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路易体痴呆症:克服障碍,寻找解决方案。

Lewy body dementia: Overcoming barriers and identifying solutions.

机构信息

The Boston Consulting Group, Boston, Massachusetts, USA.

Parkinson and Other Movement Disorders Center, Department of Neurosciences, University of California San Diego, La Jolla, California, USA.

出版信息

Alzheimers Dement. 2024 Mar;20(3):2298-2308. doi: 10.1002/alz.13674. Epub 2024 Jan 24.

DOI:10.1002/alz.13674
PMID:38265159
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10942666/
Abstract

Despite its high prevalence among dementias, Lewy body dementia (LBD) remains poorly understood with a limited, albeit growing, evidence base. The public-health burden that LBD imposes is worsened by overlapping pathologies, which contribute to misdiagnosis, and lack of treatments. For this report, we gathered and analyzed public-domain information on advocacy, funding, research outputs, and the therapeutic pipeline to identify gaps in each of these key elements. To further understand the current gaps, we also conducted interviews with leading experts in regulatory/governmental agencies, LBD advocacy, academic research, and biopharmaceutical research, as well as with funding sources. We identified wide gaps across the entire landscape, the most critical being in research. Many of the experts participated in a workshop to discuss the prioritization of research areas with a view to accelerating therapeutic development and improving patient care. This white paper outlines the opportunities for bridging the major LBD gaps and creates the framework for collaboration in that endeavor. HIGHLIGHTS: A group representing academia, government, industry, and consulting expertise was convened to discuss current progress in Dementia with Lewy Body care and research. Consideration of expert opinion,natural language processing of the literature as well as publicly available data bases, and Delphi inspired discussion led to a proposed consensus document of priorities for the field.

摘要

尽管路易体痴呆症(Lewy body dementia,LBD)在痴呆症中较为常见,但由于重叠的病理学导致误诊,且缺乏治疗方法,因此对其了解甚少,证据基础也有限,尽管在不断增加。LBD 给公共卫生带来的负担因重叠的病理学而加重,这些病理学导致误诊,并且缺乏治疗方法。在本报告中,我们收集和分析了宣传、资金、研究成果和治疗管道方面的公共领域信息,以确定这些关键要素中的每一个要素存在的差距。为了进一步了解当前的差距,我们还采访了监管/政府机构、LBD 宣传、学术研究和生物制药研究以及资金来源方面的领先专家。我们发现整个领域都存在很大差距,最关键的是在研究方面。许多专家参加了一个研讨会,讨论优先研究领域,以期加速治疗开发并改善患者护理。本白皮书概述了弥合 LBD 主要差距的机会,并为这一努力创建了合作框架。要点:一个代表学术界、政府、行业和咨询专业知识的小组被召集来讨论路易体痴呆症护理和研究的当前进展。考虑到专家意见、文献的自然语言处理以及公开可用的数据库,以及受 Delphi 启发的讨论,提出了该领域的优先事项共识文件。

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本文引用的文献

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Neurology. 2023 Sep 19;101(12):e1196-e1205. doi: 10.1212/WNL.0000000000207621. Epub 2023 Jul 31.
2
Depression in dementia with Lewy bodies: a critical update.路易体痴呆相关性抑郁:关键性更新。
J Neural Transm (Vienna). 2023 Oct;130(10):1207-1218. doi: 10.1007/s00702-023-02669-8. Epub 2023 Jul 7.
3
Race and Ethnicity in Lewy Body Dementia: A Narrative Review.
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ACS Omega. 2025 Jun 5;10(23):24194-24199. doi: 10.1021/acsomega.4c10959. eCollection 2025 Jun 17.
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Examining the lived experience of dementia with Lewy bodies through qualitative research: A systematic review.通过定性研究审视路易体痴呆的生活经历:一项系统综述。
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