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Supplementary audit of the quality of the routine data source used.
As in all the audits conducted as part of this QIP, variation in current screening practice across the participating Trusts in the 2012 supplementary audit was marked.
All GPs will audit their consenting patients for dementia, and complete a supplementary audit indicating diagnostic evaluation and management for patients they consider to have dementia.
The data in figure 2 reveal that, in the 2012 supplementary audit, the majority of the assessments documented in the clinical records in mental health services had been undertaken by mental health teams rather than by primary care.
An initial increase in screening from the baseline audit in 2006 to reaudit in 2007, with a doubling of the proportion of patients with evidence of full screening, with documentation of all four aspects of the MS, was maintained over the subsequent audits, further improvement not being evident until the 2012 supplementary audit.
GPs will be asked to complete a supplementary audit for any patients with possible, probable or definite dementia to gather data on differential diagnosis (e.g depression), memory-related tests and investigations performed (i.e. paper and pencil test; pathology; radiology) and referrals to services and specialists.
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Clinical audits were conducted in 2006 (baseline) and 2007 (reaudit), and subsequently, supplementary audits were carried out in 2008, 2009, 2010 and 2012.
Showcards facilitated response choices where these were too detailed for the administered questionnaire (see AUDIT and supplementary questions: Additional File 1).
In the longitudinal audit data (Supplementary Table 5), the proportion of results that are borderline or mild after adjusting for year of test is 13% greater in women screened from age 25 years compared with those screened from age 20 years; and for moderate or worse, it is 32% greater.
The supplementary questions were asked after the AUDIT screen to avoid influencing the screening tool's results.
An unregistered intention-to-treat analysis showed a significant overall reduction in weekly alcohol consumption averaging 3.8 units and a reduction in AUDIT score of 0.7 points (Supplementary Table 9).
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