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Dementia is a clinical syndrome that is the result of distinct underlying pathologies including Alzheimer's disease (AD). Despite more than two decades of research on prevention and treatment of dementia and aging-related cognitive decline, highly effective preventive and therapeutic strategies remain elusive.
Many features of dementia render it especially challenging. Indeed development of disease occurs insidiously over the course of years or decade. In addition, the causes of dementia and determinants of its severity are likely multi-factorial.
To overcome these challenges and better understand the causes and course of AD and related disorders, long term follow-up studies of persons at high risk of dementia are required including multidimensional and harmonized assessment of risk factors, phenotypes (cognition, neuropsychiatric symptoms, physical health, self rated health) and endophenotypes (blood markers, genetic markers, neuroimaging markers).
This project proposes an extension of the follow-up of Memento participants over 5 to 10 years with of focus on cognitive outcomes and comorbidities.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Individuals at high risk of developing Alzheimer's dementia |
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| Measure | Description | Time Frame |
|---|---|---|
| Progression to clinical dementia stage according to standardized classifications (DSM-IV for dementia and NINCDS-ADRDA for Alzheimer's disease) | Each 12 months from baseline for 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Mortality | Each 12 months from baseline for 5 years | |
| Loss of autonomy based on functional activity assessment | Each 12 months from baseline for 5 years | |
| Rate of cognitive decline based on change in cognitive performances |
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Inclusion Criteria:
Exclusion Criteria:
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Outpatients from French Research Memory Centers and included in Memento cohort
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| Name | Affiliation | Role |
|---|---|---|
| Geneviève CHENE, Prof | CIC-1401 EC - ISPED - CHU de Bodeaux | Principal Investigator |
| Geneviève CHENE, Prof | CIC-1401 EC - ISPED - CHU de Bodeaux | Study Chair |
| Carole DUFOUIL, Director | CIC-1401 EC - ISPED - CHU de Bodeaux | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU d'Amiens | Amiens | France | ||||
| AP-HP - CHU Avicenne |
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| Each 12 months from baseline for 5 years |
| Incidence of neurovascular and cardiovascular events (Stroke and Coronary events) | Each 12 months from baseline for 5 years |
| Quality of life: EQ-5D (EUROQOL) | EQ-5D (EUROQOL) questionnaire Subscales: VAS patient's self-rated health (0=worst, 100=best), mobility, self-care, usual activities, pain/discomfort and anxiety/depression (rated as no problems, slight problems, moderate problems, severe problems and extreme problems) | Each 12 months from baseline for 5 years |
| Incidence of prodromal AD (Pre-symptomatic dementia) | Each 12 months from baseline for 5 years |
| Incidence of institutionalization | Each 12 months from baseline for 5 years |
| Bobigny |
| France |
| CHU de Bordeaux - Pellegrin | Bordeaux | France |
| CHU de Clermont-Ferrand | Clermont-Ferrand | France |
| Hôpitaux Civils de Colmar | Colmar | 68000 | France |
| CHU de Dijon | Dijon | France |
| CHU de Grenoble | Grenoble | France |
| CHU de Lille | Lille | France |
| AP-HM | Marseille | France |
| CHU de Montpellier | Montpellier | France |
| CHU de Nancy | Nancy | France |
| CHU de Nantes | Nantes | France |
| CHRU de Nice - Institut Claude Pompidou | Nice | France |
| CHU de Nice - Hôpital de Cimiez | Nice | France |
| AP-HP - Hôpital BROCA | Paris | France |
| Ap-Hp La Pitié-Salpêtrière | Paris | France |
| APHP Groupe Hospitalier Saint Louis Lariboisière Fernand Widal | Paris | France |
| CHU de Bordeaux | Pessac | France |
| CHU de Poitiers | Poitiers | France |
| CHU de Rouen | Rouen | France |
| CHU de Saint-Etienne | Saint-Etienne | France |
| CHU de Strasbourg | Strasbourg | France |
| CHU de Toulouse - Hôpital Purpan | Toulouse | France |
| CHU de Toulouse | Toulouse | France |
| CHU de Tours | Tours | France |
| Hospice Civil de Lyon | Villeurbanne | France |
| ID | Term |
|---|---|
| D000544 | Alzheimer Disease |
| D060825 | Cognitive Dysfunction |
| ID | Term |
|---|---|
| D003704 | Dementia |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D024801 | Tauopathies |
| D019636 | Neurodegenerative Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D003072 | Cognition Disorders |
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