Background: The therapeutic paradigm in Alzheimer's disease (AD) is shifting from symptoms management toward prevention goals. Secondary prevention requires the identification of individuals without clinical symptoms, yet "at-risk" of developing AD dementia in the future, and thus, the use of predictive modeling.
Objective: The objective of this study was to review the ethical concerns and social implications generated by this new approach.
Introduction: The therapeutic paradigm in Alzheimer's disease (AD) has shifted towards secondary prevention, defined as an intervention aiming to prevent or delay disease onset in pre-symptomatic individuals at risk of developing dementia due to AD. The key feature of AD prevention is the need to treat years or even decades before the onset of cognitive, behavioural or functional decline. Prediction of AD risk and evaluation of long-term treatment outcomes in this setting requires predictive modelling and is associated with ethical concerns and social implications.
View Article and Find Full Text PDFBackground: Cabozantinib has recently been evaluated as a first-line treatment in advanced renal cell carcinoma (aRCC).
Objective: To indirectly assess efficacy of cabozantinib versus standard-of-care (SoC) comparators in the first-line treatment of aRCC.
Methods: We conducted a systematic literature review (SLR) to identify randomized controlled studies in the first-line setting for aRCC.