Diagnostic dilemmas in Alzheimer's disease

Room for shared decision making

Wiesje M. van der Flier, Marleen Kunneman, Femke H. Bouwman, Ronald Carl Petersen, Ellen M.A. Smets

Research output: Contribution to journalShort survey

7 Citations (Scopus)

Abstract

The launch of the NIA-AA research criteria for Alzheimer's disease (AD) diagnosis illustrates the large advances that have been made in the field of AD diagnosis. These new possibilities however also introduce new dilemmas into the consulting room, and this provides room for shared decision making (SDM). SDM refers to clinicians and patients (and/or their caregivers) working together to decide which care plan best fits individual patients and their lives, when there is more than one reasonable option. Here, we describe how SDM in the diagnosis of AD promotes patient-centered care, as it helps to adapt the diagnostic process to the patients’ values and preferences. We provide an outline for a research agenda, as SDM in the diagnosis of dementia should be studied intensively incorporating the views of both patients and caregivers.

Original languageEnglish (US)
Pages (from-to)301-304
Number of pages4
JournalAlzheimer's and Dementia: Translational Research and Clinical Interventions
Volume3
Issue number3
DOIs
StatePublished - Sep 1 2017

Fingerprint

Decision Making
Alzheimer Disease
Caregivers
Patient-Centered Care
Patient Preference
Research
Dementia

Keywords

  • Alzheimer
  • Communication
  • Diagnostic testing
  • Mild cognitive impairment
  • Shared decision making

ASJC Scopus subject areas

  • Clinical Neurology
  • Psychiatry and Mental health

Cite this

Diagnostic dilemmas in Alzheimer's disease : Room for shared decision making. / van der Flier, Wiesje M.; Kunneman, Marleen; Bouwman, Femke H.; Petersen, Ronald Carl; Smets, Ellen M.A.

In: Alzheimer's and Dementia: Translational Research and Clinical Interventions, Vol. 3, No. 3, 01.09.2017, p. 301-304.

Research output: Contribution to journalShort survey

van der Flier, Wiesje M. ; Kunneman, Marleen ; Bouwman, Femke H. ; Petersen, Ronald Carl ; Smets, Ellen M.A. / Diagnostic dilemmas in Alzheimer's disease : Room for shared decision making. In: Alzheimer's and Dementia: Translational Research and Clinical Interventions. 2017 ; Vol. 3, No. 3. pp. 301-304.
@article{20fef3a9b92d4b74843a1cefdba4121c,
title = "Diagnostic dilemmas in Alzheimer's disease: Room for shared decision making",
abstract = "The launch of the NIA-AA research criteria for Alzheimer's disease (AD) diagnosis illustrates the large advances that have been made in the field of AD diagnosis. These new possibilities however also introduce new dilemmas into the consulting room, and this provides room for shared decision making (SDM). SDM refers to clinicians and patients (and/or their caregivers) working together to decide which care plan best fits individual patients and their lives, when there is more than one reasonable option. Here, we describe how SDM in the diagnosis of AD promotes patient-centered care, as it helps to adapt the diagnostic process to the patients’ values and preferences. We provide an outline for a research agenda, as SDM in the diagnosis of dementia should be studied intensively incorporating the views of both patients and caregivers.",
keywords = "Alzheimer, Communication, Diagnostic testing, Mild cognitive impairment, Shared decision making",
author = "{van der Flier}, {Wiesje M.} and Marleen Kunneman and Bouwman, {Femke H.} and Petersen, {Ronald Carl} and Smets, {Ellen M.A.}",
year = "2017",
month = "9",
day = "1",
doi = "10.1016/j.trci.2017.03.008",
language = "English (US)",
volume = "3",
pages = "301--304",
journal = "Alzheimer's and Dementia: Translational Research and Clinical Interventions",
issn = "2352-8737",
publisher = "Elsevier Inc.",
number = "3",

}

TY - JOUR

T1 - Diagnostic dilemmas in Alzheimer's disease

T2 - Room for shared decision making

AU - van der Flier, Wiesje M.

AU - Kunneman, Marleen

AU - Bouwman, Femke H.

AU - Petersen, Ronald Carl

AU - Smets, Ellen M.A.

PY - 2017/9/1

Y1 - 2017/9/1

N2 - The launch of the NIA-AA research criteria for Alzheimer's disease (AD) diagnosis illustrates the large advances that have been made in the field of AD diagnosis. These new possibilities however also introduce new dilemmas into the consulting room, and this provides room for shared decision making (SDM). SDM refers to clinicians and patients (and/or their caregivers) working together to decide which care plan best fits individual patients and their lives, when there is more than one reasonable option. Here, we describe how SDM in the diagnosis of AD promotes patient-centered care, as it helps to adapt the diagnostic process to the patients’ values and preferences. We provide an outline for a research agenda, as SDM in the diagnosis of dementia should be studied intensively incorporating the views of both patients and caregivers.

AB - The launch of the NIA-AA research criteria for Alzheimer's disease (AD) diagnosis illustrates the large advances that have been made in the field of AD diagnosis. These new possibilities however also introduce new dilemmas into the consulting room, and this provides room for shared decision making (SDM). SDM refers to clinicians and patients (and/or their caregivers) working together to decide which care plan best fits individual patients and their lives, when there is more than one reasonable option. Here, we describe how SDM in the diagnosis of AD promotes patient-centered care, as it helps to adapt the diagnostic process to the patients’ values and preferences. We provide an outline for a research agenda, as SDM in the diagnosis of dementia should be studied intensively incorporating the views of both patients and caregivers.

KW - Alzheimer

KW - Communication

KW - Diagnostic testing

KW - Mild cognitive impairment

KW - Shared decision making

UR - http://www.scopus.com/inward/record.url?scp=85019580083&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85019580083&partnerID=8YFLogxK

U2 - 10.1016/j.trci.2017.03.008

DO - 10.1016/j.trci.2017.03.008

M3 - Short survey

VL - 3

SP - 301

EP - 304

JO - Alzheimer's and Dementia: Translational Research and Clinical Interventions

JF - Alzheimer's and Dementia: Translational Research and Clinical Interventions

SN - 2352-8737

IS - 3

ER -