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• W3001298707 abstract "Background We aimed to explore clinicians’ communication, including the discussion of diagnosis, cause, prognosis and care planning, in routine post-diagnostic testing consultations with patients with Mild Cognitive Impairment (MCI). Methods Thematic content analysis was used to analyze audiotaped consultations in which 10 clinicians (eight neurologists and two geriatricians) from 7 memory clinics, disclosed diagnostic information to 13 MCI patients and their care partners. We assessed clinician-patient communication regarding diagnostic label, cause, prognosis and care planning to identify core findings. Results Core findings were: clinicians 1) differed in how they informed about the MCI label; 2) tentatively addressed cause of symptoms; 3) (implicitly) steered against further biomarker testing; 4) rarely informed about the patient’s risk of developing dementia; 5) often informed about the expected course of symptoms emphasizing potential symptom stabilization and/or improvement, and; 6) did not engage in a conversation on long-term (care) planning. Discussion Clinicians’ information provision about the underlying cause, prognosis and implications for long-term (care) planning in MCI could be more specific. Since most patients and care partners have a strong need to understand the patient’s symptoms, and for information on the prognosis and implications for the future, clinicians’ current approach may not match with those needs." @default.
• W3001298707 created "2020-01-30" @default.
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• W3001298707 date "2020-01-21" @default.
• W3001298707 modified "2023-10-18" @default.
• W3001298707 title "Clinicians’ communication with patients receiving a MCI diagnosis: The ABIDE project" @default.
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• W3001298707 doi "https://doi.org/10.1371/journal.pone.0227282" @default.
• W3001298707 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6974141" @default.
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