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Evidence-Based Mental Health 2009;12:113; doi:10.1136/ebmh.12.4.113
Copyright © 2009 by BMJ Publishing Group Ltd, Royal College of Psychiatrists, & British Psychological Society.

OTHER

Therapeutics

Review: rivastigmine reduces rate of cognitive decline and improves performance in mild to moderate Alzheimer’s

The first 150 words of the full text of this article appear below.

Question

Question:

Is rivastigmine effective for the treatment of Alzheimer’s disease?

Outcomes:

Cognitive function (measured by psychometric tests); dependency; global impression; functional performance; behavioural disturbance; quality of life; rates of institutionalisation; effect on carer; acceptability of treatment as measured by withdrawal from trials; adverse effects; death.

Methods

Design:

Systematic review with meta-analysis.

Data sources:

The Specialised Register of the Cochrane Dementia and Cognitive Improvement Group (searched from date of inception to December 2005). The Cochrane Library, MEDLINE, PsycINFO, EMBASE, CINAHL and LILACS were searched for records added after December 2005 to March 2008; ongoing and other unpublished trials searched through Novartis, FDA, EMEA, NICE, Google and Copernic websites.

Study selection and analysis:

Randomised, double blind, placebo controlled trials of rivastigmine administered to patients with Alzheimer’s disease or probable Alzheimer’s disease (fulfilling DSM-IV or NINCDS-ADRDA) for more than 2 weeks. Exclusions: non-randomised trials; no allocation concealment. A single reviewer selected studies and assessed the quality of included trials on the basis . . . [Full text of this article]

João Carlos Machado

Aurus IEPE-Institute of Research and Education on Ageing, Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, Brazil


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