{"id":14724,"date":"2024-11-04T15:00:44","date_gmt":"2024-11-04T14:00:44","guid":{"rendered":"https:\/\/www.czech-neuro.cz\/?p=14724"},"modified":"2024-11-04T15:15:43","modified_gmt":"2024-11-04T14:15:43","slug":"nova-mezioborova-doporuceni-pro-diagnostiku-a-lecbu-alzheimerovy-nemoci-a-jinych-kognitivnich-poruch","status":"publish","type":"post","link":"https:\/\/www.czech-neuro.cz\/aktualita\/nova-mezioborova-doporuceni-pro-diagnostiku-a-lecbu-alzheimerovy-nemoci-a-jinych-kognitivnich-poruch\/","title":{"rendered":"Nov\u00e1 Mezioborov\u00e1 doporu\u010den\u00ed pro diagnostiku a l\u00e9\u010dbu Alzheimerovy nemoci a jin\u00fdch kognitivn\u00edch poruch\u00a0"},"content":{"rendered":"

V \u010cR se diagnostikou a p\u00e9\u010d\u00ed o pacienty s\u00a0Alzheimerovou nemoc\u00ed (AN) na dal\u0161\u00edmi demencemi zab\u00fdvaj\u00ed l\u00e9ka\u0159i r\u016fzn\u00fdch odbornost\u00ed (v abecedn\u00edm po\u0159ad\u00ed geriatrie, neurologie, psychiatrie, v\u0161eobecn\u00e9 l\u00e9ka\u0159stv\u00ed). Ka\u017ed\u00e1 z t\u011bchto odbornost\u00ed m\u00e1 vlastn\u00ed doporu\u010den\u00e9 postupy k diagnostice a l\u00e9\u010db\u011b kognitivn\u00edch poruch, kter\u00e9 se z\u010d\u00e1sti p\u0159ekr\u00fdvaj\u00ed, z\u010d\u00e1sti odli\u0161uj\u00ed. Dosud tedy neexistoval jednotn\u00fd doporu\u010den\u00fd postup, kter\u00fd by m\u011bl mezioborovou platnost.<\/p>\n

Tuto problematiku \u0159e\u0161\u00ed N\u00e1rodn\u00ed ak\u010dn\u00ed pl\u00e1n pro AN a obdobn\u00e1 onemocn\u011bn\u00ed pro roky 2020-2030 (NAPAN) schv\u00e1len\u00fd vl\u00e1dou \u010cR, v\u00a0jeho\u017e r\u00e1mci vznikla nov\u00e1 mezioborov\u00e1 doporu\u010den\u00ed s\u00a0c\u00edlem sjednotit diagnostick\u00e9 a terapeutick\u00e9 p\u0159\u00edstupy nap\u0159\u00ed\u010d jednotliv\u00fdmi odbornostmi, a navrhnout prostupnost syst\u00e9mu s\u00a0definov\u00e1n\u00edm role jednotliv\u00fdch zainteresovan\u00fdch odbornost\u00ed.<\/p>\n

Za \u00fa\u010delem vytvo\u0159en\u00ed konsenzu\u00e1ln\u00edch mezioborov\u00fdch doporu\u010den\u00ed v r\u00e1mci implementace NAPAN vznikla osmi\u010dlenn\u00e1 pracovn\u00ed skupina slo\u017een\u00e1 v\u017edy ze dvou z\u00e1stupc\u016f ka\u017ed\u00e9 zainteresovan\u00e9 odbornosti (v abecedn\u00edm po\u0159ad\u00ed \u010cesk\u00e9 geriatrick\u00e9 a gerontologick\u00e9 spole\u010dnosti \u010cLS JEP, \u010cesk\u00e9 neurologick\u00e9 spole\u010dnosti \u010cLS JEP, Psychiatrick\u00e9 spole\u010dnosti \u010cLS JEP, Spole\u010dnosti v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed \u010cLS JEP) a v \u00fazk\u00e9 spolupr\u00e1ci se sekcemi odborn\u00fdch spole\u010dnost\u00ed (Sekce kognitivn\u00ed neurologie \u010cNS \u010cLS JEP, Gerontopsychiatrick\u00e1 sekce PS \u010cLS JEP) a s p\u0159\u00edmou podporou Ministerstva zdravotnictv\u00ed \u010cR (Mezioborov\u00e9 a meziresortn\u00ed pracovn\u00ed skupiny pro koncep\u010dn\u00ed \u0159e\u0161en\u00ed problematiky Alzheimerovy nemoci a obdobn\u00fdch onemocn\u011bn\u00ed (PSPAN) a Mgr. Mark\u00e9ty \u0160vejdov\u00e9 Jandov\u00e9, koordin\u00e1torky NAPAN a p\u0159edsedkyn\u011b PSPAN) a metodologii pr\u016fb\u011b\u017en\u011b konzultoval, upravoval a supervidoval PhDr. Miloslav Klugar, Ph.D., vedouc\u00ed Metodick\u00e9ho centra N\u00e1rodn\u00edho institutu kvality a excelence zdravotnictv\u00ed (NIKEZ).<\/p>\n

Metodika mezioborov\u00fdch doporu\u010den\u00ed je zalo\u017eena na kombinaci anal\u00fdzy vybran\u00fdch zahrani\u010dn\u00edch doporu\u010den\u00fdch postup\u016f a p\u0159evzet\u00ed vybran\u00fdch postup\u016f (vhodn\u00fdch pro podm\u00ednky v \u010cR) s prok\u00e1zanou silou d\u016fkaz\u016f a stupn\u011bm doporu\u010den\u00ed (tedy Evidence Based Recommendations \u2013 doporu\u010den\u00ed zalo\u017een\u00e1 na d\u016fkazech) \u2013 a pro definov\u00e1n\u00ed role jednotliv\u00fdch odbornost\u00ed a problematiku prostupnosti zdravotn\u00edho syst\u00e9mu \u010cR vych\u00e1z\u00ed ze zku\u0161enost\u00ed a postup\u016f ov\u011b\u0159en\u00fdch v klinick\u00e9 praxi a za\u0161t\u00edt\u011bn\u00fdch konsenzem odborn\u00edk\u016f (tedy Expert Based Recommendations \u2013 doporu\u010den\u00ed zalo\u017een\u00e1 na expertn\u00edch d\u016fkazech).<\/p>\n

Struktura jednotlivy\u0301ch kapitol je na\u0301sleduji\u0301ci\u0301: na zac\u030ca\u0301tku jsou klinicke\u0301\/kli\u0301c\u030cove\u0301 dotazy, ktere\u0301 byly formulova\u0301ny osmi\u010dlennou pracovn\u00ed skupinou, na\u0301sleduji\u0301 konsenzua\u0301lni\u0301 doporuc\u030ceni\u0301 uvedena\u0301 v ra\u0301mec\u030cku a doplne\u030cna\u0301 formulaci\u0301 \u201epanel doporuc\u030cuje<\/em>\u201c (vysoka\u0301 mi\u0301ra du\u030akazu\u030a, vy\u0301stup lze posuzovat jako za\u0301vazny\u0301 pro klinickou praxi) nebo \u201epanel navrhuje<\/em>\u201c (niz\u030cs\u030ci\u0301 mi\u0301ra du\u030akazu\u030a, vy\u0301stup lze posuzovat jako uz\u030citec\u030cny\u0301 pro klinickou praxi). Na\u0301sleduje zdu\u030avodne\u030cni\u0301 doporuc\u030ceni\u0301 dle analyzovany\u0301ch doporuc\u030ceny\u0301ch postupu\u030a nebo expertn\u00edch d\u016fkaz\u016f, a stru\u010dn\u00fd popis sou\u010dasn\u00e9ho stavu v\u00a0\u010cR.<\/p>\n

Mezioborov\u00e1 doporu\u010den\u00ed pro klinickou praxi pro\u0161la kritickou reviz\u00ed sekc\u00ed a v\u00fdbor\u016f odborn\u00fdch spole\u010dnost\u00ed (za \u010cNS to byla Sekce kognitivn\u00ed neurologie) a byla schv\u00e1lena v\u00fdborem \u010cNS a v\u00fdbory dal\u0161\u00edch zainteresovan\u00fdch odborn\u00fdch spole\u010dnost\u00ed.<\/p>\n

Kr\u00e1tk\u00e1 p\u0159ehledn\u00e1 verze je voln\u011b dostupn\u00e1 ke sta\u017een\u00ed zde<\/a><\/u><\/strong>. Pln\u00e1 verze obsahuj\u00edc\u00ed detailn\u011bj\u0161\u00ed re\u0161er\u0161e a koment\u00e1\u0159e k jednotliv\u00fdm kapitol\u00e1m bude zve\u0159ejn\u011bna v kni\u017en\u00ed ti\u0161t\u011bn\u00e9 podob\u011b v nakladatelstv\u00ed Maxdorf.<\/p>\n

prof. MUDr. Robert Rusina, Ph.D.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

V \u010cR se diagnostikou a p\u00e9\u010d\u00ed o pacienty s\u00a0Alzheimerovou nemoc\u00ed (AN) na dal\u0161\u00edmi demencemi zab\u00fdvaj\u00ed l\u00e9ka\u0159i r\u016fzn\u00fdch odbornost\u00ed (v abecedn\u00edm po\u0159ad\u00ed geriatrie, neurologie,…<\/p>\n","protected":false},"author":23,"featured_media":14743,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_searchwp_excluded":"","kia_subtitle":""},"categories":[1],"tags":[],"class_list":["post-14724","post","type-post","status-publish","has-post-thumbnail","hentry","category-nezarazene"],"acf":[],"yoast_head":"\nNov\u00e1 Mezioborov\u00e1 doporu\u010den\u00ed pro diagnostiku a l\u00e9\u010dbu Alzheimerovy nemoci a jin\u00fdch kognitivn\u00edch poruch\u00a0 - \u010cesk\u00e1 neurologick\u00e1 spole\u010dnost<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.czech-neuro.cz\/aktualita\/nova-mezioborova-doporuceni-pro-diagnostiku-a-lecbu-alzheimerovy-nemoci-a-jinych-kognitivnich-poruch\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Nov\u00e1 Mezioborov\u00e1 doporu\u010den\u00ed pro diagnostiku a l\u00e9\u010dbu Alzheimerovy nemoci a jin\u00fdch kognitivn\u00edch poruch\u00a0\" \/>\n<meta property=\"og:description\" content=\"V \u010cR se diagnostikou a p\u00e9\u010d\u00ed o pacienty s\u00a0Alzheimerovou nemoc\u00ed (AN) na dal\u0161\u00edmi demencemi zab\u00fdvaj\u00ed l\u00e9ka\u0159i r\u016fzn\u00fdch odbornost\u00ed (v abecedn\u00edm po\u0159ad\u00ed geriatrie, neurologie,...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.czech-neuro.cz\/aktualita\/nova-mezioborova-doporuceni-pro-diagnostiku-a-lecbu-alzheimerovy-nemoci-a-jinych-kognitivnich-poruch\/\" \/>\n<meta property=\"og:site_name\" content=\"\u010cesk\u00e1 neurologick\u00e1 spole\u010dnost\" \/>\n<meta property=\"article:published_time\" content=\"2024-11-04T14:00:44+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-11-04T14:15:43+00:00\" \/>\n<meta name=\"author\" content=\"Sekretari\u00e1t \u010cNS\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Napsal(a)\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sekretari\u00e1t \u010cNS\" \/>\n\t<meta name=\"twitter:label2\" content=\"Odhadovan\u00e1 doba \u010dten\u00ed\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minuty\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.czech-neuro.cz\/aktualita\/nova-mezioborova-doporuceni-pro-diagnostiku-a-lecbu-alzheimerovy-nemoci-a-jinych-kognitivnich-poruch\/\",\"url\":\"https:\/\/www.czech-neuro.cz\/aktualita\/nova-mezioborova-doporuceni-pro-diagnostiku-a-lecbu-alzheimerovy-nemoci-a-jinych-kognitivnich-poruch\/\",\"name\":\"Nov\u00e1 Mezioborov\u00e1 doporu\u010den\u00ed pro diagnostiku a l\u00e9\u010dbu Alzheimerovy nemoci a jin\u00fdch kognitivn\u00edch poruch\u00a0 - 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