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一个国家痴呆症研究联盟的影响:加拿大衰老神经退行性变联盟(CCNA)。

Impact of a national dementia research consortium: The Canadian Consortium on Neurodegeneration in Aging (CCNA).

作者信息

Chertkow Howard, Phillips Natalie, Rockwood Kenneth, Anderson Nicole, Andrew Melissa K, Bartha Robert, Beaudoin Camille, Bélanger Nathalie, Bellec Pierre, Belleville Sylvie, Bergman Howard, Best Sarah, Bethell Jennifer, Bherer Louis, Black Sandra, Borrie Michael, Camicioli Richard, Carrier Julie, Cashman Neil, Chan Senny, Crowshoe Lynden, Cuello Claudio, Cynader Max, Dang-Vu Thanh, Das Samir, Dixon Roger A, Ducharme Simon, Einstein Gillian, Evans Alan C, Fahnestock Margaret, Feldman Howard, Ferland Guylaine, Finger Elizabeth, Fisk John D, Fogarty Jennifer, Fon Edward, Gan-Or Ziv, Gauthier Serge, Greenwood Carol, Henri-Bellemare Charlie, Herrmann Nathan, Hogan David B, Hsiung Robin, Itzhak Inbal, Jacklin Kristen, Lanctôt Krista, Lim Andrew, MacKenzie Ian, Masellis Mario, Maxwell Colleen, McAiney Carrie, McGilton Katherine, McLaurin JoAnne, Mihailidis Alex, Mohades Zia, Montero-Odasso Manuel, Morgan Debra, Naglie Gary, Nygaard Haakon, O'Connell Megan, Petersen Ron, Pilon Randi, Rajah Maria Natasha, Rapoport Mark, Roach Pamela, Robillard Julie M, Rogaeva Ekaterina, Rosa-Neto Pedro, Rylett Jane, Sadavoy Joel, St George-Hyslop Peter, Seitz Dallas, Smith Eric, Stefanovic Bojana, Vedel Isabelle, Walker Jennifer D, Wellington Cheryl, Whitehead Victor, Wittich Walter

机构信息

Lady Davis Institute for Medical Research, Montréal, Québec, Canada.

Department of Medicine (Neurology), University of Toronto, Toronto, Ontario, Canada.

出版信息

J Alzheimers Dis. 2024 Dec;102(3):535-561. doi: 10.1177/13872877241290990. Epub 2024 Dec 5.

Abstract

The Canadian Consortium on Neurodegeneration in Aging (CCNA) was created by the Canadian federal government through its health research funding agency, the Canadian Institutes for Health Research (CIHR), in 2014, as a response to the G7 initiative to fight dementia. Two five-year funding cycles (2014-2019; 2019-2024) have occurred following peer review, and a third cycle (Phase 3) has just begun. A unique construct was mandated, consisting of 20 national teams in Phase I and 19 teams in Phase II (with research topics spanning from basic to clinical science to health resource systems) along with cross-cutting programs to support them. Responding to the needs of researchers within the CCNA teams, a unique sample of 1173 deeply phenotyped patients with various forms of dementia was accrued and studied over eight years (COMPASS-ND). In the second phase of funding (2019-2024), a national dementia prevention program (CAN-THUMBS UP) was set up. In a short time, this prevention program became a member of the World Wide FINGERS prevention consortium. In this article, the challenges, successes, and impacts of CCNA in Canada and internationally are discussed. Short-term deliverables have occurred, along with considerable promise of impacts in the longer term. The creation of synergy, networking, capacity building, engagement of people with lived experience, and economies of scale have contributed to the considerable success of CCNA by all measures. CCNA is evidence that an organized "centrally-organized" approach to dementia research can catalyze important progress nationally and yield significant and measurable results.

摘要

加拿大衰老神经退行性疾病联盟(CCNA)由加拿大联邦政府于2014年通过其健康研究资助机构——加拿大卫生研究院(CIHR)设立,作为对七国集团抗击痴呆症倡议的回应。经过同行评审后,已经历了两个五年资助周期(2014 - 2019年;2019 - 2024年),第三个周期(第三阶段)刚刚开始。其被赋予了一种独特的架构,包括第一阶段的20个国家队和第二阶段的19个团队(研究主题涵盖从基础科学到临床科学再到卫生资源系统)以及支持这些团队的跨领域项目。为满足CCNA团队内研究人员的需求,在八年时间里(COMPASS - ND)收集并研究了1173例经过深度表型分析的各种形式痴呆患者的独特样本。在第二阶段资助(2019 - 2024年)期间,设立了一项全国性痴呆症预防计划(CAN - THUMBS UP)。在短时间内,该预防计划成为了全球FINGERS预防联盟的成员。在本文中,将讨论CCNA在加拿大及国际上所面临的挑战、取得的成功以及产生的影响。已经取得了短期成果,并且在长期也有产生重大影响的可观前景。协同效应的产生、网络建设、能力建设、有实际生活经验者的参与以及规模经济,从各方面促成了CCNA的巨大成功。CCNA证明,一种有组织的“集中组织”式痴呆症研究方法能够在全国范围内推动重要进展,并产生显著且可衡量的成果。

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