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The proportion of subjects with dementia varied from 3.1 percent when we used the criteria of ICD-10 to 29.1 percent with the DSM-III criteria were used.The six classification system identified different groups of subjects as having dementia;only 20 subjects were given the diagnosis of dementia according to all six systems.The classifications based on the various systems differed little according to the patients's age,sex,educational level,or status with respect to institutionalization.The factors that most often caused disagreement in diagnosis between DSM-III and ICD-10 were long-term memory,executive function,social activities,and duration of symptoms.The commonly used criteria for diagnosis can differ by a factor of 10 in the number of subjects classified as having dementia.Such disagreement has serious implications for research and treatment,as well as for the right of many older persons to drive,make a will,and handle financial affairs. |
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Alzheimer's disease
Alzheimer's disease,diagnosis of
dementia
dementia,clinical diagnosis
dementia,diagnostic classification
dementia,prevalence of
interobserver agreement
Mini Mental Status Examination
misdiagnosis
neurologic disease,diagnoses of
psychological testing
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