Krolak-Salmon Pierre, Letrilliart Laurent, Ceccaldi Mathieu, Andrieu Sandrine, Guérin Olivier, Dubois Bruno, Brochet Bruno, Vandel Pierre, Jeandel Claude, Leperre-Desplanques Armelle, Clanet Michel, Druais Pierre-Louis
Centre mémoire, ressources, recherche de Lyon, institut du vieillissement, hospices civils de Lyon, Inserm 1048, CNRS 5292, 69008 Lyon, France; Université Claude-Bernard Lyon 1, action conjointe européenne « Act on dementia », 69008 Lyon, France; Fédération des centres mémoire, 69001 Lyon, France.
Université Claude-Bernard Lyon 1, action conjointe européenne « Act on dementia », 69008 Lyon, France; Université Claude-Bernard Lyon 1, collège universitaire de médecine générale, HESPER EA 7425, 69008 Lyon, France.
Presse Med. 2018 Jan;47(1):75-83. doi: 10.1016/j.lpm.2017.10.029. Epub 2017 Dec 26.
Neurocognitive disorders leading to progressive cognitive, functional and behavioural impairment are often undiagnosed or diagnosed lately. But tailored care and therapeutics help in implementing secondary and tertiary prevention dynamics aiming at preserving quality of life and delaying, anticipating or preventing behavioural crisis and severe stages of dementia. Moreover, the diagnosis of numerous diseases induces specific care and therapeutics, as well access to research and clinical trials. For the first time, the representatives of the National College of General Practitioners, the French Federation of Memory Centres, the French Federation of Gerontology and Geriatrics, the French Federation of Neurology, the French Society of Psychogeriatrics and the national plan on neurodegenerative diseases propose a graduated and tailored diagnosis strategy involving primary care and specialists of neurocognitive disorders. This strategy has been built in the context of the national plan on neurodegenerative diseases, the European Joint Action "Act on dementia", and has been consensually agreed after a seminar animated by the National College of General Practitioners in March 2017.
导致进行性认知、功能和行为障碍的神经认知障碍往往未被诊断或诊断较晚。但量身定制的护理和治疗有助于实施二级和三级预防措施,旨在维持生活质量,延缓、预测或预防行为危机以及痴呆的严重阶段。此外,众多疾病的诊断会带来特定的护理和治疗方法,以及参与研究和临床试验的机会。首次,国家全科医生学院、法国记忆中心联合会、法国老年医学与老年病学联合会、法国神经病学联合会、法国老年精神医学协会的代表以及神经退行性疾病国家计划提出了一种分级且量身定制的诊断策略,涉及初级保健和神经认知障碍专家。该策略是在神经退行性疾病国家计划、欧洲联合行动“应对痴呆症行动”的背景下制定的,并在2017年3月由国家全科医生学院举办的一次研讨会上经各方协商一致通过。