What can be done to slow progression of dementia in the elderly?
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Cholinesterase inhibitors alone or in combination with memantine delay the rate of nursing home admissions among elderly patients with Alzheimer's disease (AD), but have no statistical influence on mortality. (SOR B, based on an observational study.) Cholinesterase inhibitors are associated with small improvements in cognition and function in patients with AD when compared with placebo (SOR A, based on a meta-analysis.) The total societal medical cost of donepezil therapy is comparable to the cost of placebo. (SOR B, based on 1 randomized controlled trial [RCT].)
Evidence Based Practice 12(11): 09-10.