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This effort seems important and timely given in light of a new scenario arising from a new biological definition of Alzheimer\u2019s disease (AD) and the availability of disease-modifying treatments (DMTs).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>the Steering Committee of the Italian Neurological Society for dementia (SINdem) created appropriate statements. Invited SINdem experts were requested to vote on the statements according to a modified three-round Delphi method. Only those statements reaching Grade A\u00a0(full agreement\u2009\u2265\u200975%) or B (overall agreement\u2009\u2265\u200980% and full disagreement\u2009&lt;\u20095%) were included in the final document. Round answers\u2019 consistency was graded using the Cohen\u2019s k and within-class correlation coefficient.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Forty-six experts voted on 20 statements, which focused on the following aspects: i) organization of care services from early diagnosis to the management of advanced clinical stages; ii) access to biomarkers for a biological diagnosis of AD; iii) requirements necessary for the administration of DMTs; iv) main actors and pathways for the management of patients suffering from cognitive disorders. At the end of the process, 4 statements (20%) received a Grade A consensus, while 16 (80%) reached a Grade B consensus. Although the responses reflect heterogeneity among Italian regions, there was a fair degree of consistency for all statements.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>The high strength of this expert-based Delphi-consensus may offer guidance for improving the patient\u2019s journey of individuals with cognitive decline from a biological diagnosis to DMTs administration and may possibly offer hints to the Health Systems on dementia.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s10072-025-08143-5","type":"journal-article","created":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T05:06:31Z","timestamp":1744779991000},"page":"2913-2923","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Towards a new Value-based scenario for the management of dementia in Italy: a SINdem delphi consensus 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