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| Sponsor: | Maastricht University Medical Center |
|---|---|
| Collaborator: |
ZonMw: The Netherlands Organisation for Health Research and Development |
| Information provided by: | Maastricht University Medical Center |
| ClinicalTrials.gov Identifier: | NCT00402311 |
Purpose
The purpose of this study is to determine the effects and cost-effectiveness of a Diagnostic Observation Center for PsychoGeriatric patients (DOC-PG). Our main hypothesis is that DOC-PG has added value compared with usual care regarding Health Related Quality of Life (HRQoL).
| Condition | Intervention |
|---|---|
|
Delirium, Dementia, Amnestic, Cognitive Disorders Memory Disorders |
Procedure: DOC-PG: integrated multidisciplinary assessment Procedure: Usual care: assessment by GP or one of the regional services |
| Study Type: | Interventional |
| Study Design: | Diagnostic, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study |
| Official Title: | A Prospective Randomized Trial on the Effects of a Psychogeriatric Diagnostic Day Hospital |
| Estimated Enrollment: | 216 |
| Study Start Date: | April 2002 |
| Estimated Study Completion Date: | August 2005 |
An integrated multidisciplinary approach to diagnosing and managing dementia is generally recommended, though rarely investigated. In recent years, multidisciplinary memory clinics (MCs) for patients with dementia have been established in many places over the world. These services have recently also been criticised for being principally hospital-based, for their apparently limited focus that entails only medical diagnostics and pharmacotherapy and for thus diverting resources from community mental health teams(CMHTs) .On the other hand, CMHTs are mainly concerned with the provision and organisation of integrated care, and unlike MCs, CMHTs generally have limited access to hospital-based diagnostics such as brain-imaging.
In April 2002, an outpatient diagnostic facility, the Diagnostic Observation Centre for PsychoGeriatric patients (DOC-PG) was established in Maastricht, the Netherlands. DOC-PG combines the hospital-based approach of the MC with the care-oriented approach of the regional CMHT and aims to provide the general practitioner (GP) with elaborate diagnostic and therapeutic advice for patients with cognitive disorders.
Comparison: DOC-PG is compared with usual care i.e. the GP took care of the diagnosis, or he or she referred the patient to one of the separate regional services, e.g. the Maastricht Memory Clinic (MMC), geriatric medicine, or the department of mental health for the elderly of the mental health community service (CMHT).
Eligibility| Ages Eligible for Study: | 55 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contacts and Locations| Netherlands, Limburg | |
| Academic Hospital Maastricht | |
| Maastricht, Limburg, Netherlands, 6202 AZ | |
| Principal Investigator: | Frans R Verhey, PhD, MD | Maastricht University Medical Center |
| Study Director: | Carmen D. Dirksen, PhD | Maastricht University Medical Center |
| Study Director: | Johan L Severens, PhD | Maastricht University Medical Center |
| Study Chair: | Alfons Kessels, MD, MSc | Maastricht University Medical Center |
| Study Chair: | Claire A Wolfs, MSc | Maastricht University Medical Center |
More Information
| Study ID Numbers: | 945-02-055 |
| Study First Received: | November 20, 2006 |
| Last Updated: | January 19, 2007 |
| ClinicalTrials.gov Identifier: | NCT00402311 History of Changes |
| Health Authority: | Netherlands: The Central Committee on Research Involving Human Subjects (CCMO) |
|
Health Services for the Aged Geriatric Psychiatry |
|
Disease Nervous System Diseases Central Nervous System Diseases Confusion Brain Diseases Memory Disorders Cognition Disorders Signs and Symptoms |
Delirium, Dementia, Amnestic, Cognitive Disorders Pathologic Processes Mental Disorders Neurologic Manifestations Dementia Neurobehavioral Manifestations Delirium |