Inequalities in the Prevention and Treatment of Alzheimer Disease.

Maurizio Giorelli
Author Information
  1. Maurizio Giorelli: Operative Unit of Neurology, Barletta, ASL BT, Italy. ORCID

Abstract

Incidence of Alzheimer disease (AD) is going to rise in the next years and to become a health and social emergency. The prevention and the therapeutic management of AD still present unmet needs worldwide. The recent approval of monoclonal antibodies against amyloid �� (anti-A�� mAbs) for AD has increased the level of uncertainty regarding on how such drugs should be administered, to whom, and for how long. Concerns about cost-effectiveness ratios of anti-A�� mAbs and the need for actual strategies of risk prevention have further dug barriers of inequalities between the national health care systems. Planning research to address questions on the real feasibility of the correct therapeutic management, improving international cooperation on surveillance of risk factors, implementing pathways for timely diagnosis, and effective medical and social support for patients with AD worldwide would be extremely valuable to fight against this upcoming pandemic.

References

  1. Brain Commun. 2022 Nov 02;4(6):fcac282 [PMID: 36415665]
  2. Pract Neurol. 2022 Dec;22(6):446-447 [PMID: 36008107]
  3. BMJ Glob Health. 2022 Apr;7(4): [PMID: 35379735]
  4. BMJ. 2022 Apr 13;377:e068390 [PMID: 35418416]
  5. Neurology. 2023 Oct 10;101(15):661-665 [PMID: 37479527]
  6. N Engl J Med. 2023 Jan 5;388(1):9-21 [PMID: 36449413]
  7. Lancet. 2020 Aug 8;396(10248):413-446 [PMID: 32738937]
  8. Lancet Reg Health Eur. 2023 May 22;29:100657 [PMID: 37251789]
  9. Lancet. 2017 Apr 1;389(10076):1323-1335 [PMID: 28236464]
  10. Alzheimers Dement. 2023 Jul;19(7):2865-2873 [PMID: 36617519]
  11. J Alzheimers Dis. 2022;88(4):1411-1421 [PMID: 35811518]
  12. PLoS Comput Biol. 2022 Sep 2;18(9):e1010481 [PMID: 36054214]
  13. Neurology. 2023 Mar 7;100(10):474-483 [PMID: 36384657]
  14. Pharmacoeconomics. 2023 Jan;41(1):59-75 [PMID: 36376775]
  15. Lancet Public Health. 2019 Oct;4(10):e529-e537 [PMID: 31578987]
  16. Lancet Neurol. 2020 Jul;19(7):567 [PMID: 32562678]
  17. Semin Neurol. 2022 Oct;42(5):525-548 [PMID: 36442814]
  18. J Alzheimers Dis. 2019;67(3):795-819 [PMID: 30776012]
  19. Lancet Public Health. 2022 Feb;7(2):e105-e125 [PMID: 34998485]
  20. Medicine (Baltimore). 2016 May;95(21):e3658 [PMID: 27227925]
  21. J Manag Care Spec Pharm. 2021 Nov;27(11):1613-1617 [PMID: 34714106]
  22. Front Neurol. 2023 Apr 05;14:1171681 [PMID: 37090988]

Word Cloud

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