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Care"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>People with dementia (PwD) are known to have more chronic conditions compared to those without dementia, which can impact the clinical presentation of dementia, complicate clinical management and reduce overall quality of life. While primary care providers (PCPs) are integral to dementia care, it is currently unclear how PCPs adapt dementia care practices to account for comorbidities. This scoping review maps recent literature that describes the role for PCPs in the prevention, detection\/diagnosis and management of dementia in the context of comorbidities, identifies critical knowledge gaps and proposes potential avenues for future research.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We searched for peer-reviewed literature published between 2017\u20132022 in MEDLINE, Cochrane Library, and Scopus using key terms related to dementia, primary care, and comorbidity. The literature was screened for relevance by title-abstract screening and subsequent full-text screening. The prioritized papers were categorized as either \u2018Risk Assessment and Prevention\u2019, \u2018Screening, Detection, and Diagnosis\u2019 or \u2018Management\u2019 and were further labelled as either \u2018Tools and Technologies\u2019, \u2018Recommendations for Clinical Practice\u2019 or \u2018Programs and Initiatives\u2019. <\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>We identified 1,058 unique records in our search and respectively excluded 800 and 230 publications during title-abstract and full-text screening. Twenty-eight articles were included in our review, where\u2009~\u200950% describe the development and testing of tools and technologies that use pre-existing conditions to assess dementia risk. Only one publication provides official dementia screening guidelines for PCPs in people with pre-existing conditions. About 30% of the articles discuss managing the care of PwD, where most were anchored around models of multidisciplinary care and mitigating potentially inappropriate prescribing. <\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>To our knowledge, this is the first scoping review that examines the role for PCPs in the prevention, detection\/diagnosis and management of dementia in the context of comorbidities. Given our findings, we recommend that future studies: 1) further validate tools for risk assessment, timely detection and diagnosis that incorporate other health conditions; 2) provide additional guidance into how comorbidities could impact dementia care (including prescribing medication) in primary care settings; 3) incorporate comorbidities into primary care quality indicators for dementia; and 4) explore how to best incorporate dementia and comorbidities into models\/frameworks of holistic, person-centred care.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12875-023-02229-9","type":"journal-article","created":{"date-parts":[[2023,12,14]],"date-time":"2023-12-14T12:02:01Z","timestamp":1702555321000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Dementia and comorbidities in primary care: a scoping review"],"prefix":"10.1186","volume":"24","author":[{"given":"Howard","family":"Bergman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soo","family":"Borson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Jessen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Krolak-Salmon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Pirani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Rasmussen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesus","family":"Rodrigo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daiana","family":"Taddeo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,12,14]]},"reference":[{"key":"2229_CR1","doi-asserted-by":"publisher","first-page":"413","DOI":"10.1016\/S0140-6736(20)30367-6","volume":"396","author":"G Livingston","year":"2020","unstructured":"Livingston G, Huntley J, Sommerlad A, Ames D, Ballard C, Banerjee S, et al. 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She receives support from the Centers for Disease Control, the National Institute on Aging, the National Institute of Minority Health and Health Disparities, and the Keck USC Department of Family Medicine. She is an Adjunct Researcher with the Division of Health Systems Research and Implementation Science at Kaiser Permanente Southern California and provides healthcare design consultation to organizations seeking to become more dementia-capable. She receives honoraria for her work as Deputy Editor of the Journal of the American Geriatrics Society, for service on advisory boards of Linus Health, Roche Genentech, Biogen, Lilly, and Eisai, and for content created for Medscape\/WebMD. She provides advisory services to California\u2019s Dementia Care Aware, a dementia detection training model for primary care clinicians. Pierre Krolak-Salmon has received honoraria for his consultations with Roche in the past. Jill Rasmussen is a Clinical Representative Dementia for the Royal College of General Practitioners and is the owner and director of psi-napse, an independent consultancy. HB, FJ, AP, J Rodrigo, and DT declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"277"}}