A Memory Clinic at a Geriatric Hospital: A Report on 577 Patients Assessed with the CAMDEX Over 9 Years

Stratford, Joe; LoGiudice, Dina; Flicker, Leon; Cook, Roslyn; Waltrowicz, Wendy; Ames, David

doi:10.1046/j.1440-1614.2003.01174.x

Cited by 40 publications

(36 citation statements)

References 18 publications

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“…The ability of the IQCODE to discriminate AD is in line with previous studies [12,22,24] . The IQCODE was not able to discriminate MCI, which is in contrast to the findings of Isella et al [26] and Ehrensperger et al [25] .…”

Section: Discussionsupporting

confidence: 91%

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How Useful Is the IQCODE for Discriminating between Alzheimer’s Disease, Mild Cognitive Impairment and Subjective Memory Complaints?

Sikkes¹,

Berg²,

Knol

et al. 2010

Dement Geriatr Cogn Disord

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Background: Informant questionnaires may be useful in diagnosing early dementia. Conflicting results were found when these questionnaires were used to differentiate patients with mild cognitive impairment (MCI) from healthy elderly subjects. We evaluated the ability of the most commonly used informant questionnaire, the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE), to discriminate between Alzheimer’s disease (AD), MCI and subjective memory complaints (SMC). Methods: Informants of 180 AD patients, 59 MCI patients and 89 SMC subjects who visited the Alzheimer Center of the VU University Medical Center between 2004 and 2007 completed the short Dutch version of the IQCODE. Logistic regression and receiver operating characteristic curves were used to evaluate the diagnostic ability of the IQCODE. Results: The IQCODE was able to differentiate AD from MCI and SMC, but was not able to differentiate SMC from MCI. Conclusions: The IQCODE may be helpful in diagnosing AD but is of limited use in differentiating MCI from SMC.

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Section: Discussionsupporting

confidence: 91%

“…Despite this widespread research in community samples, only a limited number of studies have investigated the use of the IQCODE in a memory clinic population [20][21][22][23][24] . In this setting, the IQCODE also seems to be able to differentiate between dementia patients and elderly individuals without cognitive deficits.…”

mentioning

confidence: 99%

How Useful Is the IQCODE for Discriminating between Alzheimer’s Disease, Mild Cognitive Impairment and Subjective Memory Complaints?

Sikkes¹,

Berg²,

Knol

et al. 2010

Dement Geriatr Cogn Disord

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“…One study by Nygaard et al [32] reported that carer information as measured by the IQCODE was influenced by the carer's burden of care. A similar result was reported from an Australian study [34]. However, in an earlier study from the same Australian group, the carer's burden did not influence the carer's information about the patient's cognitive decline [35].…”

Section: Introductionsupporting

confidence: 82%

Burden of Care and Patient's Neuropsychiatric Symptoms Influence Carer's Evaluation of Cognitive Impairment

Persson

Brækhus²,

Selbæk³

et al. 2015

Dement Geriatr Cogn Disord

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Objectives: The aim of this study was to explore what effects the carer's burden and patient's neuropsychiatric symptoms have on carer's report on patient's cognitive functioning and instrumental activities of daily living (IADL). Methods: We included 1,832 patients, 742 with mild cognitive impairment and 1,090 with dementia [mean age 75.2 years (SD 9.5), 56% women]. The following scales were used: Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE), Lawton and Brody IADL Scale, Neuropsychiatric Inventory Questionnaire (NPI-Q), Relatives' Stress Scale (RSS), Mini-Mental State Examination (MMSE), and Clock Drawing Test (CDT). Correlation analyses and multiple linear regression analyses were carried out to explore which factors were associated with IQCODE and IADL. Results: Spouses scored lower on the IQCODE compared with non-spouses in spite of equivalent MMSE and CDT scores. In a multiple linear regression analysis using IQCODE as a dependent variable, beta for MMSE was -0.368 (p < 0.001) adjusted for demographic factors. After adjusting also for RSS and NPI-Q, MMSE beta was -0.279 (p < 0.001), RSS beta 0.294 (p < 0.001), and NPI beta 0.237 (p < 0.001). Similar results were found using IADL as the dependent variable. Conclusion: Carer's burden and neuropsychiatric symptoms of the patient are important biasing factors when carers report on cognitive function and IADL.

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“…Most do not provide details about the proportion of rural vs. urban patients but appear to be serving mainly urban patients. Of the 577 patients seen in an Australian memory clinic over a 9-year period (Stratford et al, 2003), the mean age was 72.9 years, identical to the overall mean age of patients seen in our clinic. English as a first language was spoken by 73% of patients and an interpreter used for 8% of assessments, compared to 94% and 5% of the current clinic population, respectively.…”

Section: Evaluation Of Clinic and Follow-up Interventionssupporting

confidence: 64%

“…Neuroradiological assessment was provided by most clinics (CT = 93%, MRI = 71%) (Lindesay et al, 2002). A well established clinic in Australia (Ames, Flicker, & Helme, 1992;Stratford et al, 2003) operates a half-day per week, seeing two new patients weekly. Assessments are conducted over two visits a few weeks apart, with a family conference at the end of the second visit.…”

Section: Memory Clinic Design and Operationsmentioning

confidence: 99%

Improving access to dementia care: Development and evaluation of a rural and remote memory clinic

Morgan

Crossley

Kirk

et al. 2009

Aging & Mental Health

120

147

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A Memory Clinic at a Geriatric Hospital: A Report on 577 Patients Assessed with the CAMDEX Over 9 Years

Abstract: Patient demographics and diagnoses were similar to those found in other clinics. Most people who attended the memory clinic had significant cognitive or psychiatric disorders.

Cited by 40 publications

References 18 publications

How Useful Is the IQCODE for Discriminating between Alzheimer’s Disease, Mild Cognitive Impairment and Subjective Memory Complaints?

How Useful Is the IQCODE for Discriminating between Alzheimer’s Disease, Mild Cognitive Impairment and Subjective Memory Complaints?

Burden of Care and Patient's Neuropsychiatric Symptoms Influence Carer's Evaluation of Cognitive Impairment

Improving access to dementia care: Development and evaluation of a rural and remote memory clinic

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