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Long-Term Cognitive Decline in Dementia with Lewy Bodies in a Large Multicenter, International Cohort
MG. Kramberger, B. Auestad, S. Garcia-Ptacek, C. Abdelnour, JG. Olmo, Z. Walker, AW. Lemstra, E. Londos, F. Blanc, L. Bonanni, I. McKeith, B. Winblad, FJ. de Jong, F. Nobili, E. Stefanova, M. Petrova, C. Falup-Pecurariu, I. Rektorova, S....
Language English Country Netherlands
Document type Journal Article, Multicenter Study
PubMed
28304294
DOI
10.3233/jad-161109
Knihovny.cz E-resources
- MeSH
- Analysis of Variance MeSH
- Lewy Body Disease complications diagnosis MeSH
- Cognition Disorders diagnosis etiology MeSH
- Cohort Studies MeSH
- Middle Aged MeSH
- Humans MeSH
- International Cooperation MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Mental Status Schedule MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Multicenter Study MeSH
BACKGROUND/OBJECTIVE: The aim of this study was to describe the rate and clinical predictors of cognitive decline in dementia with Lewy bodies (DLB), and compare the findings with Alzheimer's disease (AD) and Parkinson's disease dementia (PDD) patients. METHODS: Longitudinal scores for the Mini-Mental State Examination (MMSE) in 1,290 patients (835 DLB, 198 PDD, and 257 AD) were available from 18 centers with up to three years longitudinal data. Linear mixed effects analyses with appropriate covariates were used to model MMSE decline over time. Several subgroup analyses were performed, defined by anti-dementia medication use, baseline MMSE score, and DLB core features. RESULTS: The mean annual decline in MMSE score was 2.1 points in DLB, compared to 1.6 in AD (p = 0.07 compared to DLB) and 1.8 in PDD (p = 0.19). Rates of decline were significantly higher in DLB compared to AD and PDD when baseline MMSE score was included as a covariate, and when only those DLB patients with an abnormal dopamine transporter SPECT scan were included. Decline was not predicted by sex, baseline MMSE score, or presence of specific DLB core features. CONCLUSIONS: The average annual decline in MMSE score in DLB is approximately two points. Although in the overall analyses there were no differences in the rate of decline between the three neurodegenerative disorders, there were indications of a more rapid decline in DLB than in AD and PDD. Further studies are needed to understand the predictors and mechanisms of cognitive decline in DLB.
3rd Department of Neurology Medical School Aristotle University of Thessaloniki Greece
Clinical Memory Research Unit Department of Clinical Sciences Lund University Malmö Sweden
Clinical Neurology Department of Neuroscience University of Genoa Italy
Department of Neurology and Alzheimer Centre VU University Medical Centre Amsterdam The Netherlands
Department of Psychiatry University of Cambridge School of Clinical Medicine Cambridge UK
Erasmus MC University Medical Center Rotterdam The Netherlands
Fundació ACE Institut Català de Neurociències Aplicades Barcelona Spain
Girona Biomedical Research Institute Girona Spain
Institute of Neurology CCS School of Medicine University of Belgrade Belgrade Serbia
University Hospital Alexandrovska Department of Neurology Sofia Bulgaria
References provided by Crossref.org
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