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August 14, 2002

Nursing Home Placement and Dementia

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthor

JAMA. 2002;288(6):696-697. doi:10.1001/jama.288.6.693

To the Editor: Dr Yaffe and colleagues1 report that both patient and caregiver factors can predict whether patients with dementia will require placement for long-term care. There are 2 important nonpatient and noncaregiver determinants that they fail to comment on, however; first, physicians' ability to diagnose dementia in early stages and second, ease of access to physicians. In my experience, both these factors also contribute to early long-term care placement for patients with dementia and may be amenable to interventions.

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