What would be your approach to the consideration of the use of antiamyloid monoclonal antibodies for nonamnestic Alzheimer's disease with a positive biomarker for brain amyloid pathology?
E.g., primary progressive aphasia
Answer from: at Academic Institution
Because treatment appropriateness is based on the stage of cognitive impairment, we base our evaluation on whether the patient meets criteria for mild cognitive impairment or early-stage dementia. We do not use cognitive testing cutoffs, even in amnestic Alzheimer's disease, as staging accounts for ...
I agree that appropriateness for Anti-Amyloid therapy is based on clinical stage and not presentation (amnestic vs non-amnestic). We have found, in our market at least, that the insurance companies want to see an MMSE or MOCA score that falls within the published appropriate use guidelines for these...