van Gool W A
Academisch Medisch Centrum, afd. Neurologie, Postbus 22.700, 1100 DE Amsterdam.
Ned Tijdschr Geneeskd. 2004 Jun 12;148(24):1179-81.
The revised version of the practice guideline 'Dementia' from the Dutch College of General Practitioners provides a sound and comprehensive overview, and a practical guideline especially for the period following the diagnostic evaluation. The advice on the issues of whether to refer patients and whether to start symptomatic drug treatment is stated in rather general terms. Therefore, for most general practitioners it will still be difficult to decide how best to act on these issues. The fact that the cognitive examination is treated as part of the history taking will, most probably, negatively affect the quality of the diagnostic evaluation.
荷兰全科医生学院修订版的《痴呆症》实践指南提供了全面且合理的概述，尤其是针对诊断评估后的阶段提供了实用指南。关于是否转诊患者以及是否开始对症药物治疗等问题的建议表述较为笼统。因此，对于大多数全科医生而言，在这些问题上仍难以决定如何采取最佳行动。认知检查被视为病史采集的一部分这一事实，很可能会对诊断评估的质量产生负面影响。
