Quality of dementia diagnostic evaluation for ethnic minority patients: a nationwide study

T Rune Nielsen; Birgitte Bo Andersen; Marianne Kastrup; Tien Kieu Phung; Gunhild Waldemar

doi:10.1159/000327362

Quality of dementia diagnostic evaluation for ethnic minority patients: a nationwide study

T Rune Nielsen, Birgitte Bo Andersen, Marianne Kastrup, Tien Kieu Phung, Gunhild Waldemar

27 Citations (Scopus)

Abstract

Background/Aims: Diagnostic evaluation of dementia for ethnic minority patients may be challenging. This study aimed to evaluate the quality of diagnostic evaluation of dementia for patients from ethnic minorities in Denmark. Methods: The Danish national hospital registers were used to identify patients from the main ethnic minority groups in Denmark, who were diagnosed with dementia in the period 2005-2007. Three raters independently reviewed the patients' medical records. Data were compared to data from a previous similar study in the general Danish population. Results: Fifty-seven medical records were reviewed. An acceptable diagnostic workup was documented in only 23% of the patients. Dementia diagnosis was confirmed in 35%. Significant differences in the quality of the diagnostic evaluation were found between patients from ethnic minorities and the general population. Conclusion: There are significant ethnic disparities in the quality of diagnostic evaluations and outcome of dementia in the secondary healthcare sector.

Original language	English
Journal	Dementia and Geriatric Cognitive Disorders
Volume	31
Issue number	5
Pages (from-to)	388-96
Number of pages	9
ISSN	1420-8008
DOIs	https://doi.org/10.1159/000327362
Publication status	Published - Jul 2011

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title = "Quality of dementia diagnostic evaluation for ethnic minority patients: a nationwide study",

abstract = "Background/Aims: Diagnostic evaluation of dementia for ethnic minority patients may be challenging. This study aimed to evaluate the quality of diagnostic evaluation of dementia for patients from ethnic minorities in Denmark. Methods: The Danish national hospital registers were used to identify patients from the main ethnic minority groups in Denmark, who were diagnosed with dementia in the period 2005-2007. Three raters independently reviewed the patients' medical records. Data were compared to data from a previous similar study in the general Danish population. Results: Fifty-seven medical records were reviewed. An acceptable diagnostic workup was documented in only 23% of the patients. Dementia diagnosis was confirmed in 35%. Significant differences in the quality of the diagnostic evaluation were found between patients from ethnic minorities and the general population. Conclusion: There are significant ethnic disparities in the quality of diagnostic evaluations and outcome of dementia in the secondary healthcare sector.",

author = "Nielsen, {T Rune} and Andersen, {Birgitte Bo} and Marianne Kastrup and Phung, {Tien Kieu} and Gunhild Waldemar",

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doi = "10.1159/000327362",

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T1 - Quality of dementia diagnostic evaluation for ethnic minority patients: a nationwide study

AU - Nielsen, T Rune

AU - Andersen, Birgitte Bo

AU - Kastrup, Marianne

AU - Phung, Tien Kieu

AU - Waldemar, Gunhild

PY - 2011/7

Y1 - 2011/7

N2 - Background/Aims: Diagnostic evaluation of dementia for ethnic minority patients may be challenging. This study aimed to evaluate the quality of diagnostic evaluation of dementia for patients from ethnic minorities in Denmark. Methods: The Danish national hospital registers were used to identify patients from the main ethnic minority groups in Denmark, who were diagnosed with dementia in the period 2005-2007. Three raters independently reviewed the patients' medical records. Data were compared to data from a previous similar study in the general Danish population. Results: Fifty-seven medical records were reviewed. An acceptable diagnostic workup was documented in only 23% of the patients. Dementia diagnosis was confirmed in 35%. Significant differences in the quality of the diagnostic evaluation were found between patients from ethnic minorities and the general population. Conclusion: There are significant ethnic disparities in the quality of diagnostic evaluations and outcome of dementia in the secondary healthcare sector.

AB - Background/Aims: Diagnostic evaluation of dementia for ethnic minority patients may be challenging. This study aimed to evaluate the quality of diagnostic evaluation of dementia for patients from ethnic minorities in Denmark. Methods: The Danish national hospital registers were used to identify patients from the main ethnic minority groups in Denmark, who were diagnosed with dementia in the period 2005-2007. Three raters independently reviewed the patients' medical records. Data were compared to data from a previous similar study in the general Danish population. Results: Fifty-seven medical records were reviewed. An acceptable diagnostic workup was documented in only 23% of the patients. Dementia diagnosis was confirmed in 35%. Significant differences in the quality of the diagnostic evaluation were found between patients from ethnic minorities and the general population. Conclusion: There are significant ethnic disparities in the quality of diagnostic evaluations and outcome of dementia in the secondary healthcare sector.

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DO - 10.1159/000327362

M3 - Journal article

SN - 1420-8008

VL - 31

SP - 388

EP - 396

JO - Dementia and Geriatric Cognitive Disorders

JF - Dementia and Geriatric Cognitive Disorders

IS - 5

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Quality of dementia diagnostic evaluation for ethnic minority patients: a nationwide study

Abstract

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