The epidemiology is promising, but the trial evidence is weak. Why pharmacological dementia risk reduction trials haven't lived up to expectations, and where do we go from here?

Author:

Peters Ruth12ORCID,Dodge Hiroko H.3,James Sarah4,Jicha Gregory A.5,Meyer Pierre‐Francois6,Richards Marcus4,Smith A. David7,Yassine Hussein N.8,Abner Erin5,Hainsworth Atticus H.910ORCID,Kehoe Patrick G.11,Beckett Nigel12,Anderson Craig S.13,Anstey Kaarin J.12

Affiliation:

1. Neuroscience Research Randwick New South Wales Australia

2. Department of Psychology University of New South Wales Sydney New South Wales Australia

3. Department of Neurology Oregon Health & Science University Portland Oregon USA

4. MRC Unit for Lifelong Health and Ageing at UCL University College London London UK

5. University of Kentucky Lexington Kentucky USA

6. Center for Studies on the Prevention of Alzheimer's Disease (PREVENT‐AD) Verdun Québec Canada

7. OPTIMA Department of Pharmacology University of Oxford Oxford UK

8. Departments of Medicine and Neurology University of Southern California Los Angeles California USA

9. Molecular and Clinical Sciences Research Institute St Georges University of London London UK

10. Department of Neurology St George's Hospital London UK

11. Bristol Medical School University of Bristol Bristol UK

12. Guys and St Thomas’ NHS Foundation Trust London UK

13. The George Institute for Global Health Faculty of Medicine University of New South Wales Sydney Australia

Funder

National Institutes of Health

Publisher

Wiley

Subject

Psychiatry and Mental health,Cellular and Molecular Neuroscience,Geriatrics and Gerontology,Neurology (clinical),Developmental Neuroscience,Health Policy,Epidemiology

Reference33 articles.

1. PrinceM WA GuerchetM AliG‐C WuY‐T PrinaM World Alzheimer Report 2015 The Global impact of dementia in World Alzheimer Report.2015. Alzheimer's Disease International.https://www.alzint.org/resource/world‐alzheimer‐report‐2015/

2. Policy Brief 2018 Renewing priority for dementia: where do we stand?

3. John Snow, MD: Anaesthetist to the Queen of England and Pioneer Epidemiologist

4. A Systematic Review of Meta-Analyses that Evaluate Risk Factors for Dementia to Evaluate the Quantity, Quality, and Global Representativeness of Evidence

5. Dementia prevention, intervention, and care

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