Universität zu Köln

Hausner, Lucrezia, Froelich, Lutz ORCID: 0000-0003-1494-0813, von Arnim, Christine A. F. ORCID: 0000-0002-8614-2223, Bohlken, Jens, Dodel, Richard ORCID: 0000-0003-2044-6299, Otto, Markus ORCID: 0000-0003-4273-4267, Rapp, Michael ORCID: 0000-0003-0106-966X, Schulz, Joerg, Supprian, Tilmann ORCID: 0009-0007-5947-877X, Wollmer, M. Axel and Jessen, Frank ORCID: 0000-0003-1067-2102 (2021). Gedächtnisambulanzen in Deutschland – strukturell-organisatorische Voraussetzungen und Aufgabenfelder. Nervenarzt, 92. pp. 708-715. NEW YORK: SPRINGER. ISSN 1433-0407

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Abstract

Background Memory clinics (MC) are institutions specialized in the (differential) diagnostics, treatment, education, management and counseling of diseases related to dementia and their risk stages. In Germany, they have a variety of different organizational forms. Due to the growing diagnostic options in neurodegenerative diseases, the increasing demand for early detection and prediction as well as foreseeable new diagnostic procedures and disease-modifying treatment, it is important to standardize the structural prerequisites and areas of responsibility of MC. Objective The article proposes structural and organizational requirements and procedures and a harmonized mode of operation for MC in Germany. Method Expert consensus of psychiatrists, neurologists and geriatricians from academic and nonacademic institutions. Results The MC should provide the specialist standards of psychiatry and/or neurology. They need to implement the recommendations of the national guidelines on dementia (S3LL) with respect to the (differential) diagnostics and treatment of dementia. With respect to the early detection and prediction of neurodegenerative disorders, they extend beyond the current German guideline standards. In MC, mild cognitive impairment (MCI) is understood as an at-risk or prodromal stage of diseases related to dementia and biomarkers are consistently applied for etiological (early and differential) diagnostics. There is a requirement for close interaction with specialized diagnostic disciplines. Furthermore, MC should also offer comprehensive advice on social and legal issues and provide caregiver support. They should integrate current knowledge from research into care and serve as regional expert centers. Conclusion The MC should implement evidence-based standards in diagnostics and treatment and introduce innovations in the care of patients with cognitive disorders and at-risk and prodromal stages. Their role in the German healthcare system must be strengthened. Sufficient and sustained funding needs to be established, since current reimbursement does not cover costs.

Item Type:	Journal Article
Translated title:	Title Language Memory clinics in Germany-structural requirements and areas of responsibility English
Creators:	Creators Email ORCID ORCID Put Code Hausner, Lucrezia UNSPECIFIED UNSPECIFIED UNSPECIFIED Froelich, Lutz UNSPECIFIED orcid.org/0000-0003-1494-0813 UNSPECIFIED von Arnim, Christine A. F. UNSPECIFIED orcid.org/0000-0002-8614-2223 UNSPECIFIED Bohlken, Jens UNSPECIFIED UNSPECIFIED UNSPECIFIED Dodel, Richard UNSPECIFIED orcid.org/0000-0003-2044-6299 UNSPECIFIED Otto, Markus UNSPECIFIED orcid.org/0000-0003-4273-4267 UNSPECIFIED Rapp, Michael UNSPECIFIED orcid.org/0000-0003-0106-966X UNSPECIFIED Schulz, Joerg UNSPECIFIED UNSPECIFIED UNSPECIFIED Supprian, Tilmann UNSPECIFIED orcid.org/0009-0007-5947-877X UNSPECIFIED Wollmer, M. Axel UNSPECIFIED UNSPECIFIED UNSPECIFIED Jessen, Frank UNSPECIFIED orcid.org/0000-0003-1067-2102 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-315695
DOI:	10.1007/s00115-020-01007-7
Journal or Publication Title:	Nervenarzt
Volume:	92
Page Range:	pp. 708-715
Date:	2021
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-0407
Language:	German
Faculty:	Faculty of Medicine
Divisions:	Faculty of Medicine > Sonstiges > Zentrum für Versorgungsforschung Köln
Subjects:	Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language MILD COGNITIVE IMPAIRMENT; ALZHEIMERS-DISEASE; AMYLOID PET; DEMENTIA; IMPLEMENTATION; BIOMARKERS; DIAGNOSIS Multiple languages Clinical Neurology; Psychiatry Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/31569