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Dementia Resources in Argentina: Policy, Services, and Statistics Overview—Up to Date

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Psychiatry and Neuroscience Update

Abstract

Argentina, the second largest country in South America, has traditionally been involved in caring for elderly. In 1971 the National Government created the Institute for the Elderly to take care of the social and medical needs of retired people with the program PAMI. This review has updated the local resources of dementia and the challenges that these face with regard to the issues associated with cognitive impairment in elderly people. Health care is shared between the public and private sectors. The distribution of resources and specialists (neurologists, psychiatrist, and geriatricians) is unequal most located in large cities. Facilities for accurate diagnosis are scarce; most of the memory clinics are in big cities like Buenos Aires, Rosario, and Cordoba. Early diagnosis is another challenge with the incorporation of the biomarkers of Alzheimer’s diseases (MRI scan, FDG-PET, amyloid-PET, and Aβ42, tau, and f-tau in cerebrospinal fluid). However the availability is limited to one center in Buenos Aires (FLENI Neurological Institute). ALMA (Association against Alzheimer’s Disease), a member of Alzheimer Disease International, is the local voluntary health organization in Alzheimer’s care and family support. In 2011, the Argentine Neurological Society launched the first dementia guideline for diagnosis and treatment. Although we have a long road ahead, the first steps taken by the organization of a dementia national plan constitute a hopeful challenge.

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References

  1. Beck JC, Benson F, Scheibel AB, Spar JE, Rubenstein LZ. Dementia in the elderly: the silent epidemic. Ann Intern Med. 1982;97:231–41.

    Article  CAS  Google Scholar 

  2. World Health Organization and Alzheimer’s Disease International. Dementia: a public health priority. 2012. WHO Library Cataloguing. (www.who.int). Accessed 11/02/17.

  3. INDEC. Instituto Nacional de Estadísticas y Censos. Censo Nacional de Población y Viviendas. 2010. Available at: http://www.indec.gov.ar. Accessed 11/02/17.

  4. INDEC. Instituto Nacional de Estadísticas y Censos. Sistema Intregado de Estadísticas Sociodemográficas (SESD). 2017. http://www.indec.gov.ar/indicadores-sociodemograficos.asp#top. Accessed: 03/03/17.

  5. World Bank. UNESCO Institute for Statistic: adult literacy rate, population 15+ years, both sexes. 2017. http://data.worldbank.org/indicator/SE.ADT.LITR.ZS?locations=AR. Accessed: 24/02/17.

  6. UNFPA. Fondo de Población de las Naciones Unidas. ICPD goals and demographic indicators. 2016. http://www.unfpa.org/es/world-population-dashboard. Accessed: 25/02/17.

  7. Bagnati PM, Kremer JL, Taragano FE, Allegri RF. Argentina. In: de Waal H, Lyketsos C, Ames D, O’Brien J, editors. Designing and delivering dementia services. USA: Wiley-Blackwell; 2013. p. 142.

    Google Scholar 

  8. ISSJP/PAMI. Instituto Nacional de Servicios Sociales para Jubilados y Pensionados. 2017. http://www.pami.org.ar/. Accessed: 23/07/2017.

  9. Mangone C, Bueno A, Allegri R, Arizaga R, Nitrini R, et al. Behavioral and psychological symptoms of dementia in Latin America. Int Psychogeriatr. 2000;12(Suppl 1):415–8.

    Article  Google Scholar 

  10. Allegri RF. BPSD in Argentina. In: Brodaty H, Finkel F, editors. Behavioral and psychological symptoms of dementia (BPSD). Educational pack. Chicago: International Psychogeriatric Association (IPA); 2002.

    Google Scholar 

  11. Bartoloni L, Blatt G, Insua I, Furman M, González MA, Hermann B, Kesselman M, Massautis A, Reinado A, Senas A, Yavitz C, Lejarraga H, Nunes F, Arizaga RL, Allegri RF. A population-based study of cognitive impairment in socially vulnerable adults in Argentina. The Matanza Riachuelo study preliminary results. Dement Neuropsychologia. 2014;8(4):339–44.

    Article  Google Scholar 

  12. Alzheimer Disease International. World Alzheimer report. London: Copyright © Alzheimer’s Disease; 2016.

    Google Scholar 

  13. World Health Organization. World health report 2003 – shaping the future. Geneva: WHO; 2003.

    Google Scholar 

  14. Ferri CP, Prince M, Brayne C, Brodaty H, Fratiglioni L, Ganguli M, et al. Global prevalence of dementia: a Delphi consensus study. Lancet. 2005;366:2112–7.

    Article  Google Scholar 

  15. Nitrini R, Bottino CM, Albala C. Prevalence of dementia in Latin America: a collaborative study of population-based cohorts. Int Psychogeriatr. 2009;21:622–30.

    Article  Google Scholar 

  16. Melcon MO, Mucci PD, Rizzardi PD. Demencias en Junín (B). Desde los certificados de defunción. Rev Neurol Arg. 1996;21:1–5.

    Google Scholar 

  17. Pages Larraya F, Grasso L, Mari G. Prevalencia de las demencias de tipo Alzheimer, demencias vasculares y otras demencias en la República Argentina. Rev Neurol Arg. 2004;29:148–53.

    Google Scholar 

  18. Arizaga RL, Gogorza RE, Allegri RF, et al. Deterioro cognitivo en mayores de 60 años en Cañuelas (Argentina). Resultados del Piloto del Estudio Ceibo (Estudio Epidemiológico Poblacional de Demencia). Rev Neurológica Argent. 2005;30:83–90.

    Google Scholar 

  19. Di Nella Y, Bartoloni L, Russo MJ, Sola M, Calvillo L, Negro L, Venesio S, Paz A, Melcon C, Del Monaco C, Melcon M, Allegri RF. Registros Centralizados de Patologías Cognitivas. Rev Argent Salud Pública. 2012;3(10):37–41.

    Google Scholar 

  20. Melcon CM, Bartoloni L, Katz M, Del Mónaco R, Mangone CA, Allegri RF, et al. Propuesta de un Registro Centralizado de casos con Deterioro Cognitivo en Argentina (ReDeCAr) basado en el Sistema Nacional de Vigilancia Epidemiológica. Neurol Argent. 2011;2(3):161–6.

    Article  Google Scholar 

  21. Katz M, Bartoloni LC, Melcon CM, Del Mónaco R, Mangone CA, Allegri RF, Melcon M, Grupo ReDeCAr. Primer Registro Centralizado de Patologias Cognitivas en Argentina (ReDeCAr). Resultados del Estudio Piloto. Bol Ministerio Salud Nación. 2011;5:11–51.

    Google Scholar 

  22. Allegri RF, Butman J, Arizaga RL, Machnicki G, Serrano CM, Taragano FE, Sarasola D, Lon L. Economic impact of dementia in developing countries: an evaluation of costs of Alzheimer-type dementia in Argentina. Int Psychogeriatr. 2007;19(4):705–18.

    Article  Google Scholar 

  23. Rojas G, Bartoloni L, Dillon C, Serrano CM, Iturry M, Allegri RF. Clinical and economic characteristics associated with direct costs of Alzheimer’s, frontotemporal and vascular dementia in Argentina. Int Psychogeriatr. 2011;23(4):554–61.

    Article  Google Scholar 

  24. Taragano F. Síntomas neuropsiquiátricos en la Enfermedad de Alzheimer. Rev ALMA (Asoc Lucha Mal de Alzheimer). 2011;1:10–1.

    Google Scholar 

  25. Taragano F, Mangone C, Comesaña DE. Prevalence of neuropsychiatric disorders in nursing homes. Rev Asoc Argent Establecimientos Geriátricos. 1995;1:1.

    Google Scholar 

  26. ISSJP/PAMI. Plan Estratégico Nacional para un Cerebro Saludable, enfermedad de Alzheimer y otras demencias. 2016. http://www.pami.org.ar/cerebrosaludable.php. Accessed: 23/07/2017.

  27. Sarasola D, Taragano F, Allegri RF, Arizaga R, Bagnati P, Serrano CM, et al. Geriatric neuropsychiatry in Argentina. IPA Bull. 2006:10–9.

    Google Scholar 

  28. Rojas G, Serrano CM, Dillon C, Bartoloni L, Iturry M, Allegri RF. Use and abuse of drugs in cognitive impairment patients. Vertex. 2010;21(89):18–23.

    PubMed  Google Scholar 

  29. Kremer J. Memory clinics in Argentina. Questionnaire. 2013. Available at: http://www.institutokremer.com.ar (last accessed on 20 Feb 2013) data on file.

  30. Allegri RF, Arizaga RN, Bavec CV, Colli LP, Demey I, Fernández MC, Frontera SA, Garau ML, Jiménez JJ, Golimstok A, Kremer J, Labos E, Mangone CA, Ollari JA, Rojas G, Salmini O, Ure JA, Zuin DR. Enfermedad de Alzheimer. Guía de práctica clínica. Neurol Argent. 2011;3(2):120–37.

    Article  Google Scholar 

  31. Allegri RF, Russo MJ, Kremer J, Taragano FE, Brusco I, Ollari JA, Serrano CM, Sarasola D, Demey I, Arizaga RL, Bagnati P. Revisión de los nuevos criterios y recomendaciones para el diagnóstico de Deterioro Cognitivo Leve debido a Enfermedad de Alzheimer. Vertex. 2012;23(101):5–15.

    PubMed  Google Scholar 

  32. Albert MS, De Kosky ST, Dickson D, Dubois B, Feldman HH, Fox NC, et al. The diagnosis of mild cognitive impairment due to Alzheimer’s disease: recommendations from the National Institute on Aging- Alzheimer’s Association workgroups on diagnostic guidelines for Alzheimer’s disease. Alzheimers Dement. 2011;7:270–9.

    Article  Google Scholar 

  33. Russo MJ, Bartoloni L, Iturry M, Serrano CM, Bagnatti P, Allegri RF. Encuesta sobre la enfermedad de Alzheimer en el contexto de los nuevos paradigmas diagnósticos. Neurol Argent. 2012;4(3):118–25.

    Article  Google Scholar 

  34. Bagnati P, Russo MJ, Bartoloni L, Iturry M, Allegri RF. Visión poblacional sobre la Enfermedad de Alzheimer y sus nuevos paradigmas diagnósticos y terapéuticos. Presentado en el Congreso Panamericano de Neurología, La Paz. Bolivia. 2012.

    Google Scholar 

  35. Smyth E. Saber que tengo o tendré Alzheimer… ¿para qué sirve? In: Bagnati P, et al., editors. Enfermedad de Alzheimer y otras demencias: Manual para la familia. Buenos Aires: Editorial Polemos; 2016. p. 143–6.

    Google Scholar 

  36. Bagnati P, Ramírez A, Cristaldi A, Cueto S, González Abad M. Envejecimiento Saludable y cerebro: Relevamiento de la consulta espontánea al neurólogo y al psiquiatra en una población representativa de adultos mayores en la Argentina: Estudio ES-UFASTA. Presentado en el 52° Congreso Argentino de Neurología, Mar del Plata, Argentina. 2015.

    Google Scholar 

  37. Allegri RF, Arizaga RL, Bavec C, Barreto MD, Brusco I, Colli L, Demey I, et al. Conducción de vehículos en el deterioro cognitivo y la demencia. Guía de Práctica Clínica. Neurol Argent. 2012;5(3):199–218.

    Article  Google Scholar 

  38. Sambade S, Crivelli L, Bagnati P. Conducción de automóviles y demencia. In: Bagnati P, et al., editors. Enfermedad de Alzheimer y otras demencias: Manual para la familia. Buenos Aires: Editorial Polemos; 2016. p. 165–74.

    Google Scholar 

  39. Mangone CA, Gorelick PB, Hier DB, Ganellen RJ. MRI in the elderly. Neurology. 1990;40(6):1011–2.

    Article  CAS  Google Scholar 

  40. Mangone CA, Hier DB, Gorelick PB, Ganellen RJ, Langenberg P, Boarman R, Dollear WC. Impaired insight in Alzheimer’s disease. J Geriatr Psychiatry Neurol. 1991;4(4):189–93.

    CAS  PubMed  Google Scholar 

  41. Russo MJ, Gustafson S, Vázquez S, Surace E, Guinjoan S, Allegri RF, Sevlever G. Creation of the Argentina- Alzheimer disease neuroimaging initiative. Alzheimers Dement. 2014;10:S84–7.

    Article  Google Scholar 

  42. Russo MJ, Cohen G, Chrem Mendez P, Campos J, Nahas F, Surace EI, Vázquez S, Gustafson D, Guinjoan S, Allegri RF, Sevlever G. Predicting episodic memory performance using different biomarkers: results from Argentina-Alzheimer’s disease neuroimaging initiative. Neuropsychiatr Dis Treat. 2016;12:2199–206.

    Article  Google Scholar 

  43. Chrem Mendez P, Cohen G, Russo MJ, Fernandez Suarez M, Nahas F, Russo G, Wierszylo CR, Paz S, Tabaschi L, Campos J, Amengual A, Kremer J, Guinjoan S, Leiguarda R, Sevlever G, Vazquez S, Allegri RF. Concordance between 11C-PIB-PET and clinical diagnosis in a memory clinic. Am J Alzheimers Dis Other Dement. 2015;30(6):599–606.

    Article  Google Scholar 

  44. Lim YY, Hassenstab J, Cruchaga C, Goate A, Fagan AM, Benzinger TL, Maruff P, Snyder PJ, Masters CL, Allegri RF, Chatwal J, Farlow MR, Graff-Radford NR, Laske C, Levin J, McDade E, Ringman JM, Rossor M, Salloway S, Schofield PR, Holtzman DM, Morris JC, Bateman RJ, Dominantly Inherited Alzheimer Network. BDNF Val66Met moderates memory impairment, hippocampal function and tau in preclinical autosomal dominant Alzheimer’s disease. Brain. 2016;139(Pt 10):2766–77.

    Article  Google Scholar 

  45. Tang M, Ryman D, McDade E, Jasielec MS, Buckles BD, Cairns NJ, Fagan AM, Goate A, Marcus DS, Xiong CH, Allegri RF, Chhatwal JP, Danek A, Farlow MR, Fox NC, Ghetti B, Graff-Radford NR, Laske C, Martins RN, Masters CL, Mayeux RP, Ringman JM, Rossor MN, Salloway SP, Schofield PR, Morris JC, Bateman RJ. Dominantly Inherited Alzheimer Network. Neurological manifestations of autosomal dominant familial Alzheimer’s disease: a comparison of the published literature with the Dominantly Inherited Alzheimer Network observational study (DIAN-OBS). Lancet Neurol. 2016;15(13):1317–25.

    Article  Google Scholar 

  46. FLENI. Banco de Cerebros in www.fleni.org.ar/contenido1/242/Biobancos. 2017. Accessed 11/07/17.

  47. Ukuwu H, Parma M, Guimaraes A, Fernando de Oliveira CF, Mas AP, Villeponteaux E. Clinical trials in latin America. In: Chin R, Bairu M, editors. Global clinical trials. USA: Elsevier; 2011.

    Google Scholar 

  48. Allegri RF, Bagnati PM, Brucki S, Nitrini R. South America’s AD clinical trials experience: lessons learned from Argentina and Brazil. In: Bairu M, Weiner M, editors. Dementia clinical trials. Amsterdam: Elsevier; 2013.

    Google Scholar 

  49. ClinicalTrials.gov. A service of the US National Institute of Health (USA). 2017. http://www.clinicaltrials.gov/ct2/results?term=Alzheimer&recr=Open. Accessed: 03/03/17.

  50. Brodaty H, Finkel SI. Behavioral and psychological symptoms of dementia (BPSD), BPSD Educational Pack. Chicago: IPA (International Psychogeriatric Association); 2002.

    Google Scholar 

  51. Kaufer DI, Cummings JL, Ketchel P, Smith V, MacMillan A, Shelley T, et al. Validation of the NPI-Q, a brief clinical form of the neuropsychiatric inventory. J Neuropsychiatr Clin Neurosci. 2000;12:233–9.

    Article  CAS  Google Scholar 

  52. Pollero A, Gimenez M, Allegri RF, Taragano FE. Síntomas Neuropsiquiátricos en pacientes con enfermedad de Alzheimer. Vertex. 2004;15(55):5–9.

    PubMed  Google Scholar 

  53. Berg L. Clinical dementia rating (CDR). Psychopharmacol Bull. 1988;24:637–9.

    CAS  PubMed  Google Scholar 

  54. Demey I, Zimmerman M, Allegri RF, Serrano CM, Taragano FE. Trastornos conductuales en el deterioro cognitivo leve. Vertex. 2007;18:252–7.

    PubMed  Google Scholar 

  55. Taragano FE, Allegri RF, Krupitzki H, Sarasola D, Serrano CM, Loñ L, Lyketsos C. Mild behavioral impairment and risk of dementia: a prospective cohort study of 358 patients. J Clin Psychiatry. 2009;70(4):584–92.

    Article  Google Scholar 

  56. Mangone C, Sanguinetti R, Baumann P, et al. Implications of feelings of burden on caregiver perception of the patient’s functional status. Dementia. 1993;4:287–93.

    CAS  PubMed  Google Scholar 

  57. Allegri RF, Sarasola D, Serrano CM, Taragano FE, Arizaga RL, Butman J, Lon L. Neuropsychiatric symptoms as a predictor of Alzheimer’s disease. Neuropsychiatr Dis Treat. 2006;2(1):105–10.

    PubMed  PubMed Central  Google Scholar 

  58. Absher JR, Cummings JL. Cognitive and non-cognitive aspects of dementia syndromes: an overview. In: Burns A, Levy R, editors. Dementia. London: Chapman & Hall Medical; 1994.

    Google Scholar 

  59. Nagaratnam N, Lewis-Jones M, Scott D, et al. Behavioral and psychiatric manifestations in dementia patients in a community: caregiver burden and outcome. Alzheimer Dis Assoc Disord. 1998;12:330–4.

    Article  CAS  Google Scholar 

  60. Bagnati PM, Allegri RF, Kremer JL, Sarasola D. Enfermedad de Alzheimer y otras demencias: Manual para la familia. Buenos Aires: Editorial Polemos; 2016.

    Google Scholar 

  61. Bagnati P. The dementia caregiver. Vertex. 2010;21(Suppl):41–8.

    PubMed  Google Scholar 

  62. Brodaty H, Finkel SI. The International Psychogeriatric Association (IPA) complete guides to BPSD – specialists guide. Module 7 cross-cultural and transnational. 2015. www.ipa-online.org. Accessed: 03/03/17.

  63. ALMA. Asociación Lucha contra el Mal de Alzheimer y alteraciones semejantes de la República Argentina. 2015a. www.alma-alzheimer.org.ar. Accessed 12/12/15.

  64. ALMA. Café con ALMA. Rev ALMA (Asoc Lucha contra la Enfermedad de Alzheimer). 2015b;6:11–3.

    Google Scholar 

  65. Medina N. El twinning Progam de ADI. Rev ALMA (Asoc Lucha contra la Enfermedad de Alzheimer). 2015;6:34–5.

    Google Scholar 

  66. G8_Dementia Summit Declaration. 2013. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/265869/2901668_G8_DementiaSummitDeclaration_acc.pdf. Accessed 15/6/2017.

  67. Winblad B, Amouyel P, Andrieu S, Ballard C, Brayne C, Brodaty H, et al. Defeating Alzheimer’s disease and other dementias: a priority for European science and society. Lancet Neurol. 2016;15:455–532.

    Article  Google Scholar 

  68. Baez S, Ibáñez A. Dementia in Latin America: an emergent silent tsunami. Front Aging Neurosci. 2016;8:253.

    Article  Google Scholar 

  69. World Health Organization. Ministerial conference on global action against dementia. 2015. http://www.who.int/mental_health/neurology/dementia/ministerial_conference_2015_report/en/. Accessed 20/07/2017.

  70. World Health Organization. Global action plan on the public health response to dementia. 2017. http://www.who.int/mental_health/neurology/dementia/action_plan_consultation/en/. Accessed 20/07/2017.

  71. Allegri RF. Primer Registro Centralizado de Patologías Cognitivas en Argentina (ReDeCAr). Resultados del Estudio Piloto. Publicación Ministerio Salud Argent. 2011;5:7–9.

    Google Scholar 

  72. Allegri RF, Román F, Blake A, Programa de Deterioro Cognitivo y Demencias. Dirección Nacional de Salud Mental y Adicciones. Ministerio de Salud de la Nación. Publicación Ministerio Salud. 2017;1:1–5.

    Google Scholar 

  73. Allegri RF, Roqué M, Bartoloni L, Rubin RK, et al. Deterioro Cognitivo, Alzheimer y otras demencias. Formación Profesional para el Equipo Socio- Sanitario. 1st ed. Buenos Aires: Ministerio de Desarrollo Social; 2015.

    Google Scholar 

  74. CyberSalud. Rev ALMA (Asoc Lucha contra la Enfermedad de Alzheimer). 2015;6:32–3.

    Google Scholar 

  75. Allegri RF, Arizaga RL, Bavec CV, Colli LP, Demey I, Fernández MC, Frontera SA, et al. Enfermedad de Alzheimer: Guía de práctica clínica. Neurol Argent. 2011;03:120–37.

    Article  Google Scholar 

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Bagnati, P.M., Roman, F., Bonafina, M., Blake, A., Allegri, R.F. (2019). Dementia Resources in Argentina: Policy, Services, and Statistics Overview—Up to Date. In: Gargiulo, P., Mesones Arroyo, H. (eds) Psychiatry and Neuroscience Update . Springer, Cham. https://doi.org/10.1007/978-3-319-95360-1_28

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