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Updated: Jan 7, 2026

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
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Manifestaciones clínicas

Neus Falgàs1, Nick Corriveau-Lecavalier2

  • 1Unitat d'Alzheimer i Altres Trastorns Cognitius, Servei de Neurologia, Hospital Clínic, Barcelona, Spain.

Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
PubMed
Resumen
Este resumen es generado por máquina.

Las variantes atípicas de la enfermedad de Alzheimer (EA), a menudo con síntomas tempranos no mnésicos, están subrepresentadas en los ensayos clínicos. Se necesitan nuevas estrategias para una investigación inclusiva y resultados equitativos para los pacientes.

Palabras clave:
Enfermedad de Alzheimer atípicaEnsayos clínicosInclusión en la investigaciónResultados para los pacientesVariantes de la EA

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Área de la Ciencia:

  • Neurología
  • Neurociencia
  • Investigación Clínica

Sus antecedentes:

  • La enfermedad de Alzheimer atípica (EA) abarca variantes como PCA, lvPPA, dAD y bvAD.
  • Estas variantes se presentan con inicio temprano y síntomas no mnésicos, lo que lleva a una subrepresentación en los ensayos.
  • Las terapias actuales para la EA se dirigen principalmente a la EA típica amnésica de inicio tardío.

Objetivo del estudio:

  • Destacar la necesidad de diseños de ensayos clínicos inclusivos para la EA atípica.
  • Identificar deficiencias en los diseños de ensayos actuales para estas poblaciones de pacientes.
  • Proponer estrategias para mejorar la investigación y los resultados en la EA atípica.

Principales métodos:

  • Revisión de las características de la EA atípica y las limitaciones actuales de los ensayos clínicos.
  • Análisis de las estrategias de inscripción, el desarrollo de puntos finales y las necesidades de defensa.
  • Discusión de las terapias recientes dirigidas a la amiloide y su alcance limitado.

Principales resultados:

  • Las variantes atípicas de la EA están significativamente subrepresentadas en los ensayos clínicos a gran escala.
  • Los diseños de ensayos y las terapias existentes excluyen en gran medida a los pacientes con presentaciones atípicas de la EA.
  • Existen brechas críticas en la inscripción, las medidas de resultado y la precisión diagnóstica para la EA atípica.

Conclusiones:

  • Necesidad urgente de investigación inclusiva para todo el espectro de la EA.
  • El desarrollo de puntos finales específicos del síndrome y la inscripción optimizada son cruciales.
  • La defensa es esencial para un diagnóstico preciso, una representación equitativa y mejores resultados.