Correlates of missed or late versus timely diagnosis of dementia in healthcare settings.

ABSTRACT:

Introduction

There is limited evidence about factors related to the timeliness of dementia diagnosis in healthcare settings.

Methods

In five prospective cohorts at Rush Alzheimer's Disease Center, we identified participants with incident dementia based on annual assessments and examined the timing of healthcare diagnoses in Medicare claims. We assessed sociodemographic, health, and psychosocial correlates of timely diagnosis.

Results

Of 710 participants, 385 (or 54%) received a timely claims diagnosis within 3 years prior to or 1 year following dementia onset. In logistic regressions accounting for demographics, we found Black participants (odds ratio [OR] = 2.15, 95% confidence interval [CI]: 1.21 to 3.82) and those with better cognition at dementia onset (OR = 1.48,

SUBMITTER: Chen Y 

PROVIDER: S-EPMC11350028 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature