Navigating the Uncharted Waters: Anti-Amyloid Therapies and Geriatric Syndromes

Published on October 10, 2023

Imagine sailing through uncharted waters, not knowing what lies ahead. That’s how the medical community currently feels about the use of anti-amyloid therapies (AAT) in patients with geriatric syndromes. Despite their potential benefits, the literature has paid scant attention to this patient group. In this exploratory analysis, researchers scoured through articles on various AATs and discovered a mere fraction discussing geriatric relevant terms. Safety and eligibility topped the list of concerns, while discussions on patient profiles and alternative outcomes measurements were limited. Surprisingly, articles mentioning geriatric syndromes were more likely to have been authored by geriatric healthcare professionals. The authors suggest that future studies should involve more experts in geriatric care to shed light on the use of AATs in patients with these syndromes. Meanwhile, the medical community eagerly awaits further research in this fascinating area! To learn more about this study, dive into the full article.

IntroductionPatients who should benefit from anti-amyloid therapies (AAT) are found across all geriatric settings. Yet, it remains unclear how the use of AAT in patients with geriatric syndromes, such as frailty and polypharmacy, has so far been discussed in the literature.MethodsArticles on aducanumab, gantenerumab, lecanemab, donanemab, crenezumab, solanezumab were retrieved in MEDLINE from inception to July 2023. For each article, identified geriatric relevant terms were assigned to five discussion contexts (eligibility of AAT study population, safety, prescription, patient clinical profile, alternative outcomes measurement). Article type and the involvement of geriatric healthcare professionals as an author were further extracted.ResultsOut of 538 articles, 23 (4.27%) were published in journals from the geriatric category, 44 (8.18%) included an author affiliated with a geriatric institution. One hundred and sixteen (21.56%) articles included at least one geriatric relevant term, which were mostly discussed in the context of safety and eligibility. Articles mentioning geriatric syndromes were more frequently authored by a geriatric healthcare professional (p = 0.044).DiscussionThe use of AAT in patients with geriatric syndromes has so far received poor attention in the literature raising concerns on their use in this patient group. The involvement of geriatric healthcare professionals in future studies may increase the relevance of AAT research in patients with geriatric syndromes.

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