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| Name | Class |
|---|---|
| ZonMw: The Netherlands Organisation for Health Research and Development | OTHER |
The purpose of this study is to determine the effects and cost-effectiveness of a Diagnostic Observation Center for PsychoGeriatric patients (DOC-PG). Our main hypothesis is that DOC-PG has added value compared with usual care regarding Health Related Quality of Life (HRQoL).
An integrated multidisciplinary approach to diagnosing and managing dementia is generally recommended, though rarely investigated. In recent years, multidisciplinary memory clinics (MCs) for patients with dementia have been established in many places over the world. These services have recently also been criticised for being principally hospital-based, for their apparently limited focus that entails only medical diagnostics and pharmacotherapy and for thus diverting resources from community mental health teams(CMHTs) .On the other hand, CMHTs are mainly concerned with the provision and organisation of integrated care, and unlike MCs, CMHTs generally have limited access to hospital-based diagnostics such as brain-imaging.
In April 2002, an outpatient diagnostic facility, the Diagnostic Observation Centre for PsychoGeriatric patients (DOC-PG) was established in Maastricht, the Netherlands. DOC-PG combines the hospital-based approach of the MC with the care-oriented approach of the regional CMHT and aims to provide the general practitioner (GP) with elaborate diagnostic and therapeutic advice for patients with cognitive disorders.
Comparison: DOC-PG is compared with usual care i.e. the GP took care of the diagnosis, or he or she referred the patient to one of the separate regional services, e.g. the Maastricht Memory Clinic (MMC), geriatric medicine, or the department of mental health for the elderly of the mental health community service (CMHT).
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DOC-PG: integrated multidisciplinary assessment | Procedure | |||
| Usual care: assessment by GP or one of the regional services | Procedure |
| Measure | Description | Time Frame |
|---|---|---|
| The Visual Analogue Scale of the EuroQol-5D |
| Measure | Description | Time Frame |
|---|---|---|
| Utility score of the EuroQol-5D | ||
| Short Form 36 (SF-36) | ||
| Mini Mental State Examination (MMSE) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Frans R Verhey, PhD, MD | Maastricht University Medical Center | Principal Investigator |
| Carmen D. Dirksen, PhD | Maastricht University Medical Center | Study Director |
| Johan L Severens, PhD | Maastricht University Medical Center | Study Director |
| Alfons Kessels, MD, MSc | Maastricht University Medical Center | Study Chair |
| Claire A Wolfs, MSc | Maastricht University Medical Center | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Academic Hospital Maastricht | Maastricht | Limburg | 6202 AZ | Netherlands |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 16440403 | Background | Wolfs CA, Dirksen CD, Severens JL, Verhey FR. The added value of a multidisciplinary approach in diagnosing dementia: a review. Int J Geriatr Psychiatry. 2006 Mar;21(3):223-32. doi: 10.1002/gps.1454. | |
| Background | Wolfs CAG, Severens JL, Dirksen CD, Kessels A, Jaspers N, Verhey FRJ. 2005. A Randomized Clinical Trial on the Effects of a Diagnostic Observation Centre for PsychoGeriatric patients (DOC-PG). International Psychogeriatrics 17: 370-371 | ||
| 16977677 |
| Label | URL |
|---|---|
| Related Info | View source |
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| Global Deterioration Scale (GDS) |
| NeuroPsychiatric Inventory (NPI) |
| Instrumental Activities of Daily Living scale (IADL) |
| Cornell Scale of Depression in Dementia (CSDD) |
| Perceived Pressure from Informal Care (Dutch translation, EDIZ) |
| Informal care questionnaire |
| Result |
| Wolfs CA, Verhey FR, Kessels A, Winkens RA, Severens JL, Dirksen CD. GP concordance with advice for treatment following a multidisciplinary psychogeriatric assessment. Int J Geriatr Psychiatry. 2007 Mar;22(3):233-40. doi: 10.1002/gps.1666. |
| 19255381 | Derived | Wolfs CA, Dirksen CD, Kessels A, Severens JL, Verhey FR. Economic evaluation of an integrated diagnostic approach for psychogeriatric patients: results of a randomized controlled trial. Arch Gen Psychiatry. 2009 Mar;66(3):313-23. doi: 10.1001/archgenpsychiatry.2008.544. |
| ID | Term |
|---|---|
| D019965 | Neurocognitive Disorders |
| D008569 | Memory Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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