TY - JOUR
T1 - Towards a national registry for Alzheimer's disease and related dementias
T2 - rationale, design, and initial observations of the ABOARD cohort
AU - de Boer, Casper
AU - Rhodius-Meester, Hanneke F. M.
AU - van der Landen, Sophie M.
AU - Claassen, Jurgen
AU - de Haan, Romy
AU - Papma, Janne M.
AU - Seelaar, Harro
AU - Kloppenburg-Lagendijk, Marleen
AU - van Munster, Barbara
AU - de Vugt, Marjolein
AU - Arts, Derk
AU - Blom, Marco
AU - de Rijke, Tanja J.
AU - Beusink, Miriam
AU - Huijsman, Robbert
AU - Evert-Ben van Veen, Evert-Ben
AU - van Harten, Argonde
AU - Vijverberg, Jort
AU - Zwan, Marissa
AU - Mutsaerts, Henk-Jan
AU - van der Lee, Sven J.
AU - van der Flier, Wiesje M.
PY - 2025/5/31
Y1 - 2025/5/31
N2 - BackgroundAlzheimer's disease and related dementias (ADRD) take 20 to 30 years to develop, yet setting up studies or registries that take into account the entire disease trajectory is difficult and time consuming. Moreover, prediction models are often based on selected research populations and their outcomes may not be most relevant to patients' daily lives. To address these gaps we set up the ABOARD Cohort, a national data collection infrastructure to (i) study the disease trajectory using patient reported outcome measures (PROMs) and medical data, (ii) link to available data sources, and (iii) serve as central platform to facilitate research, roll out healthcare innovations, and accommodate nationwide disease registration. Here, we describe the design of the project and characteristics of the first 10,275 participants.MethodThe ABOARD Cohort is an ongoing, participant-centered data-collection, taking PROMs and a minimal case report form (CRF) with relevant medical data as starting point, supplemented with linkage to existing data sources. Eligible participants with or at-risk of ADRD a and their study partners are recruited directly-to-participant, i.e. without the need for a doctor to sign informed consent. Informed consent and annual collection of PROMs are fully online. Relevant stakeholders are involved in decisions on project development through a participants panel and on data usage through a data access committee.ResultsThe ABOARD Cohort has been fully operational since January 2023. As of October 2024, 10,275 participants (mean age 66.1 (9.2) years, 70% female) and 1,383 study partners signed up, and received an invitation to fill in online questionnaires and complete a digital cognitive test. Over 90% of participants gave consent to link their data to existing data sources. Participants who had consulted a doctor for memory problems (N = 1,128), reported worse outcomes on PROMs assessing mental health and cognition, quality of life and lifestyle, compared to those who had not.ConclusionThe ABOARD Cohort has been set up as a national infrastructure to study ADRD disease trajectories, linking data-sources, with the participant at the steering wheel. This infrastructure has the potential to serve as a registry to advance research and roll out healthcare innovations on a national level.
AB - BackgroundAlzheimer's disease and related dementias (ADRD) take 20 to 30 years to develop, yet setting up studies or registries that take into account the entire disease trajectory is difficult and time consuming. Moreover, prediction models are often based on selected research populations and their outcomes may not be most relevant to patients' daily lives. To address these gaps we set up the ABOARD Cohort, a national data collection infrastructure to (i) study the disease trajectory using patient reported outcome measures (PROMs) and medical data, (ii) link to available data sources, and (iii) serve as central platform to facilitate research, roll out healthcare innovations, and accommodate nationwide disease registration. Here, we describe the design of the project and characteristics of the first 10,275 participants.MethodThe ABOARD Cohort is an ongoing, participant-centered data-collection, taking PROMs and a minimal case report form (CRF) with relevant medical data as starting point, supplemented with linkage to existing data sources. Eligible participants with or at-risk of ADRD a and their study partners are recruited directly-to-participant, i.e. without the need for a doctor to sign informed consent. Informed consent and annual collection of PROMs are fully online. Relevant stakeholders are involved in decisions on project development through a participants panel and on data usage through a data access committee.ResultsThe ABOARD Cohort has been fully operational since January 2023. As of October 2024, 10,275 participants (mean age 66.1 (9.2) years, 70% female) and 1,383 study partners signed up, and received an invitation to fill in online questionnaires and complete a digital cognitive test. Over 90% of participants gave consent to link their data to existing data sources. Participants who had consulted a doctor for memory problems (N = 1,128), reported worse outcomes on PROMs assessing mental health and cognition, quality of life and lifestyle, compared to those who had not.ConclusionThe ABOARD Cohort has been set up as a national infrastructure to study ADRD disease trajectories, linking data-sources, with the participant at the steering wheel. This infrastructure has the potential to serve as a registry to advance research and roll out healthcare innovations on a national level.
KW - Alzheimer's disease
KW - Personalized medicine
KW - Diagnosis
KW - Prediction
KW - Prevention
KW - Patient-orchestrated care
KW - QUALITY-OF-LIFE
KW - COGNITIVE ASSESSMENT
KW - VALIDATION
KW - SCALE
KW - TOOL
U2 - 10.1186/s13195-025-01725-7
DO - 10.1186/s13195-025-01725-7
M3 - Article
SN - 1758-9193
VL - 17
JO - Alzheimer's Research & Therapy
JF - Alzheimer's Research & Therapy
IS - 1
M1 - 123
ER -