Fragliche Evidenz für den Einsatz des Cholinesterasehemmers Donepezil bei Alzheimer-Demenz -- eine systematische Ubersichtsarbeit
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Fragliche Evidenz für den Einsatz des Cholinesterasehemmers Donepezil bei Alzheimer-Demenz -- eine systematische Ubersichtsarbeit. / Kaduszkiewicz, H; Beck-Bornholdt, H-P; Bussche van den, Hendrik; Zimmermann, T.
in: FORTSCHR NEUROL PSYC, Jahrgang 72, Nr. 10, 10.2004, S. 557-563.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Fragliche Evidenz für den Einsatz des Cholinesterasehemmers Donepezil bei Alzheimer-Demenz -- eine systematische Ubersichtsarbeit
AU - Kaduszkiewicz, H
AU - Beck-Bornholdt, H-P
AU - Bussche van den, Hendrik
AU - Zimmermann, T
PY - 2004/10
Y1 - 2004/10
N2 - OBJECTIVE: Objective of this systematic review is to determine the level of scientific evidence for the use of Donepezil in Alzheimer's Disease. METHODS: Ten randomised controlled double-blind trials testing Donepezil versus Placebo were identified in MEDLINE and EMBASE. All ten trials were included in this systematic review. Following a detailed catalogue of criteria the methodological standard of the ten trials was assessed. RESULTS: The authors of eight trials postulated statistically significant differences in favour of Donepezil. Unfortunately, the methodological standard of all studies was insufficient. The methodological shortcomings are discussed in detail. CONCLUSION: With regard to severe methodological deficiencies the evidence for the use of Donepezil in moderate to severe Alzheimer's Disease is lacking. But even if the trials had been conducted in a methodologically correct way the clinical relevance of the postulated positive results would have to be questioned.
AB - OBJECTIVE: Objective of this systematic review is to determine the level of scientific evidence for the use of Donepezil in Alzheimer's Disease. METHODS: Ten randomised controlled double-blind trials testing Donepezil versus Placebo were identified in MEDLINE and EMBASE. All ten trials were included in this systematic review. Following a detailed catalogue of criteria the methodological standard of the ten trials was assessed. RESULTS: The authors of eight trials postulated statistically significant differences in favour of Donepezil. Unfortunately, the methodological standard of all studies was insufficient. The methodological shortcomings are discussed in detail. CONCLUSION: With regard to severe methodological deficiencies the evidence for the use of Donepezil in moderate to severe Alzheimer's Disease is lacking. But even if the trials had been conducted in a methodologically correct way the clinical relevance of the postulated positive results would have to be questioned.
KW - Aged
KW - Alzheimer Disease
KW - Cholinesterase Inhibitors
KW - Dose-Response Relationship, Drug
KW - Female
KW - Humans
KW - Indans
KW - Male
KW - Nootropic Agents
KW - Piperidines
KW - Randomized Controlled Trials as Topic
KW - Research Design
U2 - 10.1055/s-2004-830077
DO - 10.1055/s-2004-830077
M3 - SCORING: Zeitschriftenaufsatz
C2 - 15472779
VL - 72
SP - 557
EP - 563
JO - FORTSCHR NEUROL PSYC
JF - FORTSCHR NEUROL PSYC
SN - 0720-4299
IS - 10
ER -