Identification of dementia cases in the community: A Brazilian experience

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dc.contributor.authorRamos-Cerqueira, ATA
dc.contributor.authorTorres, Albina Rodrigues [UNESP]
dc.contributor.authorCrepaldi, A. L.
dc.contributor.authorOliveira, NIL
dc.contributor.authorScazufca, M.
dc.contributor.authorMenezes, P. R.
dc.contributor.authorPrince, M.
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionKings Coll London
dc.date.accessioned2014-05-20T13:35:54Z
dc.date.available2014-05-20T13:35:54Z
dc.date.issued2005-10-01
dc.description.abstractOBJECTIVES: To describe the application in Brazil of a simple, low-cost procedure, developed in India by the 10/66 Dementia Research Group, for the identification of dementia cases in the community.DESIGN: Community-based dementia case-finding method.SETTING: Piraju, São Paulo, Brazil.PARTICIPANTS: Twenty-five community health workers were trained to identify dementia cases in 2,222 people aged 65 and older in Piraju, a Brazilian town with 27,871 inhabitants.MEAUREMENTS: After the training, the health workers prepared a list of possible cases that afterward an experienced psychiatrist clinically evaluated, according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), criteria and the Clinical Dementia Rating.RESULTS: of the 72 cases that were clinically assessed, 45 met the DSM-IV diagnostic criteria for dementia. Therefore, the positive predictive value of this case finding method was 62.5%; the estimated frequency of dementia was 2%. Most of the confirmed cases met clinical criteria for Alzheimer's disease and vascular dementia.CONCLUSION: This simple method was appropriate to identify cases of dementia in the general population and can possibly be extended to other developing countries with limited resources to be applied in health programs.en
dc.description.affiliationUniv Estadual Paulista, Dept Neurol & Psychiat, FMB, Dementia Res Grp, BR-18618970 Botucatu, SP, Brazil
dc.description.affiliationUniv Estadual Paulista, Botucatu Med Sch, BR-18618970 Botucatu, SP, Brazil
dc.description.affiliationUniv São Paulo, Dementia Res Grp, BR-05508 São Paulo, Brazil
dc.description.affiliationKings Coll London, Inst Psychiat, London WC2R 2LS, England
dc.description.affiliationUnespUniv Estadual Paulista, Dept Neurol & Psychiat, FMB, Dementia Res Grp, BR-18618970 Botucatu, SP, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, Botucatu Med Sch, BR-18618970 Botucatu, SP, Brazil
dc.format.extent1738-1742
dc.identifierhttp://dx.doi.org/10.1111/j.1532-5415.2005.53553.x
dc.identifier.citationJournal of the American Geriatrics Society. Oxford: Blackwell Publishing, v. 53, n. 10, p. 1738-1742, 2005.
dc.identifier.doi10.1111/j.1532-5415.2005.53553.x
dc.identifier.issn0002-8614
dc.identifier.lattes3837157956819433
dc.identifier.urihttp://hdl.handle.net/11449/12352
dc.identifier.wosWOS:000232006000012
dc.language.isoeng
dc.publisherBlackwell Publishing
dc.relation.ispartofJournal of the American Geriatrics Society
dc.relation.ispartofjcr4.155
dc.relation.ispartofsjr2,174
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.subjectdementiapt
dc.subjectdiagnosispt
dc.subjectdementia case-findingpt
dc.subjectepidemiologypt
dc.titleIdentification of dementia cases in the community: A Brazilian experienceen
dc.typeArtigo
dcterms.licensehttp://olabout.wiley.com/WileyCDA/Section/id-406071.html
dcterms.rightsHolderBlackwell Publishing
unesp.author.lattes3837157956819433[2]
unesp.author.lattes0537835246490556[1]
unesp.author.orcid0000-0003-1379-7146[7]
unesp.author.orcid0000-0001-6330-3314[6]
unesp.author.orcid0000-0003-1072-5008[2]
unesp.author.orcid0000-0003-2374-8890[1]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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Artigos - Neurologia, Psicologia e Psiquiatria - FMB