Multidisciplinary team meetings (MDTM) in detection of Alzheimer’s disease: Data from the idem study
Introduction The National Institute for Health and Clinical Excellence (NICE) in the United Kingdom, the Institut fur Qualität und Wirtschaftlichkeit im Gesundheitswesen (IQWIG) in Germany and the Haute Autorité de Santé (HAS) in France have recently set out guidelines on prescription of anti-dement...
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Veröffentlicht in: | The Journal of nutrition, health & aging health & aging, 2013-02, Vol.17 (2), p.137-141 |
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creator | Rolland, Yves Tavassoli, N. Gillette-Guyonnet, S. Perrin, A. Hermabessiere, S. Ousset, P. -J. Nourhashemi, F. Cestac, P. Vellas, B. |
description | Introduction
The National Institute for Health and Clinical Excellence (NICE) in the United Kingdom, the Institut fur Qualität und Wirtschaftlichkeit im Gesundheitswesen (IQWIG) in Germany and the Haute Autorité de Santé (HAS) in France have recently set out guidelines on prescription of anti-dementi a medication. The HAS proposes in particular that continuation of these drugs for longer than one year should be decided in multidisciplinary team meetings (MDTM).
Objective
To assess the feasibility of MDTM and the satisfaction of coordinating physicians from institutions for the dependent elderly (nursing home, NH) and expert physicians from memory clinics who have participated in the meetings.
Methods
Survey carried out among physicians who had participated in the MDTM held as part of the IDEM study (Interest of systematic tracking of dementia cases in NH: analysing the contribution of MDTM in Alzheimer’s disease and related diseases; PHRC National 2009, Code 0910701). The survey evaluated the organization of MDTM and the physicians’ opinion of these meetings.
Results
The cases of 574 patients were discussed in MDTM involving 133 healthcare professionals (32 coordinating physicians, 48 expert physicians, 4 general practitioners and 49 other health professionals). The mean number of participants was 4.2+1.6. About 16 minutes were spent discussing the case of each resident. About 90% of physicians considered that the meetings were useful. Overall assessment of their efficacy was 11.5/20 for the coordinating physicians and 14.1/20 for the expert physicians. The benefits of MDTM in relation to the work entailed were considered important by 60% of expert physicians and 33% of coordinating physicians.
Conclusions
Our survey confirmed the feasibility of MDTM in the field of Alzheimer’s disease. The overall benefit/workload ratio of the meetings was considered to be favorable for the expert physicians. The benefits of MDTM were turned out to be less appreciated by the coordinating physicians according to high workload involved. |
doi_str_mv | 10.1007/s12603-012-0403-7 |
format | Article |
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The National Institute for Health and Clinical Excellence (NICE) in the United Kingdom, the Institut fur Qualität und Wirtschaftlichkeit im Gesundheitswesen (IQWIG) in Germany and the Haute Autorité de Santé (HAS) in France have recently set out guidelines on prescription of anti-dementi a medication. The HAS proposes in particular that continuation of these drugs for longer than one year should be decided in multidisciplinary team meetings (MDTM).
Objective
To assess the feasibility of MDTM and the satisfaction of coordinating physicians from institutions for the dependent elderly (nursing home, NH) and expert physicians from memory clinics who have participated in the meetings.
Methods
Survey carried out among physicians who had participated in the MDTM held as part of the IDEM study (Interest of systematic tracking of dementia cases in NH: analysing the contribution of MDTM in Alzheimer’s disease and related diseases; PHRC National 2009, Code 0910701). The survey evaluated the organization of MDTM and the physicians’ opinion of these meetings.
Results
The cases of 574 patients were discussed in MDTM involving 133 healthcare professionals (32 coordinating physicians, 48 expert physicians, 4 general practitioners and 49 other health professionals). The mean number of participants was 4.2+1.6. About 16 minutes were spent discussing the case of each resident. About 90% of physicians considered that the meetings were useful. Overall assessment of their efficacy was 11.5/20 for the coordinating physicians and 14.1/20 for the expert physicians. The benefits of MDTM in relation to the work entailed were considered important by 60% of expert physicians and 33% of coordinating physicians.
Conclusions
Our survey confirmed the feasibility of MDTM in the field of Alzheimer’s disease. The overall benefit/workload ratio of the meetings was considered to be favorable for the expert physicians. The benefits of MDTM were turned out to be less appreciated by the coordinating physicians according to high workload involved.</description><identifier>ISSN: 1279-7707</identifier><identifier>EISSN: 1760-4788</identifier><identifier>DOI: 10.1007/s12603-012-0403-7</identifier><identifier>PMID: 23364491</identifier><language>eng</language><publisher>Paris: Springer-Verlag</publisher><subject>Adult and adolescent clinical studies ; Aging ; Alzheimer Disease - drug therapy ; Alzheimer's disease ; Attitude of Health Personnel ; Biological and medical sciences ; Congresses as Topic ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Dementia ; Disease ; Drug Administration Schedule ; Emergency medical care ; Family physicians ; Feeding. Feeding behavior ; France ; Fundamental and applied biological sciences. Psychology ; Geriatrics ; Geriatrics/Gerontology ; Germany ; Health Care Surveys ; Humans ; Interdisciplinary Communication ; Medical sciences ; Medicine ; Medicine & Public Health ; Meetings ; Memory ; Multidisciplinary teams ; Neurology ; Neurosciences ; Nursing Homes ; Nutrition ; Organic mental disorders. Neuropsychology ; Patient Care Team ; Personal Satisfaction ; Physicians ; Practice Guidelines as Topic ; Practice Patterns, Physicians' - standards ; Prescription drugs ; Prescriptions - standards ; Primary Care Medicine ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Quality of Life Research ; United Kingdom ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Workload ; Workloads</subject><ispartof>The Journal of nutrition, health & aging, 2013-02, Vol.17 (2), p.137-141</ispartof><rights>Serdi and Springer-Verlag France 2013</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-84207619583ed2e047f54c6cf5c60739f772e21891522036b1baf3c73018fb0a3</citedby><cites>FETCH-LOGICAL-c402t-84207619583ed2e047f54c6cf5c60739f772e21891522036b1baf3c73018fb0a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12603-012-0403-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12603-012-0403-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26831329$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23364491$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rolland, Yves</creatorcontrib><creatorcontrib>Tavassoli, N.</creatorcontrib><creatorcontrib>Gillette-Guyonnet, S.</creatorcontrib><creatorcontrib>Perrin, A.</creatorcontrib><creatorcontrib>Hermabessiere, S.</creatorcontrib><creatorcontrib>Ousset, P. -J.</creatorcontrib><creatorcontrib>Nourhashemi, F.</creatorcontrib><creatorcontrib>Cestac, P.</creatorcontrib><creatorcontrib>Vellas, B.</creatorcontrib><creatorcontrib>IDEM investigators</creatorcontrib><title>Multidisciplinary team meetings (MDTM) in detection of Alzheimer’s disease: Data from the idem study</title><title>The Journal of nutrition, health & aging</title><addtitle>J Nutr Health Aging</addtitle><addtitle>J Nutr Health Aging</addtitle><description>Introduction
The National Institute for Health and Clinical Excellence (NICE) in the United Kingdom, the Institut fur Qualität und Wirtschaftlichkeit im Gesundheitswesen (IQWIG) in Germany and the Haute Autorité de Santé (HAS) in France have recently set out guidelines on prescription of anti-dementi a medication. The HAS proposes in particular that continuation of these drugs for longer than one year should be decided in multidisciplinary team meetings (MDTM).
Objective
To assess the feasibility of MDTM and the satisfaction of coordinating physicians from institutions for the dependent elderly (nursing home, NH) and expert physicians from memory clinics who have participated in the meetings.
Methods
Survey carried out among physicians who had participated in the MDTM held as part of the IDEM study (Interest of systematic tracking of dementia cases in NH: analysing the contribution of MDTM in Alzheimer’s disease and related diseases; PHRC National 2009, Code 0910701). The survey evaluated the organization of MDTM and the physicians’ opinion of these meetings.
Results
The cases of 574 patients were discussed in MDTM involving 133 healthcare professionals (32 coordinating physicians, 48 expert physicians, 4 general practitioners and 49 other health professionals). The mean number of participants was 4.2+1.6. About 16 minutes were spent discussing the case of each resident. About 90% of physicians considered that the meetings were useful. Overall assessment of their efficacy was 11.5/20 for the coordinating physicians and 14.1/20 for the expert physicians. The benefits of MDTM in relation to the work entailed were considered important by 60% of expert physicians and 33% of coordinating physicians.
Conclusions
Our survey confirmed the feasibility of MDTM in the field of Alzheimer’s disease. The overall benefit/workload ratio of the meetings was considered to be favorable for the expert physicians. The benefits of MDTM were turned out to be less appreciated by the coordinating physicians according to high workload involved.</description><subject>Adult and adolescent clinical studies</subject><subject>Aging</subject><subject>Alzheimer Disease - drug therapy</subject><subject>Alzheimer's disease</subject><subject>Attitude of Health Personnel</subject><subject>Biological and medical sciences</subject><subject>Congresses as Topic</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Dementia</subject><subject>Disease</subject><subject>Drug Administration Schedule</subject><subject>Emergency medical care</subject><subject>Family physicians</subject><subject>Feeding. Feeding behavior</subject><subject>France</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Geriatrics</subject><subject>Geriatrics/Gerontology</subject><subject>Germany</subject><subject>Health Care Surveys</subject><subject>Humans</subject><subject>Interdisciplinary Communication</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meetings</subject><subject>Memory</subject><subject>Multidisciplinary teams</subject><subject>Neurology</subject><subject>Neurosciences</subject><subject>Nursing Homes</subject><subject>Nutrition</subject><subject>Organic mental disorders. Neuropsychology</subject><subject>Patient Care Team</subject><subject>Personal Satisfaction</subject><subject>Physicians</subject><subject>Practice Guidelines as Topic</subject><subject>Practice Patterns, Physicians' - standards</subject><subject>Prescription drugs</subject><subject>Prescriptions - standards</subject><subject>Primary Care Medicine</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Quality of Life Research</subject><subject>United Kingdom</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Workload</subject><subject>Workloads</subject><issn>1279-7707</issn><issn>1760-4788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kctqVTEUhoNYbD36AE4kIEIdbF257CTbWWnVCj04qeOQk73SpuzLMcketKO-hq_nk5hyjhcEIZAF-f61Vv6fkBcM3jIA_S4zrkA0wHgDshb6ETliWkEjtTGPa81112gN-pA8zfkGQLadUU_IIRdCSdmxIxLWy1BiH7OP2yFOLt3Sgm6kI2KJ01Wmx-uzy_UbGifaY0Ff4jzROdCT4e4a44jpx_33TKseXcb39MwVR0OaR1qukcYeR5rL0t8-IwfBDRmf7-8V-frxw-XpeXPx5dPn05OLxkvgpTGSg1asa43AniNIHVrplQ-tV6BFF7TmyJnpWMs5CLVhGxeE1wKYCRtwYkWOd323af62YC52rF_DYXATzku2jBuhhaynoq_-QW_mJU11u0ppqJCs5q4I21E-zTknDHab4lhtsgzsQwh2F4KtIdiHEKyumpf7zstmxP634pfrFXi9B1z2bgjJTT7mP5wyggneVY7vuFyfpitMf6343-k_AbbRnTk</recordid><startdate>20130201</startdate><enddate>20130201</enddate><creator>Rolland, Yves</creator><creator>Tavassoli, N.</creator><creator>Gillette-Guyonnet, S.</creator><creator>Perrin, A.</creator><creator>Hermabessiere, S.</creator><creator>Ousset, P. -J.</creator><creator>Nourhashemi, F.</creator><creator>Cestac, P.</creator><creator>Vellas, B.</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20130201</creationdate><title>Multidisciplinary team meetings (MDTM) in detection of Alzheimer’s disease: Data from the idem study</title><author>Rolland, Yves ; Tavassoli, N. ; Gillette-Guyonnet, S. ; Perrin, A. ; Hermabessiere, S. ; Ousset, P. -J. ; Nourhashemi, F. ; Cestac, P. ; Vellas, B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-84207619583ed2e047f54c6cf5c60739f772e21891522036b1baf3c73018fb0a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult and adolescent clinical studies</topic><topic>Aging</topic><topic>Alzheimer Disease - drug therapy</topic><topic>Alzheimer's disease</topic><topic>Attitude of Health Personnel</topic><topic>Biological and medical sciences</topic><topic>Congresses as Topic</topic><topic>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</topic><topic>Dementia</topic><topic>Disease</topic><topic>Drug Administration Schedule</topic><topic>Emergency medical care</topic><topic>Family physicians</topic><topic>Feeding. Feeding behavior</topic><topic>France</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Geriatrics</topic><topic>Geriatrics/Gerontology</topic><topic>Germany</topic><topic>Health Care Surveys</topic><topic>Humans</topic><topic>Interdisciplinary Communication</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meetings</topic><topic>Memory</topic><topic>Multidisciplinary teams</topic><topic>Neurology</topic><topic>Neurosciences</topic><topic>Nursing Homes</topic><topic>Nutrition</topic><topic>Organic mental disorders. Neuropsychology</topic><topic>Patient Care Team</topic><topic>Personal Satisfaction</topic><topic>Physicians</topic><topic>Practice Guidelines as Topic</topic><topic>Practice Patterns, Physicians' - standards</topic><topic>Prescription drugs</topic><topic>Prescriptions - standards</topic><topic>Primary Care Medicine</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Quality of Life Research</topic><topic>United Kingdom</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Workload</topic><topic>Workloads</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rolland, Yves</creatorcontrib><creatorcontrib>Tavassoli, N.</creatorcontrib><creatorcontrib>Gillette-Guyonnet, S.</creatorcontrib><creatorcontrib>Perrin, A.</creatorcontrib><creatorcontrib>Hermabessiere, S.</creatorcontrib><creatorcontrib>Ousset, P. -J.</creatorcontrib><creatorcontrib>Nourhashemi, F.</creatorcontrib><creatorcontrib>Cestac, P.</creatorcontrib><creatorcontrib>Vellas, B.</creatorcontrib><creatorcontrib>IDEM investigators</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of nutrition, health & aging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rolland, Yves</au><au>Tavassoli, N.</au><au>Gillette-Guyonnet, S.</au><au>Perrin, A.</au><au>Hermabessiere, S.</au><au>Ousset, P. -J.</au><au>Nourhashemi, F.</au><au>Cestac, P.</au><au>Vellas, B.</au><aucorp>IDEM investigators</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multidisciplinary team meetings (MDTM) in detection of Alzheimer’s disease: Data from the idem study</atitle><jtitle>The Journal of nutrition, health & aging</jtitle><stitle>J Nutr Health Aging</stitle><addtitle>J Nutr Health Aging</addtitle><date>2013-02-01</date><risdate>2013</risdate><volume>17</volume><issue>2</issue><spage>137</spage><epage>141</epage><pages>137-141</pages><issn>1279-7707</issn><eissn>1760-4788</eissn><abstract>Introduction
The National Institute for Health and Clinical Excellence (NICE) in the United Kingdom, the Institut fur Qualität und Wirtschaftlichkeit im Gesundheitswesen (IQWIG) in Germany and the Haute Autorité de Santé (HAS) in France have recently set out guidelines on prescription of anti-dementi a medication. The HAS proposes in particular that continuation of these drugs for longer than one year should be decided in multidisciplinary team meetings (MDTM).
Objective
To assess the feasibility of MDTM and the satisfaction of coordinating physicians from institutions for the dependent elderly (nursing home, NH) and expert physicians from memory clinics who have participated in the meetings.
Methods
Survey carried out among physicians who had participated in the MDTM held as part of the IDEM study (Interest of systematic tracking of dementia cases in NH: analysing the contribution of MDTM in Alzheimer’s disease and related diseases; PHRC National 2009, Code 0910701). The survey evaluated the organization of MDTM and the physicians’ opinion of these meetings.
Results
The cases of 574 patients were discussed in MDTM involving 133 healthcare professionals (32 coordinating physicians, 48 expert physicians, 4 general practitioners and 49 other health professionals). The mean number of participants was 4.2+1.6. About 16 minutes were spent discussing the case of each resident. About 90% of physicians considered that the meetings were useful. Overall assessment of their efficacy was 11.5/20 for the coordinating physicians and 14.1/20 for the expert physicians. The benefits of MDTM in relation to the work entailed were considered important by 60% of expert physicians and 33% of coordinating physicians.
Conclusions
Our survey confirmed the feasibility of MDTM in the field of Alzheimer’s disease. The overall benefit/workload ratio of the meetings was considered to be favorable for the expert physicians. The benefits of MDTM were turned out to be less appreciated by the coordinating physicians according to high workload involved.</abstract><cop>Paris</cop><pub>Springer-Verlag</pub><pmid>23364491</pmid><doi>10.1007/s12603-012-0403-7</doi><tpages>5</tpages></addata></record> |
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subjects | Adult and adolescent clinical studies Aging Alzheimer Disease - drug therapy Alzheimer's disease Attitude of Health Personnel Biological and medical sciences Congresses as Topic Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases Dementia Disease Drug Administration Schedule Emergency medical care Family physicians Feeding. Feeding behavior France Fundamental and applied biological sciences. Psychology Geriatrics Geriatrics/Gerontology Germany Health Care Surveys Humans Interdisciplinary Communication Medical sciences Medicine Medicine & Public Health Meetings Memory Multidisciplinary teams Neurology Neurosciences Nursing Homes Nutrition Organic mental disorders. Neuropsychology Patient Care Team Personal Satisfaction Physicians Practice Guidelines as Topic Practice Patterns, Physicians' - standards Prescription drugs Prescriptions - standards Primary Care Medicine Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Quality of Life Research United Kingdom Vertebrates: anatomy and physiology, studies on body, several organs or systems Workload Workloads |
title | Multidisciplinary team meetings (MDTM) in detection of Alzheimer’s disease: Data from the idem study |
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