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Innovation in der Diagnostik – mobile Technologien

Düzel, Emrah ; Thyrian, Jochen René and Berron, David LU (2019) In Nervenarzt 90(9). p.914-920
Abstract

Background: Progressive cognitive deficits are the main clinical symptom of Alzheimer’s disease; however, the precise recording of cognitive deficits and assessment of their progression pose major problems in patient care and early interventions. Objective: Which problems for care and early intervention result from the current practice of cognitive assessment of patients with memory problems and which opportunities arise from the use of mobile apps? Material and methods: Evaluation of current care structures, discussion of basic work, expert recommendations and current developments. Results: The current practice of the pencil and paper-based diagnostics of cognitive deficits, which is temporally and spatially bound to a clinical... (More)

Background: Progressive cognitive deficits are the main clinical symptom of Alzheimer’s disease; however, the precise recording of cognitive deficits and assessment of their progression pose major problems in patient care and early interventions. Objective: Which problems for care and early intervention result from the current practice of cognitive assessment of patients with memory problems and which opportunities arise from the use of mobile apps? Material and methods: Evaluation of current care structures, discussion of basic work, expert recommendations and current developments. Results: The current practice of the pencil and paper-based diagnostics of cognitive deficits, which is temporally and spatially bound to a clinical environment, constrains the feasibility, validity and reliability of cognitive assessment and the quantification of progression. This limits the meaningful use of further diagnostic measures, such as magnetic resonance imaging (MRI) and cerebrospinal fluid (CSF) analyses. Recent progress in mobile app-based technologies, illustrated here with the example of the neotiv app, can help to overcome these problems. Conclusion: Mobile app-based technologies can help to improve the cognitive assessment of patients with the main symptom of memory complaints. They can reduce overuse and underuse of diagnostic and therapeutic pathways and enable a targeted and meaningful use of advanced diagnostics. In addition, they can structure risk-modifying preventive measures, identify iatrogenic impairment of cognition and in this respect also strengthen patient competence.

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author
organization
alternative title
Innovation in diagnostics—mobile technologies
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Alzheimer’s disease, Cognition, Mild cognitive impairment, Mobile apps, Neuropsychology
in
Nervenarzt
volume
90
issue
9
pages
914 - 920
publisher
Springer
external identifiers
  • pmid:31420690
  • scopus:85070746548
ISSN
0028-2804
DOI
10.1007/s00115-019-0773-8
language
German
LU publication?
yes
id
73e5f95f-5448-4204-8b54-a083a8d604ae
date added to LUP
2019-09-03 11:48:02
date last changed
2020-01-14 13:55:09
@article{73e5f95f-5448-4204-8b54-a083a8d604ae,
  abstract     = {<p>Background: Progressive cognitive deficits are the main clinical symptom of Alzheimer’s disease; however, the precise recording of cognitive deficits and assessment of their progression pose major problems in patient care and early interventions. Objective: Which problems for care and early intervention result from the current practice of cognitive assessment of patients with memory problems and which opportunities arise from the use of mobile apps? Material and methods: Evaluation of current care structures, discussion of basic work, expert recommendations and current developments. Results: The current practice of the pencil and paper-based diagnostics of cognitive deficits, which is temporally and spatially bound to a clinical environment, constrains the feasibility, validity and reliability of cognitive assessment and the quantification of progression. This limits the meaningful use of further diagnostic measures, such as magnetic resonance imaging (MRI) and cerebrospinal fluid (CSF) analyses. Recent progress in mobile app-based technologies, illustrated here with the example of the neotiv app, can help to overcome these problems. Conclusion: Mobile app-based technologies can help to improve the cognitive assessment of patients with the main symptom of memory complaints. They can reduce overuse and underuse of diagnostic and therapeutic pathways and enable a targeted and meaningful use of advanced diagnostics. In addition, they can structure risk-modifying preventive measures, identify iatrogenic impairment of cognition and in this respect also strengthen patient competence.</p>},
  author       = {Düzel, Emrah and Thyrian, Jochen René and Berron, David},
  issn         = {0028-2804},
  language     = {ger},
  month        = {08},
  number       = {9},
  pages        = {914--920},
  publisher    = {Springer},
  series       = {Nervenarzt},
  title        = {Innovation in der Diagnostik – mobile Technologien},
  url          = {http://dx.doi.org/10.1007/s00115-019-0773-8},
  doi          = {10.1007/s00115-019-0773-8},
  volume       = {90},
  year         = {2019},
}