{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T02:17:38Z","timestamp":1790302658414,"version":"4.1.0"},"reference-count":18,"publisher":"BMJ","issue":"6656","license":[{"start":{"date-parts":[[1988,10,29]],"date-time":"1988-10-29T00:00:00Z","timestamp":594086400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ"],"published-print":{"date-parts":[[1988,10,29]]},"abstract":"<jats:p>General practitioners and community nurses were asked to rate the likelihood of dementia for each of their elderly patients. Cases of dementia were identified by research psychiatrists using the Cambridge mental disorders of the elderly examination (CAMDEX), a new structured diagnostic interview. General practitioners correctly identified dementia as at least a possibility in 121 of the 208 cases found. Nevertheless, they mistakenly rated as demented several patients suffering from functional psychiatric disorders, in particular depression. Community nurses correctly identified dementia as at least a possibility in 64 of the 74 demented patients known to them, but they incorrectly suspected dementia in a greater proportion of instances. Both general practitioners and families appeared to have low expectations of what general practice has to offer demented elderly people. General practitioners should take the initiative in diagnosing dementia in very elderly patients who show signs of the condition. In some cases it may be secondary to treatable disorders, and in others all that may be required are understanding, support, and advice to families.<\/jats:p>","DOI":"10.1136\/bmj.297.6656.1107","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T15:19:55Z","timestamp":1238685595000},"page":"1107-1110","source":"Crossref","is-referenced-by-count":178,"title":["Do general practitioners miss dementia in elderly patients?"],"prefix":"10.1136","volume":"297","author":[{"given":"D. W.","family":"O'Connor","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. A.","family":"Pollitt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. B.","family":"Hyde","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. P.","family":"Brook","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. B.","family":"Reiss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Roth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[1988,10,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.1016\/S0140-6736(64)91803-3","article-title":"Old people at home: their unreported needs","volume":"i:","author":"Williamson, J.; Stokoe, I.H.; Gray, S.","year":"1964","unstructured":"Williamson J, Stokoe IH, Gray S, et al. Old people at home: their unreported needs. Lancet 1964;i: 1117-20.","journal-title":"Lancet"},{"key":"ref_2","first-page":"34","article-title":"Epidemiology of mental disorders among the aged in the community","volume-title":"ofmental health and ageing","author":"Kay, D.W.K.; Bergmann, K.","year":"1980","unstructured":"Kay DWK, Bergmann K. Epidemiology of mental disorders among the aged in the community. In: Birren JE, Sloane RB, eds. Handbook ofmental health and ageing. New Jersey: Prentice-Hall, 1980:34-56."},{"key":"ref_3","first-page":"11","article-title":"Clinical and neuropsychological assessment ofdementia","volume":"42","author":"Huppert, F.A.; Tym, E.","year":"1986","unstructured":"Huppert FA, Tym E. Clinical and neuropsychological assessment ofdementia. 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BrMedJ 1986;292:1365-7.","journal-title":"BrMedJ"},{"key":"ref_11","first-page":"26","article-title":"Mental illness and hospital usage in the elderly: a random sample followed up","volume":"11","author":"Kay, D.W.K.; Bergmann, K.; Foster, E.M.; McKechnie, A.A.; Roth, M.","year":"1970","unstructured":"Kay DWK, Bergmann K, Foster EM, McKechnie AA, Roth M. Mental illness and hospital usage in the elderly: a random sample followed up. ComprPsychiatry 1970;11:26-35.","journal-title":"ComprPsychiatry"},{"key":"ref_12","first-page":"114","article-title":"The psychiatric aspects of physical disease","volume-title":"The psychiatry oflate life","author":"Evans, J.G.","year":"1982","unstructured":"Evans JG. The psychiatric aspects of physical disease. In: Levy R, Post F, eds. The psychiatry oflate life. 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BrJ Urol 1987;59:248-54.","journal-title":"BrJ Urol"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1016\/0090-4295(85)90484-4","article-title":"DES lead-in to use of luteinizing hormone releasing hormone analogs in the treatment of metastatic carcinoma of the prostate","volume":"25","author":"Stien, B.S.; Smith, J.A.","year":"1985","unstructured":"Stien BS, Smith JA. DES lead-in to use of luteinizing hormone releasing hormone analogs in the treatment of metastatic carcinoma of the prostate. 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Eur Urol 1986;12:400-2.","journal-title":"Eur Urol"}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.297.6656.1107","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.297.6656.1107","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T18:30:20Z","timestamp":1765477820000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.297.6656.1107"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1988,10,29]]},"references-count":18,"journal-issue":{"issue":"6656","published-online":{"date-parts":[[1988,10,29]]},"published-print":{"date-parts":[[1988,10,29]]}},"alternative-id":["10.1136\/bmj.297.6656.1107"],"URL":"https:\/\/doi.org\/10.1136\/bmj.297.6656.1107","relation":{},"ISSN":["0959-8138","1468-5833"],"issn-type":[{"value":"0959-8138","type":"print"},{"value":"1468-5833","type":"electronic"}],"subject":[],"published":{"date-parts":[[1988,10,29]]}}}