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Table 3 Secondary Analysis by Intervention Group: MCIDs for Two Measures of Cognitive Function

From: Using a distribution-based approach and systematic review methods to derive minimum clinically important differences

 

# RCTs

(# Participants)

SD Range

Pooled SD

MCID:

0.4 x SD

MCID:

0.5 x SD

Donepezil

MMSE

  Baseline SDs

35 (3785)

1.08 to 5.90

4.2

1.7

2.1

  Mean Change SDs

28 (3125)

0.33 to 6.12

3.6

1.4

1.8

ADAS-Cog

  Baseline SDs

22 (1693)

6.56 to 15.8

10.2

4.1

5.1

  Mean Change SDs

20 (2215)

3.96 to 7.46

5.8

2.3

2.9

Galantamine

MMSE

  Baseline SDs

7 (1285)

1.92 to 4.12

3.9

1.6

2.0

  Mean Change SDs

5 (1102)

2.24 to 4.05

3.9

1.6

2.0

ADAS-Cog

  Baseline SDs

16 (2296)

5.02 to 11.78

9.7

3.9

4.9

  Mean Change SDs

22 (3179)

5.00 to 7.43

6.0

2.4

3.0

Rivastigmine

MMSE

  Baseline SDs

17 (1944)

0.98 to 4.9

3.5

1.4

1.8

  Mean Change SDs

12 (1891)

0.46 to 3.6

3.2

1.3

1.6

ADAS-Cog

  Baseline SDs

14 (1825)

4.60 to 12.30

10.0

4.0

5.0

  Mean Change SDs

15 (2892)

1.32 to 12.85

7.1

2.8

3.6

Memantine

MMSE

  Baseline SDs

9 (548)

1.60 to 6.20

4.0

1.6

2.0

  Mean Change SDs

4 (442)

2.20 to 5.65

4.1

1.6

2.1

ADAS-Cog

  Baseline SDs

5 (706)

7.90 to 11.01

10.0

4.0

5.0

  Mean Change SDs

3 (603)

5.46 to 9.77

8.2

3.3

4.1

Placebo

MMSE

  Baseline SDs

36 (4396)

0.94 to 6.8

4.1

1.6

2.1

  Mean Change SDs

27 (3758)

0.33 to 5.76

3.7

1.5

1.9

ADAS-Cog

  Baseline SDs

28 (3398)

2.55 to 17.3

10.1

4.1

5.1

  Mean Change SDs

29 (4315)

2.50 to 8.19

6.3

2.5

3.2

  1. Abbreviations: Alzheimer Disease Assessment Scale – Cognitive Subscale (ADAS-Cog), minimum clinically important difference (MCID), Mini-Mental State Exam (MMSE), randomized trial (RCT), standard deviation (SD), number (#)