Journal Article

DZNE-2025-00488

http://join2-wiki.gsi.de/foswiki/pub/Main/Artwork/join2_logo100x88.png Profiles of Met and Unmet Care Needs in the Oldest Old Primary Care Patients with Cognitive Disorders and Dementia: Results of the AgeCoDe and AgeQualiDe Study.

Kraake, S. ; Pabst, A. ; Bickel, H. ; Pentzek, M. ; Fuchs, A. ; Wiese, B. ; Oey, A. ; König, H.-H. ; Brettschneider, C. ; Scherer, M. ; Mallon, T. ; Lühmann, D. ; Maier, W. ; Wagner, M.DZNE* ; Heser, K.DZNE* ; Weyerer, S. ; Werle, J. ; Riedel-Heller, S. G. ; Stein, J.

2025
Karger Basel

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Please use a persistent id in citations: doi:10.1159/000541118

Abstract: The prevalence of mild cognitive impairment (MCI) and dementia is increasing as the oldest old population grows, requiring a nuanced understanding of their care needs. Few studies have examined need profiles of oldest old patients with MCI or dementia. Therefore, this study aimed to identify patients' need profiles.The data analysis included cross-sectional baseline data from N = 716 primary care patients without cognitive impairment (n = 575), with MCI (n = 97), and with dementia (n = 44) aged 85+ years from the multicenter cohort AgeQualiDe study 'needs, health service use, costs and health-related quality of life in a large sample of oldest old primary care patients [85+]'. Patients' needs were assessed using the Camberwell Assessment of Needs for the Elderly (CANE), and latent class analysis identified need profiles. Multinomial logistic regression analyzed the association of MCI and dementia with need profiles, adjusting for sociodemographic factors, social network (Lubben Social Network Scale [LSNS-6]), and frailty (Canadian Study of Health and Aging-Clinical Frailty Scale [CSHA-CFS]).Results indicated three profiles: 'no needs,' 'met physical and environmental needs,' and 'unmet physical and environmental needs.' MCI was associated with the met and unmet physical and environmental needs profiles; dementia was associated with the unmet physical and environmental needs profile. Patients without MCI or dementia had larger social networks (LSNS-6). Frailty was associated with dementia.Integrated care should address the needs of the oldest old and support social networks for people with MCI or dementia. Assessing frailty can help clinicians to identify the most vulnerable patients and develop beneficial interventions for cognitive disorders.The prevalence of mild cognitive impairment (MCI) and dementia is increasing as the oldest old population grows, requiring a nuanced understanding of their care needs. Few studies have examined need profiles of oldest old patients with MCI or dementia. Therefore, this study aimed to identify patients' need profiles.The data analysis included cross-sectional baseline data from N = 716 primary care patients without cognitive impairment (n = 575), with MCI (n = 97), and with dementia (n = 44) aged 85+ years from the multicenter cohort AgeQualiDe study 'needs, health service use, costs and health-related quality of life in a large sample of oldest old primary care patients [85+]'. Patients' needs were assessed using the Camberwell Assessment of Needs for the Elderly (CANE), and latent class analysis identified need profiles. Multinomial logistic regression analyzed the association of MCI and dementia with need profiles, adjusting for sociodemographic factors, social network (Lubben Social Network Scale [LSNS-6]), and frailty (Canadian Study of Health and Aging-Clinical Frailty Scale [CSHA-CFS]).Results indicated three profiles: 'no needs,' 'met physical and environmental needs,' and 'unmet physical and environmental needs.' MCI was associated with the met and unmet physical and environmental needs profiles; dementia was associated with the unmet physical and environmental needs profile. Patients without MCI or dementia had larger social networks (LSNS-6). Frailty was associated with dementia.Integrated care should address the needs of the oldest old and support social networks for people with MCI or dementia. Assessing frailty can help clinicians to identify the most vulnerable patients and develop beneficial interventions for cognitive disorders.

Keyword(s): Primary Health Care: statistics & numerical data (MeSH) ; Humans (MeSH) ; Male (MeSH) ; Female (MeSH) ; Aged, 80 and over (MeSH) ; Dementia: epidemiology (MeSH) ; Dementia: therapy (MeSH) ; Cross-Sectional Studies (MeSH) ; Primary Health Care (MeSH) ; Cognitive Dysfunction: epidemiology (MeSH) ; Quality of Life (MeSH) ; Health Services Needs and Demand (MeSH) ; Needs Assessment (MeSH) ; Canada: epidemiology (MeSH) ; Cognitive Dysfunction: therapy (MeSH) ; Health Services Needs and Demand: statistics & numerical data (MeSH) ; Camberwell Assessment of Needs for the Elderly ; Dementia ; Latent class analysis ; Need profiles ; Oldest old population

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Contributing Institute(s):

1. Neuropsychology (AG Wagner)

Research Program(s):

1. 353 - Clinical and Health Care Research (POF4-353) (POF4-353)

Appears in the scientific report 2025

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Database coverage:
; ; ; Clarivate Analytics Master Journal List ; Current Contents - Clinical Medicine ; Current Contents - Life Sciences ; Ebsco Academic Search ; Essential Science Indicators ; IF < 5 ; JCR ; National-Konsortium ; SCOPUS ; Science Citation Index Expanded ; Web of Science Core Collection

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