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A task force for diagnosis and treatment of people with Alzheimer's disease in Latin America

Journal

FRONTIERS IN NEUROLOGY
Volume 14, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fneur.2023.1198869

Keywords

Alzheimer's disease; Alzheimer's disease treatment; Latin America; Latin American and Caribbean region; Alzheimer's disease management; Alzheimer's disease biomarkers; Alzheimer's disease recommendations

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Alzheimer's disease is a significant burden in Latin America and the Caribbean due to limited access to diagnosis and treatment, fragmented healthcare systems, and various barriers such as genetic heterogeneity and social determinants of health. To address these issues, a group of experts convened a virtual meeting to discuss best practices and recommendations, including additional training for healthcare workers, adapted cognitive tests, expanded healthcare insurance coverage, and gene variant detection strategies.
Alzheimer's disease (AD) represents a substantial burden to patients, their caregivers, health systems, and society in Latin America and the Caribbean (LAC). This impact is exacerbated by limited access to diagnosis, specialized care, and therapies for AD within and among nations. The region has varied geographic, ethnic, cultural, and economic conditions, which create unique challenges to AD diagnosis and management. To address these issues, the Americas Health Foundation convened a panel of eight neurologists, geriatricians, and psychiatrists from Argentina, Brazil, Colombia, Ecuador, Guatemala, Mexico, and Peru who are experts in AD for a three-day virtual meeting to discuss best practices for AD diagnosis and treatment in LAC and create a manuscript offering recommendations to address identified barriers. In LAC, several barriers hamper diagnosing and treating people with dementia. These barriers include access to healthcare, fragmented healthcare systems, limited research funding, unstandardized diagnosis and treatment, genetic heterogeneity, and varying social determinants of health. Additional training for physicians and other healthcare workers at the primary care level, region-specific or adequately adapted cognitive tests, increased public healthcare insurance coverage of testing and treatment, and dedicated search strategies to detect populations with gene variants associated with AD are among the recommendations to improve the landscape of AD.

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