Key result
Cholinesterase inhibitor use in patients with dementia was associated with significantly longer median survival (>4 years vs 2.50 years) and improved odds of survival (OR 2.98) compared to no treatment.
Why the study?
Information regarding the pharmacoepidemiology of antidementia medications in the Eastern-European region is lacking.
Do cholinesterase inhibitors improve survival in patients with dementia?
Cohort (n=61,369)
Do cholinesterase inhibitors improve survival in patients with dementia?
In a real-world Hungarian cohort, cholinesterase inhibitor use in dementia patients was associated with significantly longer survival compared to non-use.
Should not yet change dementia care; leaves open whether cholinesterase inhibitors causally extend survival or reflect confounding.
Dementia is one of the leading causes of death and disability in older population. Previous reports have shown that antidementia medications are associated with longer survival; nonetheless, the prevalence of their use and the compliance with them are quite different worldwide. There is hardly any available information about the pharmacoepidemiology of these drugs in the Eastern-European region; we aimed to analyze the use of cholinesterase inhibitors (ChEis) for the treatment of dementia to provide real-life information from the Eastern European region. All medical and medication prescription reports of the in- and outpatient specialist services collected in the NEUROHUN database in Hungary were analyzed between 2013 and 2016. Survival, adherence, and persistence values were calculated. 8803 patients were treated with ChEis during the study period, which was only 14.5% of the diagnosed demented patients. The survival of treated patients (more than 4 years) was significantly longer than patients without ChEi treatment (2.50 years). The best compliance was observed with rivastigmine patch. Choosing the appropriate medication as soon as possible after the dementia diagnosis may lead to increased life expectancy.
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Balázs et al. (2021) conducted a cohort in Dementia (n=61,369). Cholinesterase inhibitors vs. No cholinesterase inhibitor treatment was evaluated on Survival (OR 2.98, 95% CI 2.82-3.14, p=<0.00001). Cholinesterase inhibitor use in patients with dementia was associated with significantly longer median survival (>4 years vs 2.50 years) and improved odds of survival (OR 2.98) compared to no treatment.
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