Zusammenfassung
Fragestellung Ändern sich von 2005 – 2015 die ärztlichen Diagnose- und Therapiegewohnheiten bei
Patienten mit Demenz (PmD)?
Methoden Retrospektive Auswertung von Diagnose- und Verordnungsdaten von 398 Hausarzt- (HA)
und 50 Facharztpraxen (FA).
Ergebnisse HA: Demenz-Prävalenzzunahme um 40,4 % mit leichter Senkung des Anteils von Alzheimer-Patienten
von 20,8 % auf 19,2 %. FA: Demenz-Prävalenzzunahme um 52,4 % mit gleichzeitigem Anstieg
des Alzheimer-Anteils von 45,6 % auf 61,7 %.
Schlussfolgerungen Veränderungspotenzial in HA-Praxen gering. Lassen sich zukünftig HA-Gewohnheiten
ändern? Wie können FA-Praxen besser integriert werden?
Abstract
Research Question Did the diagnostic and treatment behavior of general practitioners and specialists
in patients with dementia (PWD) change in Germany over a period of 11 years (2005
vs. 2015)?
Methods We performed a retrospective, database-based evaluation of diagnostic and prescription
data from more than 398 general practices (GP) and 50 specialist practices (SP).
Results Compared to 2005, in 2015, the number of PWD had increased by 40.7 % in GP and by
52.4 % in SP. The proportion of patients with DAT (Alzheimer’s Disease) had increased
from 45.8 % to 61.7 % in SP. The latter changes are different from those in GP, where
the proportion of patients with DAT had decreased from 20.8 % to 19.2 %. On average,
each individual GP treated 29.9 PWD in 2015 (2005: 21.3), of which 5.9 were DAT patients
(2005:4.4), and 1.7 DAT patients received an antidementia drug (2005: 1.3). On the
other hand, an average of 115.4 PWD were diagnosed in SP in 2015 (2005: 75.7), 71.2
of which were DAT patients (2005: 34.7). 54.4 received an antidementia drug (2005:
23.9).
Conclusions Improvements in the diagnosis of dementia and the prescription of antidementia drugs
were only found in SP. In light of their comparatively low potential for change, whether
GP will change their diagnostic and treatment behavior in the future and how SP can
be better integrated into the process of outpatient dementia care remains to be seen.
Schlüsselwörter
Demenz - Alzheimer Demenz - Antidementiva - Versorgungsforschung
Keywords
dementia - Alzheimer's disease - antidementia drugs - drug prescription - service
provision