Trends in the use of psychotropics in older people with dementia

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A recent register-based study has examined the impact of Finland's revised clinical guidelines for the treatment of dementia, published in 2017, on the trend of users of psychotropics in older people with dementia in 2009–2020. The work is published in the journal Age and Ageing.

did not reduce the use of psychotropics in the treatment of behavioral symptoms, despite a recommendation to avoid psychotropics. However, there was a slight reduction in the number of new users of psychotropics.

Effectiveness assessment regarding the implementation of the national clinical guidelines is hampered by the lack of a control group, and awareness of new guidelines also tends to spread gradually. Other concurrent societal changes, such as changes in medication prices or reimbursements, also make it more difficult to assess effectiveness.

The register-based data included all anti-dementia medication purchases made by Finns 65 years of age or older in 2009–2020 . The use of psychotropics was monitored before and after the publication of the revised clinical guidelines for dementia. The dissemination of evidence-based information, i.e., the implementation of the clinical guidelines, has not been studied atin Finland before from the Finnish Prescription Register maintained by the Social Insurance Institution of Finland.

 

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Finnish study finds revised dementia guidelines did not reduce psychotropic useA recent register-based study examined the impact of Finland's revised clinical guidelines for the treatment of dementia, published in 2017, on the trend of users of psychotropics in older people with dementia in 2009-2020.
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