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dc.contributor.authorO'Malley, M.
dc.contributor.authorParkes, J.
dc.contributor.authorStamou, Vasileios
dc.contributor.authorLa Fontaine Papadopoulos, Jenny H.
dc.contributor.authorOyebode, Jan R.
dc.contributor.authorCarter, J.
dc.date.accessioned2020-10-19T21:37:58Z
dc.date.accessioned2020-11-03T15:29:23Z
dc.date.available2020-10-19T21:37:58Z
dc.date.available2020-11-03T15:29:23Z
dc.date.issued2020-11
dc.identifier.citationO'Malley M, Parkes J, Stamou V et al (2020) International consensus on quality indicators for comprehensive assessment of dementia in young adults using a modified e-Delphi approach. International Journal of Geriatric Psychiatry. 35(11): 1309-1321.en_US
dc.identifier.urihttp://hdl.handle.net/10454/18148
dc.descriptionYesen_US
dc.description.abstractObjective: To develop guidance for clinicians about essential elements that can support clinical decision-making in the diagnostic workup of young onset dementia. Methods/design: Three iterations of a modified e-Delphi consensus survey comprising 23 international expert clinicians specialising in diagnosis of young onset dementia. Outcome measures: A priori consensus was pre-defined as 80% of experts ranking statements in the upper threshold on a seven-point Likert scale that ranged from “not important at all” to “absolutely essential” to diagnosis. Results: 80% consensus was reached on 48 statements that were rated as “absolutely essential” or “very important” to a comprehensive assessment of dementia in a younger adult. In order to inform a subsequent audit of clinical records in which compliance with these statements was assessed, the statements were divided into a Minimum Standard, (consisting of the 15 statements voted by all experts as being “absolutely essential” or “very important”) and a Gold Standard where 48 statements were voted by 80% of the experts as being “absolutely essential” or “very important”. The experts’ response rate across the three rounds was 91.3%. Conclusion: A Minimum Standard and Gold Standard have been created for the diagnostic workup of young onset dementia. The standards provide a clinically useful tool for decision-making, particularly for generalists and those with less experience in the field. The standards will be used to inform a UK case note audit of recently diagnosed patients with young onset dementia.en_US
dc.description.sponsorshipThis work was supported by the Alzheimer's Society grant number 278 AS-PG-15b-034.en_US
dc.language.isoenen_US
dc.relation.isreferencedbyhttps://doi.org/10.1002/gps.5368en_US
dc.rights© 2020 The Authors. International Journal of Geriatric Psychiatry published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.en_US
dc.subjectDelphi studyen_US
dc.subjectDiagnosisen_US
dc.subjectExpert consensusen_US
dc.subjectQuality indicatorsen_US
dc.subjectStandardsen_US
dc.subjectYoung onset dementiaen_US
dc.titleInternational consensus on quality indicators for comprehensive assessment of dementia in young adults using a modified e-Delphi approachen_US
dc.status.refereedYesen_US
dc.date.Accepted2020-06-20
dc.date.application2020-06-25
dc.typeArticleen_US
dc.type.versionPublished versionen_US
dc.date.updated2020-10-19T20:38:01Z
refterms.dateFOA2020-11-03T15:30:21Z


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