Trends of use and characterisation of anti-dementia drugs users: a large multinational-network population-based study. Reyes, C., Newby, D., Raventós, B., Verhamme, K., Mosseveld, M., Prieto-Alhambra, D., Burn, E., & Duarte-Salles, T. Age Ageing, 2024. 1468-2834 Reyes, Carlen Orcid: 0000-0001-8486-3265 Newby, Danielle Raventós, Berta Verhamme, Katia Mosseveld, Mees Prieto-Alhambra, Daniel Orcid: 0000-0002-3950-6346 Burn, Edward Duarte-Salles, Talita Real World Epidemiology/ Agency for Management of University and research/ Journal Article Multicenter Study Research Support, Non-U.S. Gov't England 2024/05/24 Age Ageing. 2024 May 1;53(5):afae106. doi: 10.1093/ageing/afae106.
doi  abstract   bibtex   
BACKGROUND: An updated time-trend analysis of anti-dementia drugs (ADDs) is lacking. The aim of this study is to assess the incident rate (IR) of ADD in individuals with dementia using real-world data. SETTING: Primary care data (country/database) from the UK/CPRD-GOLD (2007-20), Spain/SIDIAP (2010-20) and the Netherlands/IPCI (2008-20), standardised to a common data model. METHODS: Cohort study. Participants: dementia patients ≥40 years old with ≥1 year of previous data. Follow-up: until the end of the study period, transfer out of the catchment area, death or incident prescription of rivastigmine, galantamine, donepezil or memantine. Other variables: age/sex, type of dementia, comorbidities. Statistics: overall and yearly age/sex IR, with 95% confidence interval, per 100,000 person-years (IR per 105 PY (95%CI)). RESULTS: We identified a total of (incident anti-dementia users/dementia patients) 41,024/110,642 in UK/CPRD-GOLD, 51,667/134,927 in Spain/SIDIAP and 2,088/17,559 in the Netherlands/IPCI.In the UK, IR (per 105 PY (95%CI)) of ADD decreased from 2007 (30,829 (28,891-32,862)) to 2010 (17,793 (17,083-18,524)), then increased up to 2019 (31,601 (30,483 to 32,749)) and decrease in 2020 (24,067 (23,021-25,148)). In Spain, IR (per 105 PY (95%CI)) of ADD decreased by 72% from 2010 (51,003 (49,199-52,855)) to 2020 (14,571 (14,109-15,043)). In the Netherlands, IR (per 105 PY (95%CI)) of ADD decreased by 77% from 2009 (21,151 (14,967-29,031)) to 2020 (4763 (4176-5409)). Subjects aged ≥65-79 years and men (in the UK and the Netherlands) initiated more frequently an ADD. CONCLUSIONS: Treatment of dementia remains highly heterogeneous. Further consensus in the pharmacological management of patients living with dementia is urgently needed.
@article{RN399,
   author = {Reyes, C. and Newby, D. and Raventós, B. and Verhamme, K. and Mosseveld, M. and Prieto-Alhambra, D. and Burn, E. and Duarte-Salles, T.},
   title = {Trends of use and characterisation of anti-dementia drugs users: a large multinational-network population-based study},
   journal = {Age Ageing},
   volume = {53},
   number = {5},
   note = {1468-2834 Reyes, Carlen Orcid: 0000-0001-8486-3265 Newby, Danielle Raventós, Berta Verhamme, Katia Mosseveld, Mees Prieto-Alhambra, Daniel Orcid: 0000-0002-3950-6346 Burn, Edward Duarte-Salles, Talita Real World Epidemiology/ Agency for Management of University and research/ Journal Article Multicenter Study Research Support, Non-U.S. Gov't England 2024/05/24 Age Ageing. 2024 May 1;53(5):afae106. doi: 10.1093/ageing/afae106.},
   abstract = {BACKGROUND: An updated time-trend analysis of anti-dementia drugs (ADDs) is lacking. The aim of this study is to assess the incident rate (IR) of ADD in individuals with dementia using real-world data. SETTING: Primary care data (country/database) from the UK/CPRD-GOLD (2007-20), Spain/SIDIAP (2010-20) and the Netherlands/IPCI (2008-20), standardised to a common data model. METHODS: Cohort study. Participants: dementia patients ≥40 years old with ≥1 year of previous data. Follow-up: until the end of the study period, transfer out of the catchment area, death or incident prescription of rivastigmine, galantamine, donepezil or memantine. Other variables: age/sex, type of dementia, comorbidities. Statistics: overall and yearly age/sex IR, with 95% confidence interval, per 100,000 person-years (IR per 105 PY (95%CI)). RESULTS: We identified a total of (incident anti-dementia users/dementia patients) 41,024/110,642 in UK/CPRD-GOLD, 51,667/134,927 in Spain/SIDIAP and 2,088/17,559 in the Netherlands/IPCI.In the UK, IR (per 105 PY (95%CI)) of ADD decreased from 2007 (30,829 (28,891-32,862)) to 2010 (17,793 (17,083-18,524)), then increased up to 2019 (31,601 (30,483 to 32,749)) and decrease in 2020 (24,067 (23,021-25,148)). In Spain, IR (per 105 PY (95%CI)) of ADD decreased by 72% from 2010 (51,003 (49,199-52,855)) to 2020 (14,571 (14,109-15,043)). In the Netherlands, IR (per 105 PY (95%CI)) of ADD decreased by 77% from 2009 (21,151 (14,967-29,031)) to 2020 (4763 (4176-5409)). Subjects aged ≥65-79 years and men (in the UK and the Netherlands) initiated more frequently an ADD. CONCLUSIONS: Treatment of dementia remains highly heterogeneous. Further consensus in the pharmacological management of patients living with dementia is urgently needed.},
   keywords = {Humans
Male
Female
*Dementia/drug therapy/epidemiology
Aged
Aged, 80 and over
Middle Aged
Netherlands/epidemiology
Databases, Factual
Time Factors
Nootropic Agents/therapeutic use
Spain/epidemiology
United Kingdom/epidemiology
Practice Patterns, Physicians'/trends
Age Factors
Drug Utilization/trends/statistics & numerical data
cohort studies
dementia
drug utilization studies
older people},
   ISSN = {0002-0729 (Print) 0002-0729},
   DOI = {10.1093/ageing/afae106},
   year = {2024},
   type = {Journal Article}
}

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