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阿尔茨海默病防治中的不平等现象。

Inequalities in the Prevention and Treatment of Alzheimer Disease.

作者信息

Giorelli Maurizio

机构信息

Operative Unit of Neurology, Barletta, ASL BT, Italy.

出版信息

Neurol Clin Pract. 2024 Jun;14(3):e200283. doi: 10.1212/CPJ.0000000000200283. Epub 2024 Apr 12.

Abstract

Incidence of Alzheimer disease (AD) is going to rise in the next years and to become a health and social emergency. The prevention and the therapeutic management of AD still present unmet needs worldwide. The recent approval of monoclonal antibodies against amyloid β (anti-Aβ mAbs) for AD has increased the level of uncertainty regarding on how such drugs should be administered, to whom, and for how long. Concerns about cost-effectiveness ratios of anti-Aβ mAbs and the need for actual strategies of risk prevention have further dug barriers of inequalities between the national health care systems. Planning research to address questions on the real feasibility of the correct therapeutic management, improving international cooperation on surveillance of risk factors, implementing pathways for timely diagnosis, and effective medical and social support for patients with AD worldwide would be extremely valuable to fight against this upcoming pandemic.

摘要

未来几年,阿尔茨海默病(AD)的发病率将上升,并成为一项健康和社会紧急情况。AD的预防和治疗管理在全球范围内仍存在未满足的需求。近期针对AD的抗淀粉样蛋白β单克隆抗体(抗Aβ mAbs)获批,增加了关于此类药物应如何给药、给谁使用以及使用多长时间的不确定性。对抗Aβ mAbs成本效益比的担忧以及对实际风险预防策略的需求,进一步加深了各国医疗保健系统之间的不平等障碍。规划研究以解决正确治疗管理的实际可行性问题、加强国际间危险因素监测合作、实施及时诊断途径以及为全球AD患者提供有效的医疗和社会支持,对于应对这一即将到来的流行病极为重要。

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