Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Rostock-Greifswald Standort, Rostock, Germany.
Department of Psychosomatic Medicine, Rostock Universitätsmedizin, Rostock, Germany.
Alzheimers Dement. 2023 Jun;19(6):2276-2286. doi: 10.1002/alz.12830. Epub 2022 Dec 1.
Standardized cognitive assessment would enhance diagnostic reliability across memory clinics. An expert consensus adapted the Uniform Dataset (UDS)-3 for European centers, the clinician's UDS (cUDS). This study assessed its implementation acceptability and feasibility.
We developed a survey investigating barriers, facilitators, and willingness to implement the cUDS. With a mixed-methods design, we analyzed data from academic memory clinics.
Seventy-eight percent of responding clinicians were experienced neuropsychologists/psychologists and 22% were medical specialists coming from 18 European countries. Sixty-five percent clinicians were willing to implement cUDS. General barriers related to implementation (43%) and clinical-methodological domains (21%). Favorable clinicians reported finances (15%) and digitalization (9%) as facilitating, but unavailability of local norms (23%) as hindering. Unfavorable clinicians reported logistical (23%) and time issues (18%).
Despite challenges, data showed moderate clinicians' acceptability and requirements to improve feasibility. Nonetheless, these results come from academic clinicians. The next steps will require feasibility evaluation in non-academic contexts.
标准化认知评估将提高记忆诊所的诊断可靠性。专家共识对统一数据集（UDS）-3 进行了调整，以适应欧洲中心，即临床医生的 UDS（cUDS）。本研究评估了其实施的可接受性和可行性。
我们开发了一项调查，调查了实施 cUDS 的障碍、促进因素和意愿。采用混合方法设计，我们分析了来自 18 个欧洲国家的学术记忆诊所的数据。65%的临床医生愿意实施 cUDS。实施方面的一般障碍（43%）和临床方法学领域（21%）。有利的临床医生报告财务（15%）和数字化（9%）是促进因素，但当地规范的不可用（23%）是阻碍因素。不利的临床医生报告了后勤（23%）和时间问题（18%）。
尽管存在挑战，但数据显示出了中等程度的临床医生的可接受性和改善可行性的要求。然而，这些结果来自于学术临床医生。下一步将需要在非学术环境中进行可行性评估。
