학술논문

Outcome measures for Alzheimer's disease: A global inter‐societal Delphi consensus
Document Type
article
Source
Alzheimer's & Dementia. 19(6)
Subject
Biomedical and Clinical Sciences
Clinical Sciences
Psychology
Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD)
Dementia
Neurodegenerative
Alzheimer's Disease
Aging
Brain Disorders
Behavioral and Social Science
Acquired Cognitive Impairment
Clinical Research
Health Services
Neurosciences
Neurological
Humans
Alzheimer Disease
Quality of Life
Consensus
Delphi Technique
Outcome Assessment
Health Care
Alzheimer's disease
consensus
Delphi
dementia
measures
outcomes
Geriatrics
Clinical sciences
Biological psychology
Language
Abstract
IntroductionWe aim to provide guidance on outcomes and measures for use in patients with Alzheimer's clinical syndrome.MethodsA consensus group of 20 voting members nominated by 10 professional societies, and a non-voting chair, used a Delphi approach and modified GRADE criteria.ResultsConsensus was reached on priority outcomes (n = 66), measures (n = 49) and statements (n = 37) across nine domains. A number of outcomes and measurement instruments were ranked for: Cognitive abilities; Functional abilities/dependency; Behavioural and neuropsychiatric symptoms; Patient quality of life (QoL); Caregiver QoL; Healthcare and treatment-related outcomes; Medical investigations; Disease-related life events; and Global outcomes.DiscussionThis work provides indications on the domains and ideal pertinent measurement instruments that clinicians may wish to use to follow patients with cognitive impairment. More work is needed to develop instruments that are more feasible in the context of the constraints of clinical routine.