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Published on: January 11, 2020
Expert opinion on Alzheimer's disease diagnostics and management in Central Eastern European countries representing
Ninoslav Mimica1, Laura Dumitrescu2, Milica Gregorič Kramberger3
1Referral Centre of Ministry of Health of Republic of Croatia for Alzheimer's Disease and Old Age Psychiatry, University Psychiatric Hospital Vrapče, Zagreb, Croatia. ninoslav.mimica@bolnica-vrapce.hr.
Abstract:
The expert panel from Croatia, Czech Republic, Hungary, Poland, Romania, Slovakia and Slovenia discussed the current situation of various topics related to the diagnostics, general management and treatment of Alzheimer's disease (AD) in these Central Eastern European (CEE) countries, representing around 88 million population. The aim was to estimate AD prevalence, confirm the presence of AD patients/caregivers' associations and AD registries, and establish the availability and reimbursement of costs for AD diagnostic biomarkers and treatment. The panel acknowledged similarities and differences among CEE countries and issued recommendations for cross specialty collaboration between experts in neurology, psychiatry and general practitioners for the early AD diagnosis. They also agreed that CEE countries should provide comprehensive education and training and encourage collaboration between health experts. The panel suggested that CEE countries should involve various stakeholders, policymakers, implement routine screening, combine advanced diagnostic tools and use telemedicine and remote monitoring technologies, invest in research to develop AI-based analyses, new AD diagnostic and monitoring methods, digital tools and wearables. The focus is to address the stigma, reimburse costs of diagnostic tests and therapy, and reduce the modifiable risk factors for AD.
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