Roberta Vaccaro, Patrizia Lorenzini, Francesco Giaquinto, Fabio Matascioli, Giulia Carnevale, Francesco Sciancalepore, Marina Gasparini, Emanuela Salvi, Massimo Corbo, Nicoletta Locuratolo, Nicola Vanacore, Ilaria Bacigalupo, The Permanent Table of the National Dementia Plan Study Group, The CCDDs Study Group
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To verify the use of a comprehensive NPA in the diagnosis of cognitive disorders and dementia, we identified a minimum core test (MCT).</p><h3>Results</h3><p>The CCDDs using a Minimum Core Test (MCT) significantly increased from 45.7% in 2015 to the current 57.1%. Territorial CCDDs using MCT significantly increased from 24.9% in 2015 to 37% in 2022 (p = 0.004). As multivariable results, the presence of psychologist/neuropsychologist in the staff and the University-based/IRCCS CCDDs increased the probability of using MCT (OR = 9.2; 95% CI 5.6–15.0; p < 0.001 and OR = 5.4; 95% CI 1.9–15.9; p = 0.002, respectively), while CCDDs in Southern Italy-Islands showed a lower probability than those in the North (OR = 0.4; 95% CI 0.2–0.7; p = 0.001).</p><h3>Discussion</h3><p>Almost half of CCDDs (43%) do not use MCT in their clinical practice. The presence of the psychologist/neuropsychologist on the staff has a key role in the adoption of MCT and regional differences have increased over the past years. NPA is crucial in the diagnostic process and in characterizing risk profiles in order to implement targeted interventions for risk reduction.</p><h3>Conclusions</h3><p>Our results could help to identify good practices aimed at improving dementia diagnosis. An intervention by health policymakers is urgently needed with the aim of improving diagnostic appropriateness and overcoming regional differences.</p></div>","PeriodicalId":7720,"journal":{"name":"Aging Clinical and Experimental Research","volume":"37 1","pages":""},"PeriodicalIF":3.4000,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s40520-024-02869-6.pdf","citationCount":"0","resultStr":"{\"title\":\"Neuropsychological tests at the Italian Centers for Cognitive Disorders and Dementias: results from a survey on 450 specialized services\",\"authors\":\"Roberta Vaccaro, Patrizia Lorenzini, Francesco Giaquinto, Fabio Matascioli, Giulia Carnevale, Francesco Sciancalepore, Marina Gasparini, Emanuela Salvi, Massimo Corbo, Nicoletta Locuratolo, Nicola Vanacore, Ilaria Bacigalupo, The Permanent Table of the National Dementia Plan Study Group, The CCDDs Study Group\",\"doi\":\"10.1007/s40520-024-02869-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>The Italian Fund for Alzheimer’s and other dementias approved in 2020 enabled the conducting of a survey in the Italian Centers for Cognitive Disorders and Dementias (CCDDs) to analyse the organization, the administrative features and the professionals’ characteristics.</p><h3>Aims</h3><p>To investigate the current use of neuropsychological (NP) tests in Italian CCDDs and the association between the use of a basic set of tests for neuropsychological assessment (NPA) and organizational/structural characteristics of CCDDs.</p><h3>Methods</h3><p>A survey was conducted with an online questionnaire in all CCDDs between July 2022 and February 2023. 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引用次数: 0
摘要
2020年批准的意大利阿尔茨海默病和其他痴呆症基金使意大利认知障碍和痴呆症中心（ccdd）能够进行一项调查，以分析该组织、管理特征和专业人员的特征。目的调查意大利ccdd中神经心理（NP）测试的使用现状，以及神经心理评估（NPA）基本测试集的使用与ccdd组织/结构特征之间的关系。方法于2022年7月至2023年2月对所有ccdd进行在线问卷调查。为了验证综合NPA在诊断认知障碍和痴呆中的应用，我们确定了最低核心测试（MCT）。结果使用最小核心测试（MCT）的ccdd从2015年的45.7%显著增加到目前的57.1%。使用MCT的区域ccdd从2015年的24.9%显著增加到2022年的37% （p = 0.004）。作为多变量结果，工作人员中心理学家/神经心理学家和大学/IRCCS ccdd的存在增加了使用MCT的概率(OR = 9.2；95% ci 5.6-15.0；p < 0.001, OR = 5.4；95% ci 1.9-15.9；p = 0.002)，而意大利南部岛屿ccdd的概率低于北部(OR = 0.4；95% ci 0.2-0.7；p = 0.001)。几乎一半的ccdd（43%）在临床实践中不使用MCT。工作人员中心理学家/神经心理学家的存在对MCT的采用起着关键作用，而且在过去几年中，地区差异有所增加。国家行动计划在诊断过程和描述风险概况方面至关重要，以便为减少风险实施有针对性的干预措施。结论我们的研究结果有助于确定旨在提高痴呆诊断的良好做法。迫切需要卫生政策制定者进行干预，以提高诊断的适当性并克服区域差异。
Neuropsychological tests at the Italian Centers for Cognitive Disorders and Dementias: results from a survey on 450 specialized services
Background
The Italian Fund for Alzheimer’s and other dementias approved in 2020 enabled the conducting of a survey in the Italian Centers for Cognitive Disorders and Dementias (CCDDs) to analyse the organization, the administrative features and the professionals’ characteristics.
Aims
To investigate the current use of neuropsychological (NP) tests in Italian CCDDs and the association between the use of a basic set of tests for neuropsychological assessment (NPA) and organizational/structural characteristics of CCDDs.
Methods
A survey was conducted with an online questionnaire in all CCDDs between July 2022 and February 2023. To verify the use of a comprehensive NPA in the diagnosis of cognitive disorders and dementia, we identified a minimum core test (MCT).
Results
The CCDDs using a Minimum Core Test (MCT) significantly increased from 45.7% in 2015 to the current 57.1%. Territorial CCDDs using MCT significantly increased from 24.9% in 2015 to 37% in 2022 (p = 0.004). As multivariable results, the presence of psychologist/neuropsychologist in the staff and the University-based/IRCCS CCDDs increased the probability of using MCT (OR = 9.2; 95% CI 5.6–15.0; p < 0.001 and OR = 5.4; 95% CI 1.9–15.9; p = 0.002, respectively), while CCDDs in Southern Italy-Islands showed a lower probability than those in the North (OR = 0.4; 95% CI 0.2–0.7; p = 0.001).
Discussion
Almost half of CCDDs (43%) do not use MCT in their clinical practice. The presence of the psychologist/neuropsychologist on the staff has a key role in the adoption of MCT and regional differences have increased over the past years. NPA is crucial in the diagnostic process and in characterizing risk profiles in order to implement targeted interventions for risk reduction.
Conclusions
Our results could help to identify good practices aimed at improving dementia diagnosis. An intervention by health policymakers is urgently needed with the aim of improving diagnostic appropriateness and overcoming regional differences.
期刊介绍：
Aging clinical and experimental research offers a multidisciplinary forum on the progressing field of gerontology and geriatrics. The areas covered by the journal include: biogerontology, neurosciences, epidemiology, clinical gerontology and geriatric assessment, social, economical and behavioral gerontology. “Aging clinical and experimental research” appears bimonthly and publishes review articles, original papers and case reports.
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