Focusing on Earlier Management of Alzheimer Disease: Expert Opinion Based on a Modified Nominal Group Technique.

IF 1.8 4区医学 Q3 CLINICAL NEUROLOGY

Alzheimer Disease & Associated Disorders Pub Date : 2024-01-01 Epub Date: 2024-01-29 DOI:10.1097/WAD.0000000000000600

Kristian Steen Frederiksen, Xavier Morató, Henrik Zetterberg, Serge Gauthier, Mercè Boada, Vanesa Pytel, Soeren Mattke

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引用次数: 0

Abstract

Background: Despite the number of people living with Alzheimer disease (AD), awareness of the early stages of this condition, including mild cognitive impairment due to AD-which poses management challenges-continues to be low. To identify areas for improvement in early AD management, dementia specialists convened in a virtual roundtable meeting.

Methodology: A modified version of the nominal group technique was followed to prioritize specific topics and allow experts to provide their opinions. The overarching topics prioritized and discussed were (1) education and support for primary care physicians on cognitive assessment, detection of mild cognitive impairment, and patient monitoring; (2) nonpharmacological interventions; (3) and the introduction of disease-modifying therapies.

Conclusions: Consensus was achieved regarding the need for educating primary care physicians on identifying people with cognitive impairment and for better diagnostic tools for its detection and early management. Management of mild cognitive impairment due to AD should encompass an adequate follow-up schedule aiming to maintain function for as long as possible, and primary care physicians and patients should be aware of the benefits of nonpharmacological interventions.

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关注阿尔茨海默病的早期管理：基于改良名义小组技术的专家意见。

背景：尽管阿尔茨海默病（AD）患者人数众多，但人们对这种疾病早期阶段的认识仍然很低，其中包括由 AD 引起的轻度认知障碍--这给管理带来了挑战。为了确定阿尔茨海默病早期管理有待改进的领域，痴呆症专家召开了一次虚拟圆桌会议：方法：会议采用修改版的名义小组技术来确定具体议题的优先次序，并让专家们发表意见。优先考虑和讨论的主要议题包括：（1）对初级保健医生进行认知评估、检测轻度认知障碍和患者监测方面的教育和支持；（2）非药物干预；（3）引入疾病改变疗法：结论：在教育初级保健医生识别认知功能障碍患者以及使用更好的诊断工具检测和早期管理认知功能障碍的必要性方面已达成共识。对注意力缺失症引起的轻度认知障碍的管理应包括适当的随访计划，目的是尽可能长时间地维持患者的功能，初级保健医生和患者应了解非药物干预的益处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Alzheimer Disease & Associated Disorders 医学-病理学

CiteScore

3.10

自引率

4.80%

发文量

期刊介绍： Alzheimer Disease & Associated Disorders is a peer-reviewed, multidisciplinary journal directed to an audience of clinicians and researchers, with primary emphasis on Alzheimer disease and associated disorders. The journal publishes original articles emphasizing research in humans including epidemiologic studies, clinical trials and experimental studies, studies of diagnosis and biomarkers, as well as research on the health of persons with dementia and their caregivers. The scientific portion of the journal is augmented by reviews of the current literature, concepts, conjectures, and hypotheses in dementia, brief reports, and letters to the editor.