Systematic review investigating the reporting of comorbidities and medication in randomized controlled trials of people with dementia

Toby Smith, Ian Maidment, Jennifer Hebding, Tairo Madzima, Francine Cheater, Jane Cross, Fiona Poland, Jacqueline White, John Young, Chris Fox*

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Objectives: dementia is a debilitating condition characterised by global loss of cognitive and intellectual functioning, which reduces social and occupational performance. This population frequently presents with medical co-morbidities such as hypertension, cardiovascular disease and diabetes. The CONSORT statement outlines recommended guidance on reporting of participant characteristics in clinical trials. It is, however, unclear how much these are adhered to in trials assessing people with dementia. This paper assesses the reporting of medical co-morbidities and prescribed medications for people with dementia within randomised controlled trial (RCT) reports. Design: a systematic review of the published literature from the databases AMED, CINAHL, MEDLINE, EMBASE and the Cochrane Clinical Trial Registry from 1 January 1997 to 9 January 2014 was undertaken in order to identify RCTs detailing baseline medical co-morbidities and prescribed medications . Eligible studies were appraised using the Critical Appraisal Skills Programme (CASP) RCT appraisal tool, and descriptive statistical analyses were calculated to determine point prevalence. Results: nine trials, including 1474 people with dementia, were identified presenting medical co-morbidity data. These indicated neurological disorders ( prevalence 91%), vascular disorders (prevalence 91%), cardiac disorders ( prevalence 74%) and ischaemic cerebrovascular disease ( prevalence 53%) were most frequently seen. Conclusions: published RCTs poorly report medical co-morbidities and medications for people with dementia. Future trials should include the report of these items to allow interpretation of whether the results are generalisable to frailer older populations.

Original languageEnglish
Pages (from-to)868-872
Number of pages5
JournalAge and Ageing
Volume43
Issue number6
Early online date19 Jul 2014
DOIs
Publication statusPublished - 6 Nov 2014

Bibliographical note

This is a pre-copyedited, author-produced PDF of an article accepted for publication in Age and Ageing following peer review. The version of record Smith, T., Maidment, I., Hebding, J., Madzima, T., Cheater, F., Cross, J., ... Fox, C. (2014). Systematic review investigating the reporting of comorbidities and medication in randomized controlled trials of people with dementia. Age and ageing, 43(6), 868-872. is available online at: http://ageing.oxfordjournals.org/content/43/6/868

Supplementary data: available to subscribers in Age and Ageing online.

Keywords

  • co-morbidity
  • cognitive impairment
  • dementia
  • older people
  • systematic review

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    Smith, T., Maidment, I., Hebding, J., Madzima, T., Cheater, F., Cross, J., Poland, F., White, J., Young, J., & Fox, C. (2014). Systematic review investigating the reporting of comorbidities and medication in randomized controlled trials of people with dementia. Age and Ageing, 43(6), 868-872. https://doi.org/10.1093/ageing/afu100