Multidisciplinary recommendations for palliative and supportive care in Creutzfeldt-Jakob disease and related disorders.

Prion diseases, of which Creutzfeldt-Jakob disease is the most common, are fatal neurodegenerative disorders and are often rapidly progressive. They are associated with a significant palliative care burden for patients and families, ranging from prognostic uncertainty to complex symptom management t...

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Publicado en:Age & Ageing Vol. 55; no. 7; pp. 1 - 19
Autores principales: Ng, Melissa, Grundy, Anna, Appleby, Brian, Awe, Terri, Carey, Matthew, Chan, Edgar, Chin, Chloe, Diver, Ruth, Hermann, Peter, Kovacevich, Alexsandra
Formato: Artículo
Publicado: Oxford University Press / USA Jul2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2026
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        10.1093/ageing/afag206
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        atl: Multidisciplinary recommendations for palliative and supportive care in Creutzfeldt-Jakob disease and related disorders.
      aug:
        au:
          Ng, Melissa
          Grundy, Anna
          Appleby, Brian
          Awe, Terri
          Carey, Matthew
          Chan, Edgar
          Chin, Chloe
          Diver, Ruth
          Hermann, Peter
          Kovacevich, Alexsandra
        affil:
          National Prion Clinic, National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK
          Department of Palliative Care, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK
          National Prion Disease Pathology Surveillance Center, Case Western Reserve University School of Medicine, Cleveland, OH, USADepartment of Neurology, Case Western Reserve University School of Medicine, Cleveland, OH, USADepartment of Psychiatry, Case Western Reserve University School of Medicine, Cleveland, OH, USA
          National CJD NHS Nursing Service, NHS Lothian, Edinburgh, UK
          Department of Palliative Care, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
          Department of Neuropsychology, National Hospital for Neurology and Neurosurgery, London, UK
          Department of Palliative Care, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
          National Reference Center for Surveillance of TSE, University Medical Center Göttingen, Göttingen, Germany
          Department of Psychiatry, Case Western Reserve University School of Medicine, Cleveland, OH, USA
      su:
        United Kingdom
        Families & psychology
        Health literacy
        Palliative treatment
        Interprofessional relations
        Social case work
        Pain
        Social support
        Psychology of caregivers
        Advance directives (Medical care)
        Social stigma
        Cognition
        Genetic testing
        Creutzfeldt-Jakob disease diagnosis
        Medical protocols
        Prion diseases
        Creutzfeldt-Jakob disease
        Infection control
        Hydration
        Seizures (Medicine)
        Health care teams
        Symptoms
      sug:
        subj:
          Families & psychology
          Health literacy
          Palliative treatment
          Interprofessional relations
          Social case work
          Pain
          Social support
          Psychology of caregivers
          Advance directives (Medical care)
          Social stigma
          Cognition
          Genetic testing
          United Kingdom
          Medical Laboratories
          Other Individual and Family Services
          Creutzfeldt-Jakob disease diagnosis
          Medical protocols
          Prion diseases
          Creutzfeldt-Jakob disease
          Infection control
          Hydration
          Seizures (Medicine)
          Health care teams
          Symptoms
      keyword:
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        creutzfeldt-jakob disease
        dementia
        diagnosis
        https://dx.doi.org/10.1093/ageing/afag206
        inLanguage:en
        older people
        palliative care
        prion disease
        prion diseases
        publisher:Oxford University Press
        rapidly progressive dementia
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42472622/
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        creutzfeldt-jakob disease
        dementia
        diagnosis
        https://dx.doi.org/10.1093/ageing/afag206
        inLanguage:en
        older people
        palliative care
        prion disease
        prion diseases
        publisher:Oxford University Press
        rapidly progressive dementia
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42472622/
      ab: Prion diseases, of which Creutzfeldt-Jakob disease is the most common, are fatal neurodegenerative disorders and are often rapidly progressive. They are associated with a significant palliative care burden for patients and families, ranging from prognostic uncertainty to complex symptom management to caregiver distress. Healthcare professionals face unique pressures when caring for these patients, which can include a lack of familiarity with this rare diagnosis and rapidly evolving symptom needs due to accelerated clinical deterioration. We convened a multidisciplinary panel of experts from around the UK, including palliative care doctors, general practitioners, physician and nurse specialists in prion diseases, and a lived experience representative to compile practical, consensus-based recommendations for managing prion diseases, much of which can also be applied to other rapidly progressive dementias. In this article, we examine the available evidence base for managing various aspects of prion diseases. Where evidence is limited, we suggest best practices informed by decades of our collective experiences.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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