Clinical Study
Dementia Coding, Workup, and Treatment in the VA New England Healthcare System
Table 1
Initial dementia diagnoses by provider type.
| Diagnosis by
| Dementia, ,356 | Cognitive impairment, ,643 | Total | | AD | VD | DNOS | MCI* | Memory loss | CD-CVD | CDNOS | | (%) | (%) | (%) | (%) | (%) | (%) | (%) |
| | PCP | 1519 (67.6) | 1083 (80.8) | 2409 (63.9) | 17 (37.8) | 763 (71.2) | 11 (28.2) | 186 (38.1) | 5988 (66.5) | | Mental health (psychology/psychiatry) | 147 (6.5) | 67 (5.0) | 410 (10.9) | 9 (20.0) | 28 (2.6) | 2 (5.1) | 75 (15.4) | 738 (8.2) | | Neuropsychology | 35 (1.6) | 31 (2.3) | 325 (8.6) | 1 (2.2) | 8 (0.7) | 1 (2.6) | 49 (10.0) | 450 (5.0) | | Geriatrician | 90 (5.9) | 33 (2.5) | 99 (2.6) | 3 (6.6) | 35 (3.2) | 9 (23.1) | 31 (6.4) | 300 (3.3) | | Neurologist | 245 (10.0) | 40 (3.0) | 166 (4.4) | 7 (15.6) | 150 (14.2) | 10 (25.6) | 71 (14.5) | 689 (7.7) | | Other providers | 211 (8.4) | 86 (6.4) | 360 (9.6) | 8 (17.8) | 87 (8.1) | 6 (15.4) | 76 (15.6) | 834 (9.3) | | Total | 2247 (100) | 1340 (100) | 3769 (100) | 45 (100) | 1071 (100) | 39 (100) | 488 (100) | 8999 (100) |
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DAT: Alzheimer’s type dementia; VD: vascular dementia; DNOS: dementia not otherwise specified; MCI: mild cognitive impairment; CD-CVD: late cognitive effects of cerebrovascular disease; CDNOS: cognitive disorder not otherwise specified.
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