The Italian guideline on diagnosis and treatment of dementia and mild cognitive impairment
| Title: | The Italian guideline on diagnosis and treatment of dementia and mild cognitive impairment |
|---|---|
| Authors: | Fabrizi E.; Ancidoni A.; Locuratolo N.; Piscopo P.; Gatta F. D.; Salemme S.; Pani S. M.; Marconi D.; Vignatelli L.; Sagliocca L.; Caffarra P.; Secreto P.; Guaita A.; Stracciari A.; Vanacore N.; Lacorte E.; Battista P.; Borgarelli C.; Cerami C.; Chiari A.; Corbo M.; Costa A.; Cotelli M.; Dodich A.; Fae E.; Favaretto E.; Frisardi V.; Fubini L.; Gandelli M.; Gollin D.; Imperiale D.; Ivaldi C.; Izzicupo F.; Lanzoni A.; Lavermicocca V.; Lazzarino M.; Liperoti R.; Massaia M.; Menabue G.; Molinari M. A.; Morelli A.; Peruzzi A.; Piazza F.; Possenti M.; Ricci C.; Russo S.; Spadin P.; Spalletta G.; Zenaro D.; Bacigalupo I.; Bellomo G.; Canevelli M.; Carbone E.; Crestini A.; Distaso E.; Druda Y.; Esposito S.; Fumagalli G.; Morelli S.; Paggetti A.; Remoli G.; Rivabene R.; Sciancalepore F.; Valletta M.; Veronese N.; Zaccaria V.; Coclite D.; Fauci A.; Napoletano A.; Bini C.; Mennini F. S.; Sciattella P.; Ceccarini A.; Mitrova Z.; Pizzarelli S.; Saulle R.; Gainotti S.; Petrini C.; Riva L.; De Masi S.; Nonino F.; Porrello M. C.; Martelli G. |
| Contributors: | Fabrizi, E.; Ancidoni, A.; Locuratolo, N.; Piscopo, P.; Gatta, F. D.; Salemme, S.; Pani, S. M.; Marconi, D.; Vignatelli, L.; Sagliocca, L.; Caffarra, P.; Secreto, P.; Guaita, A.; Stracciari, A.; Vanacore, N.; Lacorte, E.; Battista, P.; Borgarelli, C.; Cerami, C.; Chiari, A.; Corbo, M.; Costa, A.; Cotelli, M.; Dodich, A.; Fae, E.; Favaretto, E.; Frisardi, V.; Fubini, L.; Gandelli, M.; Gollin, D.; Imperiale, D.; Ivaldi, C.; Izzicupo, F.; Lanzoni, A.; Lavermicocca, V.; Lazzarino, M.; Liperoti, R.; Massaia, M.; Menabue, G.; Molinari, M. A.; Morelli, A.; Peruzzi, A.; Piazza, F.; Possenti, M.; Ricci, C.; Russo, S.; Spadin, P.; Spalletta, G.; Zenaro, D.; Bacigalupo, I.; Bellomo, G.; Canevelli, M.; Carbone, E.; Crestini, A.; Distaso, E.; Druda, Y.; Esposito, S.; Fumagalli, G.; Morelli, S.; Paggetti, A.; Remoli, G.; Rivabene, R.; Sciancalepore, F.; Valletta, M.; Veronese, N.; Zaccaria, V.; Coclite, D.; Fauci, A.; Napoletano, A.; Bini, C.; Mennini, F. S.; Sciattella, P.; Ceccarini, A.; Mitrova, Z.; Pizzarelli, S.; Saulle, R.; Gainotti, S.; Petrini, C.; Riva, L.; De Masi, S.; Nonino, F.; Porrello, M. C.; Martelli, G. |
| Publisher Information: | Oxford University Press |
| Publication Year: | 2024 |
| Collection: | Sapienza Università di Roma: CINECA IRIS |
| Subject Terms: | Assessment; dementia; Alzheimer’s disease; guideline; Grading of Recommendation; Development; Evaluation (GRADE) methodology; mild cognitive impairment; older people |
| Description: | Introduction: Approximately 2 million people in Italy are currently living with dementia or mild cognitive impairment (MCI), and 4 million are involved as family members or caregivers. Considering the significant impact of dementia, the Italian Ministry of Health entrusted the Italian National Institute of Health (Istituto Superiore di Sanità) with the development of a guideline within the Italian National Guideline System (Sistema Nazionale Linee Guida, SNLG) on the diagnosis and treatment of dementia and MCI. The main objective was to provide evidence-based recommendations aimed at reducing the variability and ensuring the appropriateness of clinical practices throughout the whole care process from identification and diagnosis to the end of life for people with dementia (PwD) or MCI and their families/caregivers. Methods: The GRADE-ADOLOPMENT approach was used to adopt, adapt and update the guideline developed by the National Institute for Health and Care Excellence in 2018 (NG97). The methodology was based on the Methodological Handbook produced by the SNLG. A multidisciplinary panel of 29 experts and four representatives of family members/caregivers discussed and approved 47 review questions. Of these, 34 questions were adopted from the NG97, and 13 were new questions, including 10 questions referring to MCI. Systematic literature reviews were performed for each question, and a team of methodological and clinical experts qualitatively assessed and summarised results from included studies based on the GRADE approach. To facilitate the implementation and dissemination of the contents of this guideline, a care pathway and a leaflet dedicated to PwD or MCI and their families/caregivers were also developed. Results: The literature review for this guideline included studies published up to November 2023. More than 1000 peer-reviewed publications were included, covering the following areas: (i) identification, diagnosis and post-diagnostic support; (ii) care models and care coordination; (iii) pharmacological ... |
| Document Type: | article in journal/newspaper |
| Language: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/39544104; info:eu-repo/semantics/altIdentifier/wos/WOS:001374639300001; volume:53; issue:11; firstpage:1; lastpage:26; numberofpages:26; journal:AGE AND AGEING; https://hdl.handle.net/11573/1749782 |
| DOI: | 10.1093/ageing/afae250 |
| Availability: | https://hdl.handle.net/11573/1749782; https://doi.org/10.1093/ageing/afae250 |
| Rights: | info:eu-repo/semantics/openAccess ; license:Creative commons ; license uri:http://creativecommons.org/licenses/by/4.0/ |
| Accession Number: | edsbas.7499E773 |
| Database: | BASE |