European consensus for the diagnosis of MCI and mild dementia: Preparatory phase

Introduction Etiological diagnosis of neurocognitive disorders of middle‐old age relies on biomarkers, although evidence for their rational use is incomplete. A European task force is defining a diagnostic workflow where expert experience fills evidence gaps for biomarker validity and prioritization...

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Veröffentlicht in:Alzheimer's & dementia 2023-05, Vol.19 (5), p.1729-1741
Hauptverfasser: Festari, Cristina, Massa, Federico, Cotta Ramusino, Matteo, Gandolfo, Federica, Nicolosi, Valentina, Orini, Stefania, Aarsland, Dag, Agosta, Federica, Babiloni, Claudio, Boada, Mercè, Borroni, Barbara, Cappa, Stefano, Dubois, Bruno, Frederiksen, Kristian S., Froelich, Lutz, Garibotto, Valentina, Georges, Jean, Haliassos, Alexander, Hansson, Oskar, Jessen, Frank, Kamondi, Anita, Kessels, Roy P. C., Morbelli, Silvia, O'Brien, John T., Otto, Markus, Perret‐Liaudet, Armand, Pizzini, Francesca B., Ritchie, Craig W., Scheltens, Philip, Vandenbulcke, Mathieu, Vanninen, Ritva, Verhey, Frans, Vernooij, Meike W., Yousry, Tarek, Van Der Flier, Wiesje M., Nobili, Flavio, Frisoni, Giovanni B.
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container_end_page 1741
container_issue 5
container_start_page 1729
container_title Alzheimer's & dementia
container_volume 19
creator Festari, Cristina
Massa, Federico
Cotta Ramusino, Matteo
Gandolfo, Federica
Nicolosi, Valentina
Orini, Stefania
Aarsland, Dag
Agosta, Federica
Babiloni, Claudio
Boada, Mercè
Borroni, Barbara
Cappa, Stefano
Dubois, Bruno
Frederiksen, Kristian S.
Froelich, Lutz
Garibotto, Valentina
Georges, Jean
Haliassos, Alexander
Hansson, Oskar
Jessen, Frank
Kamondi, Anita
Kessels, Roy P. C.
Morbelli, Silvia
O'Brien, John T.
Otto, Markus
Perret‐Liaudet, Armand
Pizzini, Francesca B.
Ritchie, Craig W.
Scheltens, Philip
Vandenbulcke, Mathieu
Vanninen, Ritva
Verhey, Frans
Vernooij, Meike W.
Yousry, Tarek
Van Der Flier, Wiesje M.
Nobili, Flavio
Frisoni, Giovanni B.
description Introduction Etiological diagnosis of neurocognitive disorders of middle‐old age relies on biomarkers, although evidence for their rational use is incomplete. A European task force is defining a diagnostic workflow where expert experience fills evidence gaps for biomarker validity and prioritization. We report methodology and preliminary results. Methods Using a Delphi consensus method supported by a systematic literature review, 22 delegates from 11 relevant scientific societies defined workflow assumptions. Results We extracted diagnostic accuracy figures from literature on the use of biomarkers in the diagnosis of main forms of neurocognitive disorders. Supported by this evidence, panelists defined clinical setting (specialist outpatient service), application stage (MCI‐mild dementia), and detailed pre‐assessment screening (clinical‐neuropsychological evaluations, brain imaging, and blood tests). Discussion The Delphi consensus on these assumptions set the stage for the development of the first pan‐European workflow for biomarkers’ use in the etiological diagnosis of middle‐old age neurocognitive disorders at MCI‐mild dementia stages. Highlights Rational use of biomarkers in neurocognitive disorders lacks consensus in Europe. A consensus of experts will define a workflow for the rational use of biomarkers. The diagnostic workflow will be patient‐centered and based on clinical presentation. The workflow will be updated as new evidence accrues.
doi_str_mv 10.1002/alz.12798
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Results We extracted diagnostic accuracy figures from literature on the use of biomarkers in the diagnosis of main forms of neurocognitive disorders. Supported by this evidence, panelists defined clinical setting (specialist outpatient service), application stage (MCI‐mild dementia), and detailed pre‐assessment screening (clinical‐neuropsychological evaluations, brain imaging, and blood tests). Discussion The Delphi consensus on these assumptions set the stage for the development of the first pan‐European workflow for biomarkers’ use in the etiological diagnosis of middle‐old age neurocognitive disorders at MCI‐mild dementia stages. Highlights Rational use of biomarkers in neurocognitive disorders lacks consensus in Europe. A consensus of experts will define a workflow for the rational use of biomarkers. The diagnostic workflow will be patient‐centered and based on clinical presentation. 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C.</creatorcontrib><creatorcontrib>Morbelli, Silvia</creatorcontrib><creatorcontrib>O'Brien, John T.</creatorcontrib><creatorcontrib>Otto, Markus</creatorcontrib><creatorcontrib>Perret‐Liaudet, Armand</creatorcontrib><creatorcontrib>Pizzini, Francesca B.</creatorcontrib><creatorcontrib>Ritchie, Craig W.</creatorcontrib><creatorcontrib>Scheltens, Philip</creatorcontrib><creatorcontrib>Vandenbulcke, Mathieu</creatorcontrib><creatorcontrib>Vanninen, Ritva</creatorcontrib><creatorcontrib>Verhey, Frans</creatorcontrib><creatorcontrib>Vernooij, Meike W.</creatorcontrib><creatorcontrib>Yousry, Tarek</creatorcontrib><creatorcontrib>Van Der Flier, Wiesje M.</creatorcontrib><creatorcontrib>Nobili, Flavio</creatorcontrib><creatorcontrib>Frisoni, Giovanni B.</creatorcontrib><title>European consensus for the diagnosis of MCI and mild dementia: Preparatory phase</title><title>Alzheimer's &amp; dementia</title><addtitle>Alzheimers Dement</addtitle><description>Introduction Etiological diagnosis of neurocognitive disorders of middle‐old age relies on biomarkers, although evidence for their rational use is incomplete. A European task force is defining a diagnostic workflow where expert experience fills evidence gaps for biomarker validity and prioritization. We report methodology and preliminary results. Methods Using a Delphi consensus method supported by a systematic literature review, 22 delegates from 11 relevant scientific societies defined workflow assumptions. Results We extracted diagnostic accuracy figures from literature on the use of biomarkers in the diagnosis of main forms of neurocognitive disorders. Supported by this evidence, panelists defined clinical setting (specialist outpatient service), application stage (MCI‐mild dementia), and detailed pre‐assessment screening (clinical‐neuropsychological evaluations, brain imaging, and blood tests). Discussion The Delphi consensus on these assumptions set the stage for the development of the first pan‐European workflow for biomarkers’ use in the etiological diagnosis of middle‐old age neurocognitive disorders at MCI‐mild dementia stages. Highlights Rational use of biomarkers in neurocognitive disorders lacks consensus in Europe. A consensus of experts will define a workflow for the rational use of biomarkers. The diagnostic workflow will be patient‐centered and based on clinical presentation. 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C.</au><au>Morbelli, Silvia</au><au>O'Brien, John T.</au><au>Otto, Markus</au><au>Perret‐Liaudet, Armand</au><au>Pizzini, Francesca B.</au><au>Ritchie, Craig W.</au><au>Scheltens, Philip</au><au>Vandenbulcke, Mathieu</au><au>Vanninen, Ritva</au><au>Verhey, Frans</au><au>Vernooij, Meike W.</au><au>Yousry, Tarek</au><au>Van Der Flier, Wiesje M.</au><au>Nobili, Flavio</au><au>Frisoni, Giovanni B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>European consensus for the diagnosis of MCI and mild dementia: Preparatory phase</atitle><jtitle>Alzheimer's &amp; dementia</jtitle><addtitle>Alzheimers Dement</addtitle><date>2023-05</date><risdate>2023</risdate><volume>19</volume><issue>5</issue><spage>1729</spage><epage>1741</epage><pages>1729-1741</pages><issn>1552-5260</issn><eissn>1552-5279</eissn><abstract>Introduction Etiological diagnosis of neurocognitive disorders of middle‐old age relies on biomarkers, although evidence for their rational use is incomplete. A European task force is defining a diagnostic workflow where expert experience fills evidence gaps for biomarker validity and prioritization. We report methodology and preliminary results. Methods Using a Delphi consensus method supported by a systematic literature review, 22 delegates from 11 relevant scientific societies defined workflow assumptions. Results We extracted diagnostic accuracy figures from literature on the use of biomarkers in the diagnosis of main forms of neurocognitive disorders. Supported by this evidence, panelists defined clinical setting (specialist outpatient service), application stage (MCI‐mild dementia), and detailed pre‐assessment screening (clinical‐neuropsychological evaluations, brain imaging, and blood tests). Discussion The Delphi consensus on these assumptions set the stage for the development of the first pan‐European workflow for biomarkers’ use in the etiological diagnosis of middle‐old age neurocognitive disorders at MCI‐mild dementia stages. 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language eng
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; SWEPUB Freely available online
subjects Biomarkers
Clinical Medicine
Cognitive Dysfunction - diagnosis
Consensus
Delphi procedure
Dementia - diagnosis
etiological diagnosis
Human health and pathology
Humans
imaging
Klinisk medicin
Life Sciences
major neurocognitive disorder
MCI
Medical and Health Sciences
Medicin och hälsovetenskap
mild dementia – biomarker
neurocognitive disorders
Neurologi
Neurology
Neurons and Cognition
Psychiatrics and mental health
Sensitivity and Specificity
title European consensus for the diagnosis of MCI and mild dementia: Preparatory phase
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