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神经退行性疾病的精准医学:IHI-PROMINENT项目

Precision medicine in neurodegeneration: the IHI-PROMINENT project.

作者信息

Tate Ashley, Suárez-Calvet Marc, Ekelund Mats, Eriksson Sven, Eriksdotter Maria, Van Der Flier Wiesje M, Georges Jean, Kivipelto Miia, Kramberger Milica G, Lindgren Peter, López Juan Domingo Gispert, Lötjönen Jyrki, Persson Sofie, Pla Sandra, Solomon Alina, Thurfjell Lennart, Wimo Anders, Winblad Bengt, Jönsson Linus

机构信息

Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.

Barcelonaβeta Brain Research Center, Pasqual Maragall Foundation, Barcelona, Spain.

出版信息

Front Neurol. 2023 Aug 2;14:1175922. doi: 10.3389/fneur.2023.1175922. eCollection 2023.

Abstract

Neurodegenerative diseases are one of the most important contributors to morbidity and mortality in the elderly. In Europe, over 14 million people are currently living with dementia, at a cost of over 400 billion EUR annually. Recent advances in diagnostics and approval for new pharmaceutical treatments for Alzheimer's disease (AD), the most common etiology of dementia, heralds the beginning of precision medicine in this field. However, their implementation will challenge an already over-burdened healthcare systems. There is a need for innovative digital solutions that can drive the related clinical pathways and optimize and personalize care delivery. Public-private partnerships are ideal vehicles to tackle these challenges. Here we describe the Innovative Health Initiative (IHI) public-private partnership project PROMINENT that has been initiated by connecting leading dementia researchers, medical professionals, dementia patients and their care partners with the latest innovative health technologies using a precision medicine based digital platform. The project builds upon the knowledge and already implemented digital tools from several collaborative initiatives that address new models for early detection, diagnosis, and monitoring of AD and other neurodegenerative disorders. The project aims to provide support to improvement efforts to each aspect of the care pathway including diagnosis, prognosis, treatment, and data collection for real world evidence and cost effectiveness studies. Ultimately the PROMINENT project is expected to lead to cost-effective care and improved health outcomes.

摘要

神经退行性疾病是导致老年人发病和死亡的最重要因素之一。在欧洲,目前有超过1400万人患有痴呆症,每年花费超过4000亿欧元。作为痴呆症最常见病因的阿尔茨海默病(AD),其诊断和新药物治疗批准方面的最新进展预示着该领域精准医学的开端。然而,这些进展的实施将给本就负担过重的医疗系统带来挑战。需要创新的数字解决方案来推动相关临床路径,并优化和个性化护理服务。公私合作伙伴关系是应对这些挑战的理想途径。在此,我们描述了创新健康倡议(IHI)公私合作项目PROMINENT,该项目通过一个基于精准医学的数字平台,将领先的痴呆症研究人员、医学专业人员、痴呆症患者及其护理伙伴与最新的创新健康技术联系起来启动。该项目基于多个合作倡议的知识和已实施的数字工具,这些倡议涉及AD和其他神经退行性疾病的早期检测、诊断和监测的新模式。该项目旨在为护理路径的各个方面(包括诊断、预后、治疗以及用于真实世界证据和成本效益研究的数据收集)的改进工作提供支持。最终,PROMINENT项目有望带来具有成本效益的护理并改善健康结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ab5/10433183/3878142c74c8/fneur-14-1175922-g001.jpg

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