What do Cochrane systematic reviews say about non-pharmacological interventions for treating cognitive decline and dementia?

Página do item simplificado
dc.citation.issue3
dc.citation.volume135
dc.contributor.authorVilela, Vitoria Carvalho [UNIFESP]
dc.contributor.authorPacheco, Rafael Leite [UNIFESP]
dc.contributor.authorCruz Latorraca, Carolina Oliveira [UNIFESP]
dc.contributor.authorPachito, Daniela Vianna [UNIFESP]
dc.contributor.authorRiera, Rachel [UNIFESP]
dc.coverageSao Paulo
dc.date.accessioned2020-07-13T11:53:18Z
dc.date.available2020-07-13T11:53:18Z
dc.date.issued2017
dc.description.abstractBACKGROUND: Dementia is a highly prevalent condition worldwide. Its chronic and progressive presentation has an impact on physical and psychosocial characteristics and on public healthcare. Our aim was to summarize evidence from Cochrane reviews on non-pharmacological treatments for cognitive disorders and dementia. DESIGN AND SETTING: Review of systematic reviews, conducted in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina, Universidade Federal de Sao Paulo. METHODS: Cochrane reviews on non-pharmacological interventions for cognitive dysfunctions and/or type of dementia were included. For this, independent assessments were made by two authors. RESULTS: Twenty-four reviews were included. These showed that carbohydrate intake and validation therapy may be beneficial for cognitive disorders. For dementia, there is a potential benefit from physical activity programs, cognitive training, psychological treatments, aromatherapy, light therapy, cognitive rehabilitation, cognitive stimulation, hyperbaric oxygen therapy in association with donepezil, functional analysis, reminiscence therapy, transcutaneous electrical stimulation, structured decision-making on feeding options, case management approaches, interventions by non-specialist healthcare workers and specialized care units. No benefits were found in relation to enteral tube feeding, acupuncture, Snoezelen stimulation, respite care, palliative care team and interventions to prevent wandering behavior. CONCLUSION: Many non-pharmacological interventions for patients with cognitive impairment and dementia have been studied and potential benefits have been shown. However, the strength of evidence derived from these studies was considered low overall, due to the methodological limitations of the primary studies.en
dc.description.affiliationUniv Fed Sao Paulo UNIFESP, EPM, Discipline Evidence Based Med, Sao Paulo, Brazil
dc.description.affiliationUniv Fed Sao Paulo UNIFESP, EPM, Sao Paulo, Brazil
dc.description.affiliationUniv Fed Sao Paulo UNIFESP, Evidence Based Hlth Program, Sao Paulo, SP, Brazil
dc.description.affiliationCochrane Brazil, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo UNIFESP, EPM, Discipline Evidence Based Med, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo UNIFESP, EPM, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo UNIFESP, Evidence Based Hlth Program, Sao Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.format.extent309-320
dc.identifierhttp://dx.doi.org/10.1590/1516-3180.2017.0092060617
dc.identifier.citationSao Paulo Medical Journal. Sao Paulo, v. 135, n. 3, p. 309-320, 2017.
dc.identifier.doi10.1590/1516-3180.2017.0092060617
dc.identifier.fileS1516-31802017000300309.pdf
dc.identifier.issn1516-3180
dc.identifier.scieloS1516-31802017000300309
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/54517
dc.identifier.wosWOS:000406339500015
dc.language.isoeng
dc.publisherAssociacao Paulista Medicina
dc.relation.ispartofSao Paulo Medical Journal
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectDementiaen
dc.subjectAlzheimer diseaseen
dc.subjectReviewen
dc.subjectEvidence-based practiceen
dc.subjectEvidence-based medicineen
dc.titleWhat do Cochrane systematic reviews say about non-pharmacological interventions for treating cognitive decline and dementia?en
dc.typeinfo:eu-repo/semantics/article
Arquivos
Pacote Original
Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
S1516-31802017000300309.pdf
Tamanho:
166.68 KB
Formato:
Adobe Portable Document Format
Descrição:
Baixar
Coleções
EPM - Artigos