Evidence map›Paper›PMID 42249271›Full record

ArticleBMC geriatrics2026

Theoretical impact of a mobile team dedicated to patients with Alzheimer's disease and related dementias on medication exposure in community-dwelling older patients (MEMORIAS study).

Victor El-Jammal, Frederic Gervais, Gaelle Richard, Alexis Lepetit, Christelle Mouchoux, Teddy Novais

Abstract read
In one paragraph

Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Victor El-JammalPharmaceutical Unit, Lyon Institute for Aging, Charpennes Hospital, Hospices Civils de Lyon, Lyon, France. victor.eljammal@hotmail.fr.
Frederic GervaisPharmaceutical Unit, Lyon Institute for Aging, Charpennes Hospital, Hospices Civils de Lyon, Lyon, France.
Gaelle RichardClinical and Research Memory Center of Lyon, Lyon Institute For Aging, Hospices Civils de Lyon, Lyon, France.
Alexis LepetitClinical and Research Memory Center of Lyon, Lyon Institute For Aging, Hospices Civils de Lyon, Lyon, France.
Christelle MouchouxPharmaceutical Unit, Lyon Institute for Aging, Charpennes Hospital, Hospices Civils de Lyon, Lyon, France.
Teddy NovaisPharmaceutical Unit, Lyon Institute for Aging, Charpennes Hospital, Hospices Civils de Lyon, Lyon, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlzheimer's disease and related dementias (ADRD) are frequently associated with behavioral and psychological symptoms of dementia (BPSD), which complicate care, increase medication exposure and cognitive iatrogenic risk. The mobile team for ADRD (MTAD) provides therapeutic recommendations for acute cases following home interventions.

objectivesThis study evaluated the theoretical impact of MTAD medication recommendations on medication exposure in community-dwelling older patients with neurocognitive disorders (NCD) and BPSD.

methodsThis retrospective single-center study included older patients with NCDs visited by MTAD. Medication exposure was evaluated theoretically, assuming full implementation of MTAD medication recommendations, based on medication number, prevalence of potentially inappropriate medications (PIMs) identified using the EU(7)-PIM list, and sedative/anticholinergic burden quantified by the Drug Burden Index (DBI). MTAD medication recommendations were classified.

resultsAmong 246 patients (mean age 83.9 years), MTAD recommendations would result in a significant reduction in PIMs per patient (0.91 versus 0.79, p < 0.001), with a significant increase in the overall and sedative DBI (0.55 versus 0.74, p < 0.001; 0.46 versus 0.65, p < 0.001, respectively), and number of prescribed medications (6.5 versus 6.9, p < 0.001), without change in the anticholinergic DBI (0.25 versus 0.26, p = 0.206). A total of 337 recommendations were issued, mainly additions (51%) and discontinuations (23%), primarily targeting psychotropics.

conclusionsThe theoretical implementation of MTAD recommendations for older patients with BPSD could reduce exposure to PIMs and may lead to an increased use of sedatives. However, further efforts are needed to optimize somatic treatments and minimize iatrogenic risks through comprehensive medication reviews.

Indexed as

Alzheimer DiseaseDementiaInappropriate PrescribingIndependent LivingPotentially Inappropriate Medication ListAgedAged, 80 and overAging in PlaceFemaleHumansMaleRetrospective StudiesAlzheimer’s diseaseCholinergic antagonistsHypnotics and SedativesPolypharmacyPotentially inappropriate medicationPsychotropic drugs

Identifiers

PMID42249271
PMCPMC13459323

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.