. Int Psychogeriatr20, 77–85.
20.
WeinsteinAM, BartonC, RossL, KramerJH, YaffeK (2009) Treatment practices of mild cognitive impairment in California Alzheimer’s Disease Centers. J Am Geriatr Soc57, 686–690.
21.
RobertsJS, KarlawishJH, UhlmannWR, PetersenRC, GreenRC (2010) Mild cognitive impairment in clinical care: A survey of American Academy of Neurology members. Neurology75, 425–431.
22.
RoddaJ, GandhiSD, MukadamN, WalkerZ (2013) Attitudes of UK psychiatrists to the diagnosis of MCI in clinical practice. Int Psychogeriatr25, 286–291.
23.
LouridaI, AbbottRA, RogersM, LangIA, SteinK, KentB, Thompson CoonJ (2017) Dissemination and implementation research in dementia care: A systematic scoping review and evidence map. BMC Geriatr17, 147.
24.
ThyrianJR, HoffmannW, EichlerT (2018) Editorial: Early recognition of dementia in primary care- Current issues and concepts. Curr Alzheimer Res15, 2–4.
25.
KaduszkiewiczH, ZimmermannT, Van den BusscheH, BachmannC, WieseB, BickelH, MöschE, RombergHP, JessenF, Cvetanovska-PllashnikuG, MaierW, Riedel-HellerSG, LuppaM, SandholzerH, WeyererS, MayerM, HofmannA, FuchsA, AbholzHH, PentzekM, AgeCoDe Study Group (2010) Do general practitioners recognize mild cognitive impairment in their patients?J Nutr Health Aging14, 697–702.
