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Table 5 Efficacy of atypical antipsychotics in elderly patients with dementia: Number needed to treat

From: Choice of observational study design impacts on measurement of antipsychotic risks in the elderly: a systematic review

Study

Study Design

Follow-up

Risperidone n/N (%)

Placebo n/N (%)

RD

NNT

Clinical End Point

>50% Improvement in Behave-AD 1 total score

 

Katz [62]

Double-blind placebo controlled RCT (n=625)

12 weeks

(45%)

(33%)

12%

8

 

Schneider [6]

Meta Analysis of 3 studies (n=1001)

12 weeks

266/574 (46%)

139/427 (33%)

14%

7.4

>30% Improvement in Behave-AD 1 total score

 

DeDeyn [8]

Double-blind placebo controlled RCT (n=344)

12 weeks

(72%)

(61%)

11%

9

CGI-C 2 (much/very much improved)

 

Brodaty [61]

Double-blind placebo controlled RCT (n=93)

12 weeks

27/46 (59%)

12/47 (26%)

33%

3.3

 

Schneider [6]

Meta Analysis of 2 studies (n=717)

8-12 weeks

227/351 (65%)

175/366 (48%)

17%

6

 

Katz [5]

Meta Analysis of 4 studies (n=889)

End point

(28%)

(17%)

11%

9

 

Sultzer [63]

Double-blind placebo controlled RCT (n=421)

12 weeks

(61%)

(40%)

21%

5

  1. 1 BEHAVE-AD: Behaviour Pathology in Alzheimer’s Disease Rating Scale.
  2. 2 CGI-C: Clinical Global Impression of Change.