Challenges in the diagnosis of dementia: insights from the United Kingdom-Brazil Dementia Workshop

ABSTRACT. In July 2019, a group of multidisciplinary dementia researchers from Brazil and the United Kingdom (UK) met in the city of Belo Horizonte, Minas Gerais, Brazil, to discuss and propose solutions to current challenges faced in the diagnosis, public perception and care of dementia. Here we su...

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Main Authors: Victor Calil, Emma Elliott, Wyllians Vendramini Borelli, Breno José Alencar Pires Barbosa, Jessyka Bram, Felipe de Oliveira Silva, Leonardo Galvão Machado Cardoso, Luciano Inácio Mariano, Natalia Dias, Michael Hornberger, Paulo Caramelli
Format: Article
Language:English
Published: Associação Neurologia Cognitiva e do Comportamento 2020-09-01
Series:Dementia & Neuropsychologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642020000300201&tlng=en
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author Victor Calil
Emma Elliott
Wyllians Vendramini Borelli
Breno José Alencar Pires Barbosa
Jessyka Bram
Felipe de Oliveira Silva
Leonardo Galvão Machado Cardoso
Luciano Inácio Mariano
Natalia Dias
Michael Hornberger
Paulo Caramelli
author_facet Victor Calil
Emma Elliott
Wyllians Vendramini Borelli
Breno José Alencar Pires Barbosa
Jessyka Bram
Felipe de Oliveira Silva
Leonardo Galvão Machado Cardoso
Luciano Inácio Mariano
Natalia Dias
Michael Hornberger
Paulo Caramelli
author_sort Victor Calil
collection DOAJ
description ABSTRACT. In July 2019, a group of multidisciplinary dementia researchers from Brazil and the United Kingdom (UK) met in the city of Belo Horizonte, Minas Gerais, Brazil, to discuss and propose solutions to current challenges faced in the diagnosis, public perception and care of dementia. Here we summarize the outcomes from the workshop addressing challenges in diagnosis. Brazil faces a major problem in dementia underdiagnosis, particularly involving the population in an adverse socioeconomic context. There is poor availability of resources and specialists, and the knowledge of general practitioners and other healthcare professionals is far from satisfactory. Low education level is a further obstacle in diagnosing dementia, as the most commonly used screening tests are not designed to evaluate this population. Patients and their families must overcome the stigma of a diagnosis of dementia, which is still prevalent in Brazil and increases the burden of this condition. Whilst the UK has greater resources, dedicated memory services and a National Dementia Strategy plan, the National Health Service (NHS) has limited funding. Therefore, some challenges regarding diagnosis are common across both countries. The authors suggest possible solutions to confront these, with the goal of improving assessment and recognition of dementia and reducing misdiagnosis.
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spelling doaj.art-8f1278b9ee4847d6be72ce22c1dfaf8f2022-12-22T04:13:30ZengAssociação Neurologia Cognitiva e do ComportamentoDementia & Neuropsychologia1980-57642020-09-0114320120810.1590/1980-57642020dn14-030001Challenges in the diagnosis of dementia: insights from the United Kingdom-Brazil Dementia WorkshopVictor Calilhttps://orcid.org/0000-0002-1389-2445Emma Elliotthttps://orcid.org/0000-0002-4323-9308Wyllians Vendramini Borellihttps://orcid.org/0000-0001-9282-0601Breno José Alencar Pires Barbosahttps://orcid.org/0000-0003-4333-2024Jessyka Bramhttps://orcid.org/0000-0003-1325-1450Felipe de Oliveira Silvahttps://orcid.org/0000-0002-1457-0480Leonardo Galvão Machado Cardosohttps://orcid.org/0000-0001-9715-4951Luciano Inácio Marianohttps://orcid.org/0000-0003-0192-534XNatalia Diashttps://orcid.org/0000-0001-9006-3643Michael Hornbergerhttps://orcid.org/0000-0002-2214-3788Paulo Caramellihttps://orcid.org/0000-0002-4786-6990ABSTRACT. In July 2019, a group of multidisciplinary dementia researchers from Brazil and the United Kingdom (UK) met in the city of Belo Horizonte, Minas Gerais, Brazil, to discuss and propose solutions to current challenges faced in the diagnosis, public perception and care of dementia. Here we summarize the outcomes from the workshop addressing challenges in diagnosis. Brazil faces a major problem in dementia underdiagnosis, particularly involving the population in an adverse socioeconomic context. There is poor availability of resources and specialists, and the knowledge of general practitioners and other healthcare professionals is far from satisfactory. Low education level is a further obstacle in diagnosing dementia, as the most commonly used screening tests are not designed to evaluate this population. Patients and their families must overcome the stigma of a diagnosis of dementia, which is still prevalent in Brazil and increases the burden of this condition. Whilst the UK has greater resources, dedicated memory services and a National Dementia Strategy plan, the National Health Service (NHS) has limited funding. Therefore, some challenges regarding diagnosis are common across both countries. The authors suggest possible solutions to confront these, with the goal of improving assessment and recognition of dementia and reducing misdiagnosis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642020000300201&tlng=endementiadiagnosiscognitive impairmentbiomarkersneurobehavioral manifestations
spellingShingle Victor Calil
Emma Elliott
Wyllians Vendramini Borelli
Breno José Alencar Pires Barbosa
Jessyka Bram
Felipe de Oliveira Silva
Leonardo Galvão Machado Cardoso
Luciano Inácio Mariano
Natalia Dias
Michael Hornberger
Paulo Caramelli
Challenges in the diagnosis of dementia: insights from the United Kingdom-Brazil Dementia Workshop
Dementia & Neuropsychologia
dementia
diagnosis
cognitive impairment
biomarkers
neurobehavioral manifestations
title Challenges in the diagnosis of dementia: insights from the United Kingdom-Brazil Dementia Workshop
title_full Challenges in the diagnosis of dementia: insights from the United Kingdom-Brazil Dementia Workshop
title_fullStr Challenges in the diagnosis of dementia: insights from the United Kingdom-Brazil Dementia Workshop
title_full_unstemmed Challenges in the diagnosis of dementia: insights from the United Kingdom-Brazil Dementia Workshop
title_short Challenges in the diagnosis of dementia: insights from the United Kingdom-Brazil Dementia Workshop
title_sort challenges in the diagnosis of dementia insights from the united kingdom brazil dementia workshop
topic dementia
diagnosis
cognitive impairment
biomarkers
neurobehavioral manifestations
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642020000300201&tlng=en
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