North of England evidence based guidelines development project: guideline for the primary care management of dementia

BMJ 1998;317:802-808 ( 19 September )

Education and debate

North of England evidence based guidelines development project: guideline for the primary care management of dementia

Martin Eccles, professor, ^a Julie Clarke, general practitioner, ^b Moira Livingston, consultant, ^c Nick Freemantle, senior research fellow, ^d James Mason, research fellow, ^d for the North of England Evidence Based Dementia Guideline Development Group.

^a Centre for Health Services Research, University of Newcastle upon Tyne, Newcastle upon Tyne NE2 4AA, ^b Department of Primary Health Care, School of Health Sciences, Medical School, Newcastle upon Tyne NE2 4HH, ^c Psychiatry of Old Age Service, North Tyneside General Hospital, North Shields NE29 8NH, ^d Centre for Health Economics, University of York, York YO1 5DD

Other members of the guideline development and project groups are listed at the end of the paper.

Correspondence to: Professor Eccles Martin.Eccles@ncl.ac.uk

The first 150 words of the full text of this article appear below.

This guideline aims to provide recommendations to assist general practitioners manage people with all forms of dementia andhelp their carers. This is a summary version of the full guideline.¹The areas covered were developed in conjunction with the guidelinedevelopment group. They were felt to reflect areas that were importantin daily clinical practice. The guideline is for the managementof patients with dementia; although it covers the area of screeninginstruments, it is not meant to cover the area of differentialdiagnosis. All recommendations are for general practitioners andapply to patients attending general practice with dementia. Thedevelopment group assumes that doctors will use their knowledgeand judgment in applying the principles and recommendations givenbelow in managing individual patients, since the recommendationsmay not be appropriate for all circumstances. Doctors must decideto adopt any particular recommendation in the light of availableresources and the circumstances . . . [Full text of this article]

CiteULike

Complore

Connotea

Del.icio.us Add to Digg

Digg

StumbleUpon Add to Technorati

Technorati What's this?

Relevant Articles

Effectiveness of educational interventions in improving detection and management of dementia in primary care: cluster randomised controlled study: Murna Downs, Stephen Turner, Michelle Bryans, Jane Wilcock, John Keady, Enid Levin, Ronan O'Carroll, Kate Howie, and Steve Iliffe
BMJ 2006 332: 692-696. [Abstract] [Full Text] [PDF]

Use of mini-mental state examination by GPs to diagnose dementia may be unnecessary: Hein van Hout, Myrra Vernooij-Dassen, Willibrord Hoefnagels, and Richard Grol
BMJ 1999 319: 190. [Extract] [Full Text]

Guideline for primary care management of dementia: Tom Marshall, Rebecca Eastley, Judy Haworth, Gordon Wilcock, Deborah Sharp, William G Tapsfield, Diana M Jelley, H Matthews, D Wilkinson, C Holmes, Martin Eccles, Julie Clarke, Moira Livingstone, Nick Freemantle, and James Mason
BMJ 1999 318: 731. [Extract] [Full Text] [PDF]

A corker of a journal?
BMJ 1998 317: 0. [Full Text]

A corker of a journal?
BMJ 1998 317: 0. [Full Text]

This article has been cited by other articles:

Merle, V., Moret, L., Pidhorz, L., Dujardin, F., Gouin, F., Josset, V., Graveleau, S., Petit, J., Riou, F., Lombrail, P., Czernichow, P. (2009). Does comparison of performance lead to better care? A pilot observational study in patients admitted for hip fracture in three French public hospitals. Int J Qual Health Care 21: 321-329 [Abstract] [Full text]
van Hout, H. P., Vernooij-Dassen, M. J, Stalman, W. A. (2007). Diagnosing dementia with confidence by GPs. Fam Pract 24: 616-621 [Abstract] [Full text]
Fisher, C., Larner, A. (2007). Frequency and diagnostic utility of cognitive test instrument use by GPs prior to memory clinic referral. Fam Pract 24: 495-497 [Abstract] [Full text]
Bamford, C., Eccles, M., Steen, N., Robinson, L. (2007). Can primary care record review facilitate earlier diagnosis of dementia?. Fam Pract 24: 108-116 [Abstract] [Full text]
Downs, M., Turner, S., Bryans, M., Wilcock, J., Keady, J., Levin, E., O'Carroll, R., Howie, K., Iliffe, S. (2006). Effectiveness of educational interventions in improving detection and management of dementia in primary care: cluster randomised controlled study.. BMJ 332: 692-696 [Abstract] [Full text]
Kumpers, S., Mur, I., Maarse, H., van Raak, A. (2005). A Comparative Study of Dementia Care in England and the Netherlands Using Neo-Institutionalist Perspectives. Qual Health Res 15: 1199-1230 [Abstract]
Bruce, D. G., Paley, G. A., Nichols, P., Roberts, D., Underwood, P. J., Schaper, F. (2005). Physical Disability Contributes to Caregiver Stress in Dementia Caregivers. Journals of Gerontology Series A: Biological Sciences and Medical Sciences 60: 345-349 [Abstract] [Full text]
Iliffe, S., Manthorpe, J., Eden, A. (2003). Sooner or later? Issues in the early diagnosis of dementia in general practice: a qualitative study. Fam Pract 20: 376-381 [Abstract] [Full text]
Woods, R T, Moniz-Cook, E., Iliffe, S., Campion, P., Vernooij-Dassen, M., Zanetti, O., Franco, M. (2003). Dementia: issues in early recognition and intervention in primary care. JRSM 96: 320-324 [Full text]
Grossberg, G. T., Desai, A. K. (2003). Management of Alzheimer's Disease. Journals of Gerontology Series A: Biological Sciences and Medical Sciences 58: M331-353 [Full text]
Ravaglia, G., Forti, P., Maioli, F., Muscari, A., Sacchetti, L., Arnone, G., Nativio, V., Talerico, T., Mariani, E. (2003). Homocysteine and cognitive function in healthy elderly community dwellers in Italy. Am. J. Clin. Nutr. 77: 668-673 [Abstract] [Full text]
Iliffe, S., Wilcock, J., Austin, T., Walters, K., Rait, G., Turner, S., Bryans, M., Downs, M. (2002). Dementia Diagnosis and Management in Primary Care: Developing and testing educational models. Dementia 1: 11-23 [Abstract]
Downs, M., Clibbens, R., Rae, C., Cook, A., Woods, R. (2002). What Do General Practitioners Tell People with Dementia and their Families about the Condition?: A survey of experiences in Scotland. Dementia 1: 47-58 [Abstract]
Chow, T. W., MacLean, C. H. (2001). Quality Indicators for Dementia in Vulnerable Community-Dwelling and Hospitalized Elders. ANN INTERN MED 135: 668-676 [Full text]
Waldorff, F. B., Bulow, L. B., Malterud, K., Waldemar, G. (2001). Management of dementia in primary health care: the experiences of collaboration between the GP and the district nurse. Fam Pract 18: 549-552 [Abstract] [Full text]
Burns, A., Dening, T., Baldwin, R. (2001). Care of older people: Mental health problems. BMJ 322: 789-791 [Full text]
Brauner, D. J., Muir, J. C., Sachs, G. A. (2000). Treating Nondementia Illnesses in Patients With Dementia. JAMA 283: 3230-3235 [Abstract] [Full text]
REYNOLDS, T., THORNICROFT, G., ABAS, M., WOODS, B., HOE, J., LEESE, M., ORRELL, M. (2000). Camberwell Assessment of Need for the Elderly (CANE): Development, validity and reliability. Br. J. Psychiatry 176: 444-452 [Abstract] [Full text]
van Hout, H., Vernooij-Dassen, M., Hoefnagels, W., Grol, R. (1999). Use of mini-mental state examination by GPs to diagnose dementia may be unnecessary. BMJ 319: 190a-190 [Full text]
Freemantle, N., Mason, J. (1999). Not playing with a full DEC: why development and evaluation committee methods for appraising new drugs may be inadequate. BMJ 318: 1480-1482 [Full text]
Marshall, T., Eastley, R., Haworth, J., Wilcock, G., Sharp, D., Tapsfield, W. G, Jelley, D. M, Matthews, H, Wilkinson, D, Holmes, C, Eccles, M., Clarke, J., Livingstone, M., Freemantle, N., Mason, J. (1999). Guideline for primary care management of dementia. BMJ 318: 731-731 [Full text]

Rapid Responses:

Read all Rapid Responses

Donepezil: Discrimination Against Dementia?: Peter J Connelly
bmj.com, 28 Sep 1998 [Full text]
North of England dementia guidelines: Tom Marshall
bmj.com, 28 Sep 1998 [Full text]
Primary care management of dementia: William G Tapsfield
bmj.com, 1 Oct 1998 [Full text]
NEng guidelines: D Wilkinson
bmj.com, 13 Oct 1998 [Full text]
Inadequte, inaccurate, and out of date: Gordon Wilcock
bmj.com, 16 Oct 1998 [Full text]
Disputable diagnostic value of the Mini Mental Status Examination in General Practice: Hein van Hout, et al.
bmj.com, 22 Jan 1999 [Full text]
Disputable diagnostic value of the Mini Mental Status Examination in general practice: Hein van Hout
bmj.com, 19 Mar 1999 [Full text]