Prevalence and management of dementia in primary care practices with electronic medical records: a report from the Canadian Primary Care Sentinel Surveillance Network

<p>Epidemiology of dementia: prevalence and incidence estimates using validated electronic health records from primary care</p>

“…Electronic health records emerged as a new opportunity to study the epidemiology of dementia: prevalence and incidence-rate estimates can be updated at low cost using data routinely collected in health care settings. Indeed, the use of electronic medical databases to assess the epidemiology of dementia has been increasing at the European level7 and in many developed countries, such as Canada8 and the Netherlands 9. However, the accuracy of dementia records in routinely collected health care data sets is always a concern, and cohorts should ideally conduct their own setting-specific validation 10.…”

“…However, the accuracy of dementia records in routinely collected health care data sets is always a concern, and cohorts should ideally conduct their own setting-specific validation 10. This concern is especially apparent for electronic health records collected in primary care, because accuracy of dementia diagnoses recorded by general practitioners has been considered low 8,11. Nevertheless, a recent systematic review reported high positive predictive values (PPVs) (0.83 or higher) when identifying dementia cases in primary-care data, indicating that dementia codes in those primary-care databases were sufficiently accurate to be used for research purposes 10…”

Using Canadian Primary Care Sentinel Surveillance Network data to examine depression in patients with a diagnosis of Parkinson disease: a retrospective cohort study

“…42 Furthermore, the existence of the Canadian Primary Care Sentinel Surveillance Network allows examination of other chronic diseases, including a recent study on dementia. 44 Each surveillance network case definition refers to lifetime prevalence of only 8 chronic diseases. 23 Finally, we made assumptions as to our list of medications that would be prescribed for depressive symptoms.…”

Capacitação de agentes comunitários de saúde para a detecção da demência na fase leve

“…Em todo mundo, a demência tem sido sub-diagnosticada e o diagnóstico geralmente feito em um estágio avançado da doença na clínica especializada. Tal fato tem causas multifacetadas e envolve desde a falta de formação e treinamento dos profissionais da saúde inseridos na AB até a triagem, diagnóstico e tratamento farmacológico/não farmacológico dos novos casos 6 . Mesmo em países desenvolvidos, apenas um quinto dos diagnósticos são rotineiramente reconhecidos e documentados na atenção primária à saúde 7 .…”

“…O relatório da World Alzheimer Report identifica que o desconhecimento em relação a demência faz parte do estigma público e impacta no atraso do diagnóstico e encaminhamentos aos serviços e tratamentos adequados 19 . Esse estigma também é salientado na literatura sobre demência 1,2,[5][6][7]12,20 .…”