The Advisory Group on Risk Evidence Education for Dementia: Multidisciplinary and Open to All.
Allyson C Rosen1,2, Jalayne J Arias3, J Wesson Ashford1,2
1VA Medical Center-Palo Alto, Palo Alto, CA, USA.
Journal of Alzheimer'S Disease : JAD
|August 8, 2022
Summary
Dementia risk evidence (DRE) like biomarkers can predict cognitive decline early. Sharing this information requires careful consideration of risks, benefits, and responsible communication strategies for patients and clinicians.
Area of Science:
- Neuroscience and Neurology
- Public Health and Epidemiology
Background:
- Alzheimer's disease and dementia pathology begin years before cognitive symptoms manifest, complicating early prediction.
- Individuals with early cognitive complaints pose a diagnostic challenge for clinicians regarding dementia progression.
- Public interest is growing in accessing dementia risk evidence (DRE), including biomarkers and genetic data, for proactive health management.
Discussion:
- Researchers face dilemmas in sharing DRE due to validation concerns and potential misuse, including discrimination and stigma.
- Effective communication of DRE necessitates addressing risks, benefits, and knowledge gaps for all stakeholders.
- The Advisory Group on Risk Evidence Education for Dementia (AGREEDementia) promotes collaborative discussion on DRE sharing and utilization.
Key Insights:
- Dementia risk evidence can empower individuals to pursue early interventions and lifestyle changes.
- Understanding DRE is crucial for clinicians to guide diagnosis and patient management effectively.
- Responsible communication frameworks are essential to mitigate potential harms associated with knowing one's dementia risk.
Outlook:
- AGREEDementia serves as a model for interdisciplinary collaboration in managing health-related risk information.
- Future efforts should focus on developing validated DRE tools and ethical guidelines for their application.
- Enhanced education for clinicians, patients, and the public is vital for the appropriate use of dementia risk information.
Related Concept Videos
Dementia
162
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
162
Alzheimer's Disease: Overview
659
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
659
Alzheimer's Disease: Treatment
256
Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
256
Interdisciplinary Care: The Health Care Team-I
1.8K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
1.8K
Interdisciplinary Care: The Health Care Team-II
1.5K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.5K
Coronary Artery Disease V: Interprofessional Care
25
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
25


