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阿尔茨海默病诊断与治疗的系统准备情况及患者护理路径

System readiness and the patient care pathway for Alzheimer's disease diagnosis and treatment.

作者信息

Snider B Joy, Biffi Alessandro, Bozeat Sasha, Clevenger Carolyn, Farrar Gill, Gitelman Darren, Kolster Rachel, Mattke Soeren, Mielke Michelle, Mukherjee Debjani, Murphy Jennifer, Okhravi Hamid, Rabinovici Gil D, Rentz Dorene, Soria Jose, Synder Heather, Walker Gregg, Mahinrad Simin, Carrillo Maria C, Weber Christopher J

机构信息

Department of Neurology Washington University School of Medicine St. Louis Missouri USA.

Knight Alzheimer Disease Research Center Washington University School of Medicine St. Louis Missouri USA.

出版信息

Alzheimers Dement (N Y). 2025 Jun 19;11(2):e70094. doi: 10.1002/trc2.70094. eCollection 2025 Apr-Jun.

Abstract

Promising therapeutic interventions that target the underlying pathophysiology are changing the landscape of Alzheimer's disease (AD) research. The AD care pathway must be transformed to meet the challenge of bringing these new therapies to the increasing number of people living with AD within the existing healthcare framework. Challenges include identifying patients who may benefit from treatment interventions early in the course of the disease, ensuring that diagnostic tools are accessible and accurate, and developing capabilities to monitor the effectiveness of interventions over time. These challenges must be addressed at all levels, from primary care settings to tertiary treatment centers; this will require collaborative efforts between health systems, drug manufacturers, and research institutions to navigate this evolving landscape and ensure system readiness for patients and their families with AD. The Spring 2024 Alzheimer's Association Research Roundtable (AARR) meeting gathered industry representatives and clinicians to discuss insights, challenges, and solutions that will help researchers and health systems identify patients in the early stages of AD and deliver emerging therapies efficiently and safely. In this paper, we provide highlights from the Spring 2024 AARR meeting.

摘要

针对潜在病理生理学的有前景的治疗干预措施正在改变阿尔茨海默病(AD)的研究格局。必须转变AD护理途径,以应对在现有医疗框架内将这些新疗法带给越来越多AD患者这一挑战。挑战包括在疾病进程早期识别可能从治疗干预中受益的患者、确保诊断工具可及且准确,以及培养长期监测干预效果的能力。这些挑战必须在从初级保健机构到三级治疗中心的各个层面加以解决;这将需要卫生系统、药品制造商和研究机构之间的协作努力,以驾驭这一不断演变的格局,并确保为AD患者及其家庭的系统准备就绪。2024年春季阿尔茨海默病协会研究圆桌会议(AARR)召集了行业代表和临床医生,讨论有助于研究人员和卫生系统在AD早期阶段识别患者并高效、安全地提供新兴疗法的见解、挑战和解决方案。在本文中,我们呈现了2024年春季AARR会议的要点。

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