Time to diagnosis in young-onset dementia as compared with late-onset dementia

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Title:	Time to diagnosis in young-onset dementia as compared with late-onset dementia
Author(s):	Vliet, D. van ; de Vugt, M.E.; Bakker, C. ; Pijnenburg, Y.A.L. ; Vernooij-Dassen, M.J.F.J. ; Koopmans, R.T.C.M. ; Verhey, F.R.J.
Publication year:	2013
Source:	Psychological Medicine, vol. 43, iss. 2, (2013), pp. 423-432
ISSN:	0033-2917
DOI:	https://doi.org/10.1017/S0033291712001122
Publication type:	Article / Letter to editor
Please use this identifier to cite or link to this item : http://hdl.handle.net/2066/117868
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Subject:	NCEBP 11: Alzheimer Centre NCEBP 4: Quality of hospital and integrated care NCEBP 7: Effective primary care and public health NCEBP 7: Effective primary care and public health ONCOL 5: Aetiology, screening and detection
Organization:	Primary and Community Care IQ Healthcare Geriatrics
Journal title:	Psychological Medicine
Volume:	vol. 43
Issue:	iss. 2
Page start:	p. 423
Page end:	p. 432
Abstract:	BACKGROUND: The extent to which specific factors influence diagnostic delays in dementia is unclear. Therefore, the aim of the present study was to compare duration from symptom onset to diagnosis for young-onset dementia (YOD) and late-onset dementia (LOD) and to assess the effect of age at onset, type of dementia, gender, living situation, education and family history of dementia on this duration. METHOD: Data on 235 YOD and 167 LOD patients collected from caregivers from two prospective cohort studies were used. Multiple linear regression analysis was performed. RESULTS: The duration between symptom onset and the diagnosis of YOD exceeded that of LOD by an average of 1.6 years (2.8 v. 4.4 years). Young age and being diagnosed with frontotemporal dementia were related to increases in the time to diagnosis. Subjects with vascular dementia experienced shorter time to diagnosis. CONCLUSIONS: There is a need to raise special awareness of YOD to facilitate a timely diagnosis.