前性痴呆症临床研究中的差距:呼吁以多样性和差异为重点的研究
Sanne Franzen1, Karen Nuytemans2, Renelle Bourdage1,3
1Department of Neurology and Alzheimer Center, Erasmus MC University Medical Center, Rotterdam, the Netherlands.
概括
前性痴呆 (FTD) 诊断受到全球多样性的挑战,因为目前的研究主要反映了西方人口. 适应诊断标准和工具对于全球准确的FTD评估至关重要.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 全球健康 全球健康
背景情况:
- 前性痴呆症 (FTD) 是65岁以下人群痴呆的主要原因.
- 在不同的文化和社会经济背景下,FTD的临床表现有很大差异.
- 目前的FTD研究和临床实践主要基于北美和西欧人口.
研究的目的:
- 检查全球日益多样化对FTD临床表现,查,评估和诊断的影响.
- 探索全球多样性如何影响FTD治疗和护理.
- 为推进全球FTD研究和临床实践提供建议.
主要方法:
- 基于阿尔茨海默病协会国际促进阿尔茨海默病研究和治疗协会两个专业兴趣领域的专业知识的观点论文.
- 对现有文献和关于FTD在不同人群中的表现的临床观察进行分析.
- 综合当前的挑战和全球FTD管理的未来方向.
主要成果:
- FTD的临床表现受文化,语言,教育和社会经济因素的影响.
- 现有的诊断标准和认知测试可能无法在非西方人口中充分捕捉FTD.
- 迫切需要调整研究方法和临床工具,以考虑到全球多样性.
结论:
- 全球多样性对FTD的准确识别和管理产生重大影响.
- 修订的诊断标准,文化适应的认知评估和包容性研究对于全球FTD护理至关重要.
- 提供了建议,以解决当前需求,并在全球范围内促进公平的FTD研究和实践.
相关概念视频
Bias in Epidemiological Studies
384
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
384
Dementia
143
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....
143
Alzheimer's Disease: Overview
536
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...
536
Alzheimer's Disease: Treatment
224
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...
224
Relationship Formation
40.1K
What do you think is the single most influential factor in determining with whom you become friends and whom you form romantic relationships? You might be surprised to learn that the answer is simple: the people with whom you have the most contact. This most important factor is proximity. You are more likely to be friends with people you have regular contact with. For example, there are decades of research that shows that you are more likely to become friends with people who live in your dorm,...
40.1K
Psychological and Sociocultural Causes of Schizophrenia
146
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
146


