Dementia Atlas
bottlenecks

Bottlenecks

All ideas →

The constraints slowing diagnosis, trials, and care, with the ideas that could break each one.

The pipeline and where it clogs
4 bottlenecks · 3 ideas aimed at them
criticalmajormoderate
  1. 1Understand the disease
    1 bottlenecks · 0 ideas
  2. 2Prevent and find early
    1 bottlenecks · 1 ideas
  3. 3Test in people
    1 bottlenecks · 1 ideas
  4. 4Approve and make
    0 bottlenecks · 0 ideas
    • 5Deliver care
      1 bottlenecks · 1 critical · 1 ideas
    • 6Learn from every patient
      0 bottlenecks · 0 ideas
      • 7Pay for the right things
        0 bottlenecks · 0 ideas
        • 8People and culture
          0 bottlenecks · 0 ideas

          Numbers on the right of each bottleneck are ideas in the corpus that attack it. Hover anything for the one-line version.

          4 bottlenecks
          Unpaid care as the hidden delivery system
          Most day-to-day dementia care is unpaid. Medicines and scans fail in practice if one person is carrying every task alone.
          1
          Late and uneven diagnosis
          Many people receive a dementia diagnosis late, or never receive a subtype. That blocks both care planning and trial entry.
          1
          Trial populations that skip mixed disease
          Antibody trials largely enrolled people with biomarker-supported Alzheimer’s disease and excluded much mixed, vascular, and diverse disease.
          1
          Wrong-subtype treatment
          Lewy body, vascular, and frontotemporal dementia are still treated as if they were typical Alzheimer’s disease, which can add harm.
          0