重症监护医学
痴呆
疾病
阿尔茨海默病
医学
认知
认知障碍
梅德林
医疗保健
生活质量(医疗保健)
单克隆
最佳实践
循证医学
质量(理念)
替代医学
认知功能衰退
临床实习
最佳证据
作者
Nick C. Fox,Christopher R S Belder,Clive Ballard,Helen C. Kales,Catherine J. Mummery,Paulo Caramelli,Olga Ciccarelli,Kristian Steen Frederiksen,Teresa Gómez‐Isla,Zahinoor Ismail,Claire Paquet,Ronald Petersen,Robert Perneczky,Louise Robinson,Ozge Sayin,Giovanni B. Frisoni
出处
期刊:The Lancet
[Elsevier BV]
日期:2025-09-01
卷期号:406 (10510): 1408-1423
被引量:49
标识
DOI:10.1016/s0140-6736(25)01329-7
摘要
Over the last three decades, the evidence on how to best treat the cognitive and non-cognitive symptoms of patients with Alzheimer's disease has increased. Although these pharmacological and non-pharmacological strategies have significantly improved health outcomes for patients with Alzheimer's disease, many lack stringent evidence of efficacy. In this second paper of the Series, we provide practical and realistic advice on how to prioritise pharmacological and non-pharmacological strategies to ameliorate cognitive impairment and behavioural and psychological symptoms of dementia. In this clinical environment, dementia specialists are faced with the challenge of holistically integrating the much anticipated and, in some respects, controversial anti-β amyloid monoclonal antibodies. Here, we present the current approval scenario of monoclonal antibodies, our view on how they might further contribute to improve patients' quality of life, and how they could be seamlessly integrated with existing best care options.
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