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Evidence-Based Nursing 2009;12:56; doi:10.1136/ebn.12.2.56
Copyright © 2009 by BMJ Publishing Group Ltd & RCN Publishing Company Ltd.

TREATMENT

Ginkgo biloba did not prevent dementia or Alzheimer disease in elderly people

The first 150 words of the full text of this article appear below.

S T DeKosky

Dr S T DeKosky, University of Virginia School of Medicine, Charlottesville, VA, USA; dekosky@virginia.edu

QUESTION

Does Ginkgo biloba reduce incident dementia and Alzheimer disease in elderly people with normal cognition or mild cognitive impairment?

METHODS

Design: randomised placebo controlled trial (Ginkgo Evaluation of Memory [GEM] study). ClinicalTrials.gov NCT00010803 [ClinicalTrials.gov] .

Allocation: unclear allocation concealment.*

Blinding: blinded (patients, clinicians, and outcome assessors).*

Follow-up period: median 6.1 years.

Setting: 5 academic medical centres in the USA.

Participants: 3069 participants >75 years of age (mean age 79 y, 54% men) who had normal cognition or mild cognitive impairment (impaired at <=10th percentile of Cardiovascular Health Study normative data on 2 of 10 neuropsychological tests and Clinical Dementia Rating global score of 0.5). Exclusion criteria included dementia; bleeding disorders; Parkinson disease; receipt of warfarin, cholinesterase inhibitors, antidepressants, or antipsychotics; abnormal thyroid tests, serum creatinine concentration >2 mg/dl (>176.8 µmol/l), or liver function test result . . . [Full text of this article]

Gareth Parsons

HeSAS, University of Glamorgan, Pontypridd, Wales, UK


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