{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T20:32:52Z","timestamp":1791232372194,"version":"4.1.0"},"reference-count":76,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T00:00:00Z","timestamp":1735516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["alz-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alzheimer's &amp;amp; Dementia"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>With advances in biomarker\u2010based detection of Alzheimer's disease (AD) and new treatment options with disease\u2010modifying treatments (DMTs), we are heading toward a new conceptualization of diagnostics and therapy in the early stages of AD. Yet consensus guidelines on best clinical practices in predictive AD diagnostics are still developing. Currently, there is a knowledge gap regarding counseling and disclosure practices in early symptomatic disease stages, its implications for dementia risk estimation, and DMTs with associated risks and benefits. The crucial feature is the capacity of patients with (mild) cognitive impairment, eligible for DMTs, to consent. This perspective aims to (1) discuss the current challenges in assessing capacity to consent and (2) highlight the importance of a supported (informed) decision\u2010making process. Measures to facilitate informed decision\u2010making of patients constitute an ethical approach to enhancing the quality of care in this evolving therapeutic landscape.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                    <jats:p>\n                      This perspective:\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Explores biomarker\u2010based early symptomatic AD detection and the implications for patient care.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Emphasizes supported decision\u2010making in DMTs for MCI and dementia patients.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Discusses the need for standardized tools to assess the capacity to consent.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Aligns diagnostic and treatment approaches with ethical care standards.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Enhances patient autonomy in the evolving AD therapeutic landscape.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/alz.14204","type":"journal-article","created":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T23:59:39Z","timestamp":1735603179000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Facing the new diagnostic and treatment options of Alzheimer's disease: The necessity of informed consent"],"prefix":"10.1002","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9272-6535","authenticated-orcid":false,"given":"Jonas","family":"Karneboge","sequence":"first","affiliation":[{"name":"Department of Psychology University of Siegen  Siegen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3133-011X","authenticated-orcid":false,"given":"Julia","family":"Haberstroh","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Siegen  Siegen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7311-0049","authenticated-orcid":false,"given":"Katharina","family":"Geschke","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Medical Center Johannes Gutenberg\u2010University Mainz  Mainz 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