y - JOUR A2 - Grossberg, George T. AU - Judge, Davneet AU - Roberts, Jenna AU - Khandker, Rezaul Karim AU - Ambegaonkar, Baishali AU - Black，Christopher M. PY - 2019 DA - 2019/02/27 TI -内科医生实践模式与疑似轻度认知障碍和阿尔茨海默病患者的诊断评估相关SP - 4942562 VL - 2019 AB -认知衰退和疑似痴呆患者的诊断过程是复杂的。医生们面临着区分正常衰老、轻度认知障碍、阿尔茨海默病和其他痴呆症的挑战。虽然有一些证据表明，人们对迅速诊断的重要性的态度有所改善，但描述医生在实践中如何处理这一诊断挑战的信息有限。本研究对此进行了探讨。对欧洲5个国家、加拿大和美国的初级保健和专科医生进行了横断面调查。参与者被问及他们使用认知筛查工具和诊断技术的情况，以及使用的理由和障碍。共有1365名医生参与了调查，其中63%是专科医生。大多数医生表示，他们使用客观的认知工具，以帮助早期发现疑似轻度认知障碍或阿尔茨海默病患者。简易精神状态检查是最常用的初步筛查工具; respondents cited speed and ease of use but noted its lack of specificity. Cerebrospinal fluid biomarker and amyloid positron emission tomography tests, respectively, had been used by only 26% and 32% of physicians in the preceding 6 months, although patterns of use varied across countries. The most commonly cited reasons for not ordering such tests were invasiveness (for cerebrospinal fluid biomarker testing) and cost (for amyloid positron emission tomography imaging). Data reported by physicians reveal differences in the approaches to the diagnostics process in Alzheimer’s. A higher proportion of primary care physicians in the United States are routinely incorporating cognitive assessment tools into annual visits, but this is due to country differences in clinical practice. The value of screening tools and regular use could be discussed further with physicians; however, lack of specificity associated with cognitive tools and the investment required from patients and the healthcare system are limiting factors. SN - 2090-8024 UR - https://doi.org/10.1155/2019/4942562 DO - 10.1155/2019/4942562 JF - International Journal of Alzheimer’s Disease PB - Hindawi KW - ER -