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Association between polypharmacy and dementia - A systematic review and metaanalysis
Nattawut Leelakanok1, Ronilda R D'Cunha2
1a a Faculty of Pharmaceutical Sciences , Burapha University , Chonburi , Thailand.
Aging & Mental Health
|May 11, 2018
Summary
Polypharmacy, the use of multiple medications, is strongly associated with an increased risk of dementia. This finding suggests considering medication load in dementia assessments.
Area of Science:
- Gerontology
- Clinical Pharmacy
- Neuroscience
Background:
- The relationship between polypharmacy and dementia remains debated.
- Existing literature requires synthesis to clarify this association.
Purpose of the Study:
- To systematically review and meta-analyze studies on polypharmacy and dementia.
- To quantify the association between medication use and dementia risk.
Main Methods:
- Searched EMBASE, PubMed, Scopus, and International Pharmaceutical Abstracts.
- Conducted a meta-analysis using random effects models.
- Included seven medium-to-high quality studies.
Main Results:
- Polypharmacy showed a significant association with dementia (pooled adjusted risk ratio [aRR] = 1.30).
- Excessive polypharmacy demonstrated a stronger association (pooled aRR = 1.52).
- Publication bias was a potential concern.
Conclusions:
- Polypharmacy is linked to dementia, though causality is not established.
- Recommends incorporating medication count into multidimensional dementia assessment tools.
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