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Every row of the evidence table
One row per finding: what was tested, which way the result went, and how the study was built. The answer by area, and where the studies disagree, are on the main page.
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Showing 6 of 382 rows. One row per study per exposure: a study that tested two different things appears twice, once for each.
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| Exposure | Question | Direction | Outcome measured | Design | People | Effect size, as the source reported it | Source |
|---|---|---|---|---|---|---|---|
| Anti-amyloid antibody Medicines | Treatment |
No direction reported
whyA single-clinic safety series with no comparison group. It reports how often ARIA and infusion reactions happened in practice, which is useful, but it cannot estimate an effect of the drug in either direction. |
ARIA and infusion reactions in routine care | cohort study | 234 | ARIA 22%; symptomatic ARIA 5.7% overall, 27% in mild dementia vs 1.8% in MCI/very mild dementia |
JAMA Neurology
2025 ✓ Peer-reviewed PMID 40354064 |
| Antipsychotics (harms / discontinuation) Medicines | Treatment |
Benefit
whyDirection is for STOPPING the antipsychotic: discontinuers were hospitalised less than matched continuers. |
Hospitalisation, pneumonia and urinary tract infection | cohort study | 4,222 | All-cause hospitalisation HR 0.83 (95% CI 0.72-0.96); pneumonia hospitalisation HR 0.51 (0.29-0.90) |
Alzheimer's Research & Therapy
2026 ✓ Peer-reviewed PMID 42410659 |
| Antipsychotics (harms / discontinuation) Medicines | Treatment |
Benefit
whyDirection is for discontinuation: tapering after 12 weeks lowered the 24-month absolute risk of delirium and fracture versus continuing, with no difference in stroke, pneumonia or death. Results were similar for abrupt discontinuation and after 24 weeks. |
24-month risk of delirium, fracture, stroke, pneumonia and death after tapering or stopping antipsychotics versus continuing | cohort study | 24,822 | Compared with continuation after 12 weeks of treatment, estimated risks of delirium and fracture under the tapering strategy corresponded to 24-month ARDs of -2·46% (95% CI -4·10 to -1·27) and -2·80% (-4·14 to -1·29), respectively. Estimated risks for stroke, pneumonia, and all-cause mortality were similar between strategies |
The lancet. Healthy longevity
2026 ✓ Peer-reviewed PMID 42302797 |
| Antipsychotics (harms / discontinuation) Medicines | Treatment |
Harm
whyWider range of harms than regulatory alerts had flagged, with the highest risks soon after starting. No increase in ventricular arrhythmia. |
Stroke, pneumonia, venous thromboembolism, MI, heart failure, fracture, acute kidney injury | cohort study | 173,910 | Pneumonia HR 2.19 (95% CI 2.10-2.28); stroke HR 1.61 (1.52-1.71); absolute 90-day pneumonia risk difference 2.99% |
BMJ
2024 ✓ Peer-reviewed PMID 38631737 |
| Cholinesterase inhibitor / memantine Medicines | Treatment |
Benefit
whyObservational: 80% of residents were on no anti-dementia drug, so who gets prescribed and who does not may itself track prognosis. |
All-cause mortality | cohort study | 25,358 | Adjusted hazard ratios for mortality vs no anti-dementia drug: "HR: 0.826, 95%CI 0.769 to 0.888 for AChEI; 0.857, 95%CI 0.795 to 0.923 for memantine; 0.742, 95%CI 0.640 to 0.861 for AChEI plus memantine" |
Alzheimer's Research & Therapy
2024 ✓ Peer-reviewed PMID 38812028 |
| Cholinesterase inhibitor / memantine Medicines | Treatment |
Benefit
whyCholinesterase inhibitors, not memantine: -0.39 MMSE points a year against -2.50 with no treatment. The mortality benefit held only in the first year. Registry data with weighting, not a trial. |
MMSE decline per year; mortality | cohort study | 1,095 | MMSE change: -0.39 points/year (95% CI -0.96 to 0.18) with cholinesterase inhibitors vs -2.49 (-4.02 to -0.97) with memantine and -2.50 (-4.28 to -0.73) with non-use. Mortality in the first year after diagnosis: adjusted HR 0.66 (95% CI 0.46 to 0.94) |
Alzheimer's & Dementia
2024 ✓ Peer-reviewed PMID 39177108 |
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