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Br J Psychiatry. 2008 Apr;192(4):300-5. doi: 10.1192/bjp.bp.107.035204.

Integrated multidisciplinary diagnostic approach for dementia care: randomised controlled trial.

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  • 1Department of Psychiatry and Neuropsychology, University Hospital of Maastricht/Alzheimer Centre Limburg, Maastricht, The Netherlands.

Abstract

BACKGROUND:

An integrated multidisciplinary approach to dementia is often recommended but has rarely been evaluated.

AIMS:

To evaluate the clinical effects of an integrated multidisciplinary diagnostic facility for psychogeriatric patients.

METHOD:

Patients suspected of having complex psychogeriatric problems were randomly allocated to the intervention (n=137) or to treatment as usual (n=93). They were assessed at baseline, and at 6 months and 12 months follow-up by means of personal interviews with the patient's proxy. The primary outcome was health-related quality of life, assessed using the visual analogue scale (VAS) of the EuroQd measure, EQ-5D.

RESULTS:

Health-related quality of life had improved at 6 months in the intervention group, whereas that of the control group had decreased. Furthermore, more patients in the intervention group experienced a clinically relevant improvement of 10 points or more on the VAS at both follow-up measurements.

CONCLUSIONS:

An integrated multidisciplinary approach improves dementia care.

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PMID:
18378994
[PubMed - indexed for MEDLINE]
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