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Alzheimer's "Prevention" vs. "Risk Reduction": Transcending Semantics for Clinical Practice
John F Hodes1, Carlee I Oakley2, James H O'Keefe3
1The Klingler College of Arts and Sciences, Marquette University, Milwaukee, WI, United States.
Frontiers in Neurology
|February 6, 2019
Summary
Distinguishing between Alzheimer's disease prevention and dementia prevention is crucial. This study clarifies the terms "prevention" and "risk reduction" for clinical practice and research.
Area of Science:
- Neurology
- Geriatrics
- Medical Semantics
Background:
- The terms "prevention" and "risk reduction" are frequently used interchangeably in medical contexts.
- Significant debate exists regarding their application to interventions aimed at preserving cognitive health or delaying Alzheimer's disease (AD) progression.
- Clear distinctions between Alzheimer's disease prevention and Alzheimer's dementia prevention are needed.
Purpose of the Study:
- To explore the semantics and appropriate clinical use of
- prevention
- " and "risk reduction" in relation to Alzheimer's disease.
- To address the lack of clear clinical consensus criteria for physicians regarding these terms.
- To guide clinical practice and research by clarifying the implications of each term.
Main Methods:
- Literature review and semantic analysis of
- prevention
- and
- risk reduction
- in the context of Alzheimer's disease.
- Exploration of existing research criteria for Alzheimer's disease stages.
- Analysis of clinical practice implications.
Main Results:
- Prior studies have established criteria for Alzheimer's disease progression stages.
- No clear clinical consensus criteria currently exist to guide physicians in using
- prevention
- and
- risk reduction
- for Alzheimer's disease.
- The distinction between disease and dementia prevention requires careful consideration.
Conclusions:
- Clarifying the precise meaning and application of
- prevention
- and
- risk reduction
- is essential for effective Alzheimer's disease clinical care.
- A shared understanding will improve clinical decision-making and research direction.
- Further development of consensus criteria is recommended for clinical practice.