Multidisciplinary team meetings (MDTM) in detection of Alzheimer’s disease: Data from the idem study View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2013-02

AUTHORS

Yves Rolland, N. Tavassoli, S. Gillette-Guyonnet, A. Perrin, S. Hermabessiere, P. -J. Ousset, F. Nourhashemi, P. Cestac, B. Vellas, The IDEM Investigators

ABSTRACT

INTRODUCTION: The National Institute for Health and Clinical Excellence (NICE) in the United Kingdom, the Institut für 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-dementia 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. More... »

PAGES

137-141

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12603-012-0403-7

DOI

http://dx.doi.org/10.1007/s12603-012-0403-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1032947262

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/23364491


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282 schema:name Gérontopôle de Toulouse, Département de Médecine Interne et Gérontologie Clinique, Centre Hospitalo-Universitaire de Toulouse, 170 avenue de Casselardit, F-31300, Toulous, France
283 rdf:type schema:Organization
284 https://www.grid.ac/institutes/grid.413920.d schema:alternateName Hôpital de La Grave
285 schema:name Gérontopôle de Toulouse, Département de Médecine Interne et Gérontologie Clinique, Centre Hospitalo-Universitaire de Toulouse, 170 avenue de Casselardit, F-31300, Toulous, France
286 Gérontopôle de Toulouse, Hôpital La Grave-Casselardit, Pavillon Junod, 170 avenue de Casselardit, 31300, Toulouse, France
287 Inserm U1027, 37 Avenue Jules Guesde, F-31073, Toulouse, France
288 rdf:type schema:Organization
289 https://www.grid.ac/institutes/grid.464120.5 schema:alternateName Laboratoire Epidémiologie et Analyses en Santé Publique : Risques, Maladies Chroniques et Handicaps
290 schema:name Gérontopôle de Toulouse, Département de Médecine Interne et Gérontologie Clinique, Centre Hospitalo-Universitaire de Toulouse, 170 avenue de Casselardit, F-31300, Toulous, France
291 Inserm U1027, 37 Avenue Jules Guesde, F-31073, Toulouse, France
292 Pôle Pharmacie CHU Toulouse and INSERM U1027, Toulouse, France
293 rdf:type schema:Organization
 




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