Neurocognitive Disorders Clinical Trial
Official title:
Analysis of Clinical- and Cost-effectiveness of Focused Cognitive Testing in Elective Inpatients
Neurocognitive Disorder (NCD) affects over 116'000 people in Switzerland and is frequently
unrecognized and underdiagnosed. Because missed and delayed diagnosis are associated with an
increased burden of disease health Service Research has prompted a discussion about
diagnostic guidelines and screening programs. Some argue that screening for NCD in primary
care is the optimal strategy to increase recognition rates; others consider test protocols
implemented into hospital admission assessments as more justified. There is no distinct
recommendation due to a lack of empirical data on the benefits and harms of cognitive testing
yet. This trial strives to fill this gap and provide information about the benefits, harms
and the economic case of routine cognitive testing for neurocognitive disorder in high risk
elective inpatients, in Switzerland.
The investigators hypothesize that, cognitive tested patients, compared with patients not
cognitive tested, will have higher health-related quality of life at 12months; and lower
medical health care costs at 18months.
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