Towards a new Value-based scenario for the management of dementia in Italy: a SINdem delphi consensus study
| Title: | Towards a new Value-based scenario for the management of dementia in Italy: a SINdem delphi consensus study |
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| Authors: | Marra, Camillo; Beccia, Flavia; Caffarra, Paolo; L'Abbate, Federica; Agosta, Federica; Benussi, Alberto; Bonanni, Laura; Bruni, Amalia C.; Bruno, Giuseppe; Cappa, Stefano F.; Cerami, Chiara; Di Lorenzo, Francesco; Ferrarese, Carlo; Galimberti, Daniela; Guarnieri, Biancamaria; Mariani, Claudio; Nacmias, Benedetta; Pantoni, Leonardo; Piccoli, Tommaso; Perani, Daniela; Rainero, Innocenzo; Tagliavini, Fabrizio; Venneri, Annalena; Boccia, Stefania; Cagnin, Annachiara; Calabrò, Giovanna Elisa; Bozzali, Marco; null, null; Angeloni, Rossano; Arabia, Gennarina; Arighi, Andrea; Bagnato, Sergio; Babiloni, Claudio; Baschi, Roberta; Bellelli, Giuseppe; Bessi, Valentina; Canu, Edoardo Domenico Giorgio; Capellari, Sabina; Ceci, Moira; Colao, Rosanna; De Togni, Laura; Della Rocca, Gennaro; Di Giorgi, Lucia; Esposito, Sabrina; Fabi, Katia; Farina, Elisabetta; Filippi, Massimo; Fiori, Chiara; Floris, Gianluca; Forloni, Gianluigi; Giubilei, Franco; Gragnaniello, Daniela; Guarino, Maria; Iavarone, Alessandro; Imperiale, Daniele; Isella, Valeria; Luca, Antonina; Luiselli, Donata; Luzzi, Simona; Malagù, Susanna; Marcon, Michela; Marti, Alessandro; Martorana, Alessandro; Giuseppina Mascia, Maria; Mecocci, Patrizia; Mei, Daniele; Merlo, Paola; Moda, Fabio; Monastero, Roberto; Mura, Giuseppe; Musso, Anna Maria; Orsini, Anna Vittoria Marta; Parchi, Piero; Pardini, Matteo; Parnetti, Lucilla; Plutino, Andrea; Puccio, Gianfranco; Roncacci, Sabina; Rosso, Mara; Rubino, Elisa; Sensi, Stefano; Sibilia, Grazia; Spallazzi, Marco; Sucapane, Patrizia; Tiraboschi, Pietro; Tognoni, Gloria; Tripi, Gabriele; Vacca, Alessandro; Vista, Marco; Zanusso, Gianluigi; Zuffi, Marta |
| Contributors: | Marra, Camillo; Beccia, Flavia; Caffarra, Paolo; L'Abbate, Federica; Agosta, Federica; Benussi, Alberto; Bonanni, Laura; Bruni, Amalia C.; Bruno, Giuseppe; Cappa, Stefano F.; Cerami, Chiara; Di Lorenzo, Francesco; Ferrarese, Carlo; Galimberti, Daniela; Guarnieri, Biancamaria; Mariani, Claudio; Nacmias, Benedetta; Pantoni, Leonardo; Piccoli, Tommaso; Perani, Daniela; Rainero, Innocenzo; Tagliavini, Fabrizio; Venneri, Annalena; Boccia, Stefania; Cagnin, Annachiara; Calabrò, Giovanna Elisa; Bozzali, Marco; Null, Null; Angeloni, Rossano; Arabia, Gennarina; Arighi, Andrea; Bagnato, Sergio; Babiloni, Claudio; Baschi, Roberta; Bellelli, Giuseppe; Bessi, Valentina; Canu, Edoardo Domenico Giorgio; Capellari, Sabina; Ceci, Moira; Colao, Rosanna; De Togni, Laura; Della Rocca, Gennaro; Di Giorgi, Lucia; Esposito, Sabrina; Fabi, Katia; Farina, Elisabetta; Filippi, Massimo; Fiori, Chiara; Floris, Gianluca; Forloni, Gianluigi; Giubilei, Franco; Gragnaniello, Daniela; Guarino, Maria; Iavarone, Alessandro; Imperiale, Daniele; Isella, Valeria; Luca, Antonina; Luiselli, Donata; Luzzi, Simona; Malagù, Susanna; Marcon, Michela; Marti, Alessandro; Martorana, Alessandro; Giuseppina Mascia, Maria; Mecocci, Patrizia; Mei, Daniele; Merlo, Paola; Moda, Fabio; Monastero, Roberto; Mura, Giuseppe; Musso, Anna Maria; Orsini, Anna Vittoria Marta; Parchi, Piero; Pardini, Matteo; Parnetti, Lucilla; Plutino, Andrea; Puccio, Gianfranco; Roncacci, Sabina; Rosso, Mara; Rubino, Elisa; Sensi, Stefano; Sibilia, Grazia; Spallazzi, Marco; Sucapane, Patrizia; Tiraboschi, Pietro; Tognoni, Gloria; Tripi, Gabriele; Vacca, Alessandro; Vista, Marco; Zanusso, Gianluigi; Zuffi, Marta |
| Publisher Information: | Springer-Verlag Italia s.r.l. |
| Publication Year: | 2025 |
| Collection: | Padua Research Archive (IRIS - Università degli Studi di Padova) |
| Subject Terms: | Alzheimer care management; Biological diagnosi; Delphi consensu; Dementia; Disease modifying drug; Italy |
| Description: | This national expert-based Delphi-consensus aims at formulating recommendations on the management of dementia care in Italy. This effort seems important and timely given in light of a new scenario arising from a new biological definition of Alzheimer’s disease (AD) and the availability of disease-modifying treatments (DMTs). Methods: the Steering Committee of the Italian Neurological Society for dementia (SINdem) created appropriate statements. Invited SINdem experts were requested to vote on the statements according to a modified three-round Delphi method. Only those statements reaching Grade A (full agreement ≥ 75%) or B (overall agreement ≥ 80% and full disagreement < 5%) were included in the final document. Round answers’ consistency was graded using the Cohen’s k and within-class correlation coefficient. Results: Forty-six experts voted on 20 statements, which focused on the following aspects: i) organization of care services from early diagnosis to the management of advanced clinical stages; ii) access to biomarkers for a biological diagnosis of AD; iii) requirements necessary for the administration of DMTs; iv) main actors and pathways for the management of patients suffering from cognitive disorders. At the end of the process, 4 statements (20%) received a Grade A consensus, while 16 (80%) reached a Grade B consensus. Although the responses reflect heterogeneity among Italian regions, there was a fair degree of consistency for all statements. Conclusion: The high strength of this expert-based Delphi-consensus may offer guidance for improving the patient’s journey of individuals with cognitive decline from a biological diagnosis to DMTs administration and may possibly offer hints to the Health Systems on dementia. |
| Document Type: | article in journal/newspaper |
| Language: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/40237973; info:eu-repo/semantics/altIdentifier/wos/WOS:001469527600001; volume:46; issue:7; firstpage:2913; lastpage:2923; numberofpages:11; journal:NEUROLOGICAL SCIENCES; https://hdl.handle.net/11577/3560231 |
| DOI: | 10.1007/s10072-025-08143-5 |
| Availability: | https://hdl.handle.net/11577/3560231; https://doi.org/10.1007/s10072-025-08143-5 |
| Rights: | info:eu-repo/semantics/openAccess ; license:Creative commons ; license uri:http://creativecommons.org/licenses/by/4.0/ |
| Accession Number: | edsbas.83306A97 |
| Database: | BASE |