Using medical records to diagnose dementia with Lewy bodies
Research Project: Determining the predictors and outcomes of people with dementia with Lewy bodies using the Clinical Record Interactive Search (CRIS) system to improve diagnosis and management (LEWY-CRIS)
Lead Investigator: Professor John O'Brien
Institution: University of Cambridge
Grant type: Project Grant
Duration: 36 months
Why did we fund this project?
Comments from members of our Research Network:
'Early and accurate diagnosis is fundamental to good and appropriate care for people living with dementia'
'This proposal has a clear and evident focus which will have tangible outcomes for the community'
'As a small localized project this could potentially have a national or international input over time'
What do we already know?
Dementia with Lewy bodies accounts for approximately 4% of all recorded cases of dementia. However, it shares symptoms with both Alzheimer's disease and Parkinson's disease and therefore is likely to be under-diagnosed. It is thought that dementia with Lewy bodies may actually account for up to 20% of all cases of dementia.
Health records contain important clinical information on patients that, if pieced together, could show early signs that someone may be having problems with their memory or coordination. These signs and symptoms may appear a long time before a diagnosis of dementia is made. However, people are often seen by different healthcare professionals and their information could be stored on multiple computer systems. This means that a diagnosis of dementia is often not made until a person's symptoms are more advanced.
The researchers have developed a large database which draws information from anonymised electronic health records. They conducted an earlier study, which used this database to show that using key words associated with dementia with Lewy bodies could highlight that a person was experiencing symptoms of the condition up to ten years before a diagnosis was made. These results were then validated by an expert clinician to ensure the search results were accurate.
What does this project involve?
Following on from this earlier study, the researchers will use anonymised records from two NHS trusts, increasing the number of records in the database to more than 2000. They will search the records for cases of dementia with Lewy bodies and compare them to records for people that do not have dementia with Lewy bodies. . This will help them to find out whether there are patterns or early factors that may help to diagnose dementia with Lewy bodies early. This will help to improve the key words used in their database searches and also improve the criteria that clinicians use to diagnose dementia with Lewy bodies. They will ensure that all of their results are validated by a clinical expert.
The researchers will also develop and test an app that can repeat this work in an automated way. This would allow a large number of records to be searched quickly and repeatedly to identify those people who may fulfil the clinical criteria but have not yet been diagnosed.
How will this benefit people with dementia?
This project will help to improve how dementia with Lewy bodies is diagnosed. This has the potential to lead to increased rates of diagnosis and at earlier stages of the condition. Early diagnosis is vital to ensuring people gain access to services and support, but also helps to better plan how relevant services can best help people in a particular area.