Intended for healthcare professionals


Use of mini-mental state examination by GPs to diagnose dementia may be unnecessary

BMJ 1999; 319 doi: (Published 17 July 1999) Cite this as: BMJ 1999;319:190
  1. Hein van Hout, Health scientist (,
  2. Myrra Vernooij-Dassen, Senior lecturer,
  3. Willibrord Hoefnagels, Professor of geriatric medicine,
  4. Richard Grol, Professor of general practice
  1. Centre for Quality of Care Research, Department of General Practice and Social Medicine and Department of Geriatric Medicine, University of Nijmegen, Postbox 9101, 6500 HB Nijmegen, Netherlands

    EDITOR—We have a critical comment on the North of England dementia guideline's emphasis on the use of cognitive screening tests such as the mini-mental state examination by general practitioners.1 We do not oppose the use of screening tests but emphasise that in a primary care setting general practitioners have different and equally effective means of diagnosing dementia. To illustrate this we report on an evaluation study …

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