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. 2012 Sep 12;2012(9):CD009132. doi: 10.1002/14651858.CD009132.pub2

Salloway 2004

Methods 24‐week, multi‐centre, randomised, double‐blind, placebo‐controlled, parallel group study
Participants Country: USA
22 centres
270 individual randomised, aged 55 to 89 years
Selection criteria: generally healthy, living independently and capable of complying with testing procedures. Documented memory complaint, MMSE ≥ 24, CDR = 0.5, ADLs normal or only slightly impaired, delayed paragraph recall test (WMS‐R) below education‐matched norms and modified Hachinski ≤ 4
Exclusion criteria: HAM‐D > 12, possible or probably AD, drug or alcohol abuse/dependence in the last 5 years, poorly controlled diabetes or other medical conditions, or previous treatment with a cholinesterase inhibitor
Interventions 1. Donepezil 5 mg/day increased to 10 mg after 42 days
2. Placebo
Outcomes Change from baseline in NYU paragraph test delayed recall
CGIC‐MCI
Modified ADAS‐Cog
WMS‐R digit span backwards test
Symbol digit modalities test
NYU Paragraph test immediate recall
Neuropsychological test battery (Modified Boston naming, verbal fluency, maze and number cancellation tests)
Patient Global Assessment
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "randomised"
Allocation concealment (selection bias) Unclear risk Quote: "randomised in a 1:1 ratio"
Quote: "double‐blind"
Blinding (performance bias and detection bias) All outcomes Unclear risk Quote: "double‐blind"
Incomplete outcome data (attrition bias) All outcomes Low risk Efficacy analyses used last observation carried forward in 3 populations, including "observed cases" and the "fully evaluable" population
Selective reporting (reporting bias) Low risk All outcomes reported
Other bias Low risk No additional biases