Young‐onset dementia in memory clinics in the Netherlands: Study design and description of PRECODE‐GP

Author:

van Gils Aniek M.12,Rhodius‐Meester Hanneke F. M.1234,Leeuwis Anna E.12,Handgraaf Dédé12,Bakker Christian567,Peetoom Kirsten8,Bouwman Femke H.12,Pijnenburg Yolande A. L.12,Papma Janne M.9,Hoogendoorn Tanja‐Anne10,Schoonenboom Niki11,van Strien Astrid12,Verwey Nicolaas A.13,Köhler Sebastian8,de Vugt Marjolein E.8,van der Flier Wiesje M.1214

Affiliation:

1. Alzheimer Center Amsterdam Department of Neurology Vrije Universiteit Amsterdam Amsterdam The Netherlands

2. Amsterdam Neuroscience Neurodegeneration Amsterdam The Netherlands

3. Department of Internal Medicine Geriatric Medicine Section Amsterdam Cardiovascular Sciences Institute Vrije Universiteit Amsterdam Amsterdam The Netherlands

4. Department of Geriatric Medicine The Memory Clinic Oslo University Hospital Oslo Norway

5. Department of Primary and Community Care Radboud University Medical Center Nijmegen The Netherlands

6. Alzheimer Center Radboud UMC Nijmegen The Netherlands

7. Center for Specialized Geriatric Care Groenhuysen Roosendaal The Netherlands

8. Department of Psychiatry and Neuropsychology/Alzheimer Center Limburg School for Mental Health and Neuroscience Maastricht University Maastricht The Netherlands

9. Department of Neurology and Alzheimer Center Erasmus MC Erasmus MC University Medical Center Rotterdam The Netherlands

10. Department of Neurology Rivierenland Ziekenhuis Tiel The Netherlands

11. Department of Clinical Geriatrics Spaarne Gasthuis Haarlem The Netherlands

12. Department of Geriatric Medicine Jeroen Bosch Hospital ‘s‐Hertogenbosch The Netherlands

13. Department of Neurology Medical Center Leeuwarden Leeuwarden The Netherlands

14. Department of Epidemiology and Data Science Vrije Universiteit Amsterdam Amsterdam The Netherlands

Abstract

AbstractThe disease trajectory and healthcare requirements of patients with young‐onset dementia (YOD) differ from those of older patients. Accurate data about YOD is crucial to improve diagnosis and optimize care. PRECODE‐GP aims to set up a prospective national database of patients with YOD to gain insight into the occurrence and characteristics of patients with YOD in memory clinics in the Netherlands.The national database includes data from dementia patients aged <70 years at diagnosis, collected by local memory clinics (MCs). Data included demographic information, clinical variables, and (etiological) diagnoses.Between July 2019 and December 2022, 781 patients with a mean age of 62±6y at diagnosis (range 37 to 69y) were included from 39 MCs. Most (n = 547,70%) were diagnosed with dementia due to Alzheimer's disease (AD). Patients with Frontotemporal lobe dementia (FTD, n = 87, 11%) were youngest (61±6.0y). Over half (55%) of patients were experiencing symptoms for ≥2 years.We initiated a Dutch national YOD database to improve diagnosis and care for this underrepresented and vulnerable patient group. The database provides a basis for future in‐depth studies on YOD.

Funder

Alzheimer Nederland

Publisher

Wiley

Subject

Psychiatry and Mental health,Neurology (clinical)

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