PMID- 21946743 OWN - NLM STAT- MEDLINE DCOM- 20111208 LR - 20151119 IS - 1175-8716 (Electronic) IS - 0028-8446 (Linking) VI - 124 IP - 1336 DP - 2011 Jun 10 TI - Quetiapine for the treatment of behavioural and psychological symptoms of dementia (BPSD): a meta-analysis of randomised placebo-controlled trials. PG - 39-50 AB - AIM: This meta-analysis is aimed to determine the efficacy of quetiapine for the treatment of behavioural and psychological symptoms of dementia (BPSD). METHOD: Our electronic search included MEDLINE (1950-2009), Cochrane Central Register of Controlled Trials and PsychINFO. We also did a hand search of the International Psychogeriatric Association poster presentations and checked the National trial registry data bases from USA, UK, RSA, Holland, Australia and New Zealand. We included double-blinded randomised placebo-controlled trials studies that measured BPSD with the Neuropsychiatric Inventory (NPI). The Clinical Global Impression of Change scale (CGI-C) was our secondary outcome. RESULTS: Six sets of data were included in this meta-analysis. Patients receiving quetiapine improved when compared to placebo with a weighted mean difference of - 3.05 (95% CI: -6.10, -0.01) and -0.31 (95% CI: -0.54, -0.08) respectively on the NPI score and CGI-C score. CONCLUSION: This meta-analysis found that quetiapine is statistically more efficacious than placebo in the treatment of BPSD as measured by the NPI and CGI-C. However, improvement is of a small magnitude and observable clinical significance is questionable. FAU - Cheung, Gary AU - Cheung G AD - Mental Health Services for Older People, Auckland District Health Board, Private Bag 92189, Greenlane Clinical Centre, Auckland, New Zealand. GCheung@adhb.govt.nz FAU - Stapelberg, Janli AU - Stapelberg J LA - eng PT - Journal Article PT - Meta-Analysis PT - Review DEP - 20110610 PL - New Zealand TA - N Z Med J JT - The New Zealand medical journal JID - 0401067 RN - 0 (Antipsychotic Agents) RN - 0 (Dibenzothiazepines) RN - 2S3PL1B6UJ (Quetiapine Fumarate) SB - IM MH - Antipsychotic Agents/*therapeutic use MH - Behavior MH - Dementia/*drug therapy/*psychology MH - Dibenzothiazepines/*therapeutic use MH - Humans MH - Quetiapine Fumarate MH - Randomized Controlled Trials as Topic EDAT- 2011/09/29 06:00 MHDA- 2011/12/13 00:00 CRDT- 2011/09/28 06:00 PHST- 2011/09/28 06:00 [entrez] PHST- 2011/09/29 06:00 [pubmed] PHST- 2011/12/13 00:00 [medline] PST - epublish SO - N Z Med J. 2011 Jun 10;124(1336):39-50.