naa a22 4500 510786936 CHVBK 20180411083305.0 cr unu---uuuuu 180411e20130201xx s 000 0 eng 10.1007/s12603-012-0403-7 doi (NATIONALLICENCE)springer-10.1007/s12603-012-0403-7 Multidisciplinary team meetings (MDTM) in detection of Alzheimer's disease: Data from the idem study [Elektronische Daten] [Yves Rolland, N. Tavassoli, S. Gillette-Guyonnet, A. Perrin, S. Hermabessiere, P. Ousset, F. Nourhashemi, P. Cestac, B. Vellas] Introduction: The National Institute for Health and Clinical Excellence (NICE) in the United Kingdom, the Institut fur Qualität und Wirtschaftlichkeit im Gesundheitswesen (IQWIG) in Germany and the Haute Autorité de Santé (HAS) in France have recently set out guidelines on prescription of anti-dementi a medication. The HAS proposes in particular that continuation of these drugs for longer than one year should be decided in multidisciplinary team meetings (MDTM). Objective: To assess the feasibility of MDTM and the satisfaction of coordinating physicians from institutions for the dependent elderly (nursing home, NH) and expert physicians from memory clinics who have participated in the meetings. Methods: Survey carried out among physicians who had participated in the MDTM held as part of the IDEM study (Interest of systematic tracking of dementia cases in NH: analysing the contribution of MDTM in Alzheimer's disease and related diseases; PHRC National 2009, Code 0910701). The survey evaluated the organization of MDTM and the physicians' opinion of these meetings. Results: The cases of 574 patients were discussed in MDTM involving 133 healthcare professionals (32 coordinating physicians, 48 expert physicians, 4 general practitioners and 49 other health professionals). The mean number of participants was 4.2+1.6. About 16 minutes were spent discussing the case of each resident. About 90% of physicians considered that the meetings were useful. Overall assessment of their efficacy was 11.5/20 for the coordinating physicians and 14.1/20 for the expert physicians. The benefits of MDTM in relation to the work entailed were considered important by 60% of expert physicians and 33% of coordinating physicians. Conclusions: Our survey confirmed the feasibility of MDTM in the field of Alzheimer's disease. The overall benefit/workload ratio of the meetings was considered to be favorable for the expert physicians. The benefits of MDTM were turned out to be less appreciated by the coordinating physicians according to high workload involved. Serdi and Springer-Verlag France, 2013 Alzheimer nationallicence anticholinesterase drugs nationallicence multidisciplinary team meeting nationallicence institutions for the elderly nationallicence Rolland Yves Gérontopôle de Toulouse, Département de Médecine Interne et Gérontologie Clinique, Centre Hospitalo-Universitaire de Toulouse, 170 avenue de Casselardit, F-31300, Toulous, France aut Tavassoli N. Gérontopôle de Toulouse, Département de Médecine Interne et Gérontologie Clinique, Centre Hospitalo-Universitaire de Toulouse, 170 avenue de Casselardit, F-31300, Toulous, France aut Gillette-Guyonnet S. Gérontopôle de Toulouse, Département de Médecine Interne et Gérontologie Clinique, Centre Hospitalo-Universitaire de Toulouse, 170 avenue de Casselardit, F-31300, Toulous, France aut Perrin A. Gérontopôle de Toulouse, Département de Médecine Interne et Gérontologie Clinique, Centre Hospitalo-Universitaire de Toulouse, 170 avenue de Casselardit, F-31300, Toulous, France aut Hermabessiere S. Gérontopôle de Toulouse, Département de Médecine Interne et Gérontologie Clinique, Centre Hospitalo-Universitaire de Toulouse, 170 avenue de Casselardit, F-31300, Toulous, France aut Ousset P. Gérontopôle de Toulouse, Département de Médecine Interne et Gérontologie Clinique, Centre Hospitalo-Universitaire de Toulouse, 170 avenue de Casselardit, F-31300, Toulous, France aut Nourhashemi F. Gérontopôle de Toulouse, Département de Médecine Interne et Gérontologie Clinique, Centre Hospitalo-Universitaire de Toulouse, 170 avenue de Casselardit, F-31300, Toulous, France aut Cestac P. Pôle Pharmacie CHU Toulouse and INSERM U1027, Toulouse, France aut Vellas B. Gérontopôle de Toulouse, Département de Médecine Interne et Gérontologie Clinique, Centre Hospitalo-Universitaire de Toulouse, 170 avenue de Casselardit, F-31300, Toulous, France aut The journal of nutrition, health & aging Springer-Verlag 17/2(2013-02-01), 137-141 1279-7707 17:2<137 2013 17 12603 https://doi.org/10.1007/s12603-012-0403-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12603-012-0403-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rolland Yves Gérontopôle de Toulouse, Département de Médecine Interne et Gérontologie Clinique, Centre Hospitalo-Universitaire de Toulouse, 170 avenue de Casselardit, F-31300, Toulous, France aut NATIONALLICENCE 700 1- Tavassoli N. Gérontopôle de Toulouse, Département de Médecine Interne et Gérontologie Clinique, Centre Hospitalo-Universitaire de Toulouse, 170 avenue de Casselardit, F-31300, Toulous, France aut NATIONALLICENCE 700 1- Gillette-Guyonnet S. Gérontopôle de Toulouse, Département de Médecine Interne et Gérontologie Clinique, Centre Hospitalo-Universitaire de Toulouse, 170 avenue de Casselardit, F-31300, Toulous, France aut NATIONALLICENCE 700 1- Perrin A. Gérontopôle de Toulouse, Département de Médecine Interne et Gérontologie Clinique, Centre Hospitalo-Universitaire de Toulouse, 170 avenue de Casselardit, F-31300, Toulous, France aut NATIONALLICENCE 700 1- Hermabessiere S. Gérontopôle de Toulouse, Département de Médecine Interne et Gérontologie Clinique, Centre Hospitalo-Universitaire de Toulouse, 170 avenue de Casselardit, F-31300, Toulous, France aut NATIONALLICENCE 700 1- Ousset P. Gérontopôle de Toulouse, Département de Médecine Interne et Gérontologie Clinique, Centre Hospitalo-Universitaire de Toulouse, 170 avenue de Casselardit, F-31300, Toulous, France aut NATIONALLICENCE 700 1- Nourhashemi F. Gérontopôle de Toulouse, Département de Médecine Interne et Gérontologie Clinique, Centre Hospitalo-Universitaire de Toulouse, 170 avenue de Casselardit, F-31300, Toulous, France aut NATIONALLICENCE 700 1- Cestac P. Pôle Pharmacie CHU Toulouse and INSERM U1027, Toulouse, France aut NATIONALLICENCE 700 1- Vellas B. Gérontopôle de Toulouse, Département de Médecine Interne et Gérontologie Clinique, Centre Hospitalo-Universitaire de Toulouse, 170 avenue de Casselardit, F-31300, Toulous, France aut NATIONALLICENCE 773 0- The journal of nutrition, health & aging Springer-Verlag 17/2(2013-02-01), 137-141 1279-7707 17:2<137 2013 17 12603 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer