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Dementia in China: epidemiology, clinical management, and research advances.

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机构: [1]Innovation Center for Neurological Disorders, Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Beijing Key Laboratory of Geriatric Cognitive Disorders, Beijing, China [3]Clinical Center for Neurodegenerative Disease and Memory Impairment, Capital Medical University, Beijing, China [4]Center of Alzheimer’s Disease, Beijing Institute for Brain Disorders, Beijing, China [5]Department of Neurology, The Second Affiliated Hospital of Guangxi Medical University, Nanning, China [6]Department of Neurology and Center for Clinical Neuroscience, Daping Hospital, Third Military Medical University, Chongqing, China [7]Department of Neurology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China [8]Department of Neurology, Henan Provincial People’s Hospital, Zhengzhou University People’s Hospital, Zhengzhou, China [9]Department of Neurology, Zhongnan Hospital, Wuhan University, Wuhan, China [10]Department of Neurology, The First Affiliated Hospital, Zhejiang University, Hangzhou, China [11]Department of Neurology, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China [12]Department of Neurology, The First Teaching Hospital of Jilin University, Changchun, China [13]Departments of Neurology and Neurosurgery, and Department of Psychiatry, McGill Centre for Studies in Aging, McGill University, Montreal, QC, Canada [14]Center for Cognitive Disorders, Beijing Geriatric Hospital, Beijing [15]Department of Neurology, Peking University First Hospital, Beijing [16]Department of Neurology, PLA Army General Hospital, Beijing [17]Department of Geriatric Neurology, Chinese PLA General Hospital, Beijing [18]Department of Neurology, China-Japan Friendship Hospital, Beijing [19]Department of Neurology, Beijing Tian Tan Hospital, Capital Medical University, Beijing [20]Department of Gerontology, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai [21]Department of Neurology, The First Affiliated Hospital of China Medical University, Shenyang [22]Department of Neurology, The First Affiliated Hospital of China Medical University, Shenyang [23]Department of Neurology, The First Hospital of Shanxi Medical University, Taiyuan [24]Department of Neurology, Hebei General Hospital, Shijiazhuang [25]Department of Neurology, The First Affiliated Hospital of Harbin Medical University, Harbin [26]Department of Neurology, Tianjin Medical University General Hospital, Tianjin [27]Department of Neurology, Qingdao Municipal Hospital, School of Medicine, Qingdao University, Qingdao [28]Department of Neurology and Institute of Neurology, Ruijin Hospital Affiliated to Shanghai Jiao Tong University, Shanghai [29]Department of Neurology and Research Center of Neurology in Second Affiliated Hospital, and Key Laboratory of Medical Neurobiology of Zhejiang Province, Zhejiang University School of Medicine, Hangzhou [30]Department of Psychiatry, Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical College, Hangzhou [31]Department of Neurology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou [32]Department of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing [33]Department of Neurology, Xinjiang General Hospital of PLA, Ürümqi [34]Institution of Neurology, People’s Hospital of Jiangxi Province, Nanchang [35]Department of Neurology, Lanzhou General Hospital of Lanzhou Military Command, Lanzhou [36]Department of Neurology, Inner Mongolia People’s Hospital, Hohhot [37]Department of Neurology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing [38]Department of Neurology, Beijing Friendship Hospital, Capital Medical University, Beijing [39]Department of Neural Medicine, Second Hospital of Shandong University, Jinan [40]Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, Special Administrative Region [41]Department of Neurology, Handan Central Hospital, Handan [42]Department of Geriatric, Fuxing Hospital, Capital Medical University, Beijing [43]Department of Neurology, China Meitan General Hospital, Beijing [44]Department of Neurology, The Affiliated Hospital of Guizhou Medical University, Guiyang [45]Department of Neurology, General Hospital of Daqing Oil Field, Daqing [46]Department of Neurology, The First Hospital of Kunming, Kunming [47]Department of Neurology, The First Affiliated Hospital of University of South China, Guangzhou
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China has the largest population of patients with dementia in the world, imposing a heavy burden on the public and health care systems. More than 100 epidemiological studies on dementia have been done in China, but the estimates of the prevalence and incidence remain inconsistent because of the use of different sampling methods. Despite improved access to health services, inadequate diagnosis and management for dementia is still common, particularly in rural areas. The Chinese Government issued a new policy to increase care facilities for citizens older than 65 years, but most patients with dementia still receive care at home. Western medicines for dementia symptoms are widely used in China, but many patients choose Chinese medicines even though they have little evidence supporting efficacy. The number of clinical trials of Chinese and western medicines has substantially increased as a result of progress in research on new antidementia drugs but international multicentre studies are few in number. Efforts are needed to establish a national system of dementia care enhance training in dementia for health professionals, and develop global collaborations to prevent and cure this disease. Copyright © 2019 Elsevier Ltd. All rights reserved.

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出版当年[2019]版:
大类 | 1 区 医学
小类 | 1 区 临床神经病学
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大类 | 1 区 医学
小类 | 1 区 临床神经病学
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Q1 CLINICAL NEUROLOGY
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Q1 CLINICAL NEUROLOGY

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第一作者机构: [1]Innovation Center for Neurological Disorders, Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China
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通讯机构: [1]Innovation Center for Neurological Disorders, Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Beijing Key Laboratory of Geriatric Cognitive Disorders, Beijing, China [3]Clinical Center for Neurodegenerative Disease and Memory Impairment, Capital Medical University, Beijing, China [4]Center of Alzheimer’s Disease, Beijing Institute for Brain Disorders, Beijing, China
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