一个预测医疗保健能力差距的模型,用于加拿大的阿尔茨海默病修饰治疗
Sandra E Black1, Nathalie Budd2, Haakon B Nygaard3
1Department of Medicine (Neurology), Dr. Sandra Black Centre for Brain Resilience and Recovery, Hurvitz Brain Sciences Program, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
概括
加拿大加拿大加拿大加拿大加拿大加拿大
科学领域:
- 神经学 神经学
- 医疗保健服务研究 医疗服务研究
- 药物经济学 药物经济学
背景情况:
- 超过60万加拿大人患有阿尔茨海默氏症 (AD).
- 早期AD (eAD) 的疾病修饰疗法 (DMT) 正在出现.
- 目前的医疗保健能力和诊断需求对eAD治疗构成挑战.
研究的目的:
- 描述加拿大使用DMT治疗早期阿尔茨海默病的医疗保健能力差距.
- 识别患者从查到治疗的旅程中的瓶.
主要方法:
- 开发了一个患者流量容量模型,用于eAD治疗.
- 模拟患者的旅程,以量化资源缺口和瓶.
- 利用基于证据的,专家知情的模型输入.
主要成果:
- 在全国范围内,只有不到2%的患者能够获得DMT治疗所需的资源.
- 资格评估是主要的瓶,预计等待名单有382,000人.
- 关键的资源缺口包括AD专家的时间和先进的成像 (PET/MRI).
结论:
- 加拿大卫生系统在eAD诊断和DMT治疗方面资源严重不足.
- 迫切需要国家政策和省级资源分配来解决能力赤字.
- 生物标志物测试,如脑脊液分析,可以提高评估能力.
关键词:
在阿尔茨海默氏症.生物标志物 生物标志物认知障碍是一种认知障碍.痴呆症 痴呆症是一种痴呆症.流行病学流行病学医疗服务研究 医疗服务研究磁共振成像技术的使用神经退行性疾病的神经退行性疾病神经学实践的神经学实践治疗药物 治疗药物更多相关视频
08:43Application of Granger Causality Analysis of the Directed Functional Connection in Alzheimer's Disease and Mild Cognitive Impairment
Published on: August 7, 2017
7.9K
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
7.1K
相关概念视频
Alzheimer's Disease: Treatment
213
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...
213
Alzheimer's Disease: Overview
518
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...
518
Dementia
139
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....
139
