Diagnostic Behavior for Mild Cognitive Impairment in General and Neuropsychiatric Practices in Germany

Article type: Short Communication

Authors: Bohlken, Jens^a | Kostev, Karel^{b; *}

Affiliations: [a] Praxis für Neurologie und Psychiatrie, Berlin, Germany | [b] Epidemiology, IQVIA, Frankfurt, Germany

Correspondence: [*] Correspondence to: Prof. Dr. rer. med. Karel Kostev, Epidemiology, IQVIA, Unterschweinstiege 2-14, 60549 Frankfurt am Main, Germany. Tel.: +49 0 69 66 04 4878; E-mail: kkostev@de.imshealth.com.

Abstract: Little is known about the diagnostic methods currently used in routine care for patients with mild cognitive impairment (PwMCI). We estimated the frequency of diagnostic procedures in incident PwMCI compared to incident patients with dementia (PwD) in 2016-2017. The study is based on the Disease Analyzer database. After matching by age and sex, 4,700 PwMCI and 4,700 PwD were available. The diagnostic procedures were identified on the basis of the related medical fee schedule items. All diagnostic procedures were used more frequently in PwMCI than in PwD. The drafting of a practice-oriented MCI guideline is an important task for the future.

Keywords: Alzheimer’s disease, mild cognitive impairment, preclinical dementia, prevalence, real-world data

DOI: 10.3233/JAD-190012

Journal: Journal of Alzheimer's Disease, vol. 68, no. 3, pp. 925-930, 2019