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Three simple questions have high utility for diagnosing dementia in the primary care setting
  1. A J Larner
  1. Correspondence to Walton Centre for Neurology and Neurosurgery, Liverpool, UK; a.larner@thewaltoncentre.nhs.uk

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ABSTRACT FROM: Creavin S, Fish M, Gallacher J, et al. Clinical history for diagnosis of dementia in men: Caerphilly Prospective Study. Br J Gen Pract 2015;65:e489–99.

What is already known on this topic

Dementia prevalence is anticipated to increase with ageing of the population since age is a risk factor for dementia. The diagnosis of dementia in primary care settings has been encouraged in the UK by national directives1 and financial incentives2 in the hope that this will facilitate earlier therapeutic intervention. However, a significant ‘dementia diagnosis gap’ (the difference between expected and observed numbers of cases of dementia diagnosed) remains, perhaps related to underuse of cognitive screening instruments in primary care despite their being specifically designed for assessment of memory complaints in this setting.3 Simple questions that might facilitate early dementia diagnosis in primary care may help to address this diagnostic gap.

Methods of the study

The Caerphilly …

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