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Public Health.

Cristina Festari1, Claudio Singh Solorzano1, Stefania Orini1,2

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Summary
This summary is machine-generated.

The Italian Inter-societal Consensus Recommendations (IICR) improved memory clinic practices. Adherence to biomarker-based diagnostics increased, especially in neuropsychological assessments and biomarker utilization.

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Area of Science:

  • Neurology
  • Clinical Diagnostics

Background:

  • Assessing the implementation of diagnostic recommendations in routine clinical practice is challenging.
  • This study evaluated adherence to biomarker-based diagnostics in Italian memory clinics based on the IICR (Boccardi, 2020).

Purpose of the Study:

  • To assess the impact of the Italian Inter-societal Consensus Recommendations (IICR) on memory clinic diagnostic practices.
  • To evaluate adherence to biomarker-based diagnostic approaches before and after the IICR publication.

Main Methods:

  • Retrospective review of 1,035 patient records from two periods (2018-19 and 2022-23).
  • Utilized a modified Adherence Index (AI) assessing five domains: clinical visit, blood tests, neuropsychological assessment, neuroimaging, and biomarkers.
  • Statistical analysis included Mann-Whitney U Test and chi-squared test (Χ2).

Main Results:

  • Global Adherence Index (AI) significantly improved post-IICR publication (2.09 to 2.28, p=0.047).
  • A more thorough neuropsychological assessment was observed in the post-recommendation period (p<0.001).
  • Appropriate biomarker use significantly increased following IICR implementation (Χ2=39.66, p<0.001).

Conclusions:

  • The IICR positively influenced clinical practice in Italian memory clinics.
  • Enhanced recognition of comprehensive neuropsychological assessments and standardized biomarker use were key outcomes.