Historical backdrop (the last decade):
UK Key Opinion Leaders argued robustly and consistently for an early approach to the diagnosis of dementia without articulating uncertainties, risks and necessary ethical aspects of person-centred approaches to diagnosis.
When first published in the BMJ the authors gave no competing declarations of interest despite evidence (in the public domain) that this was incorrect. The BMJ and GMC took no action.
The history behind the following volte-face statement of the UK experts in dementia is recorded in the BMJ. The following statement was published on the 21st March 2013:
“The issue of the terminology of early or timely diagnosis of dementia is important. Most people now agree that “timely” is a better way of describing what is trying to be achieved – it suggests a person centred approach, does not tie the diagnosis to any particular disease stage . . . “
The ‘Dementia Tsar’, Professor Alistair Burns, made it clear:
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