<i>Ginkgo biloba</i> Extract Prescriptions Are Associated with Slower Progression of Dementia Severity—Analysis of Longitudinal Real-World Data

Background/Objectives: Previous research indicates that <i>Ginkgo biloba</i> extract (Gbe) may contribute to slowing down the progression of dementia. This retrospective cohort study analyzed the association between Gbe prescriptions and the progression of dementia severity in a real-wor...

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Main Authors: Jens Bohlken, André Hajek, Martin Burkart, Karel Kostev
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Brain Sciences
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Online Access:https://www.mdpi.com/2076-3425/15/1/12
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author Jens Bohlken
André Hajek
Martin Burkart
Karel Kostev
author_facet Jens Bohlken
André Hajek
Martin Burkart
Karel Kostev
author_sort Jens Bohlken
collection DOAJ
description Background/Objectives: Previous research indicates that <i>Ginkgo biloba</i> extract (Gbe) may contribute to slowing down the progression of dementia. This retrospective cohort study analyzed the association between Gbe prescriptions and the progression of dementia severity in a real-world setting. Methods: This study was conducted using data from patients with an initial diagnosis of mild or moderate dementia between January 2005 and December 2022 from the IQVIA™ Disease Analyzer database. The follow-up period was up to 10 years. The association between Gbe prescription and dementia severity progression was assessed by Kaplan–Meier analysis and Cox regression, with adjustments made for age, sex, health insurance status, physician specialty, co-prescription of antidementia drugs, and co-diagnoses. Results: A total of 4765 patients were included, of whom 177 were prescribed Gbe. The cumulative incidence of dementia severity progression was 12.7% for patients with Gbe prescription and 22.1% for those without. Gbe prescription was associated with a significantly decreased risk of dementia severity progression (hazard ratio: 0.50; 95% CI: 0.27–0.95), both in patients with mild (HR: 0.44; 95% CI: 0.22–0.90) and moderate dementia (HR: 0.24; 95% CI: 0.06–0.98). Conclusions: This study provides evidence that Gbe prescription is associated with a reduced risk of dementia severity progression in a real-world setting.
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spelling doaj-art-6341ca5e59e64b57a1174c39581f849d2025-01-24T13:25:39ZengMDPI AGBrain Sciences2076-34252024-12-011511210.3390/brainsci15010012<i>Ginkgo biloba</i> Extract Prescriptions Are Associated with Slower Progression of Dementia Severity—Analysis of Longitudinal Real-World DataJens Bohlken0André Hajek1Martin Burkart2Karel Kostev3Institute of Social Medicine, Occupational Health and Public Health, Faculty of Medicine, University of Leipzig, 04103 Leipzig, GermanyDepartment of Health Economics and Health Services Research, University Medical Center, 20246 Hamburg, GermanyGlobal Medical Affairs, Dr. Schwabe Holding SE & Co. KG, 76227 Karlsruhe, GermanyEpidemiology, IQVIA, 60549 Frankfurt am Main, GermanyBackground/Objectives: Previous research indicates that <i>Ginkgo biloba</i> extract (Gbe) may contribute to slowing down the progression of dementia. This retrospective cohort study analyzed the association between Gbe prescriptions and the progression of dementia severity in a real-world setting. Methods: This study was conducted using data from patients with an initial diagnosis of mild or moderate dementia between January 2005 and December 2022 from the IQVIA™ Disease Analyzer database. The follow-up period was up to 10 years. The association between Gbe prescription and dementia severity progression was assessed by Kaplan–Meier analysis and Cox regression, with adjustments made for age, sex, health insurance status, physician specialty, co-prescription of antidementia drugs, and co-diagnoses. Results: A total of 4765 patients were included, of whom 177 were prescribed Gbe. The cumulative incidence of dementia severity progression was 12.7% for patients with Gbe prescription and 22.1% for those without. Gbe prescription was associated with a significantly decreased risk of dementia severity progression (hazard ratio: 0.50; 95% CI: 0.27–0.95), both in patients with mild (HR: 0.44; 95% CI: 0.22–0.90) and moderate dementia (HR: 0.24; 95% CI: 0.06–0.98). Conclusions: This study provides evidence that Gbe prescription is associated with a reduced risk of dementia severity progression in a real-world setting.https://www.mdpi.com/2076-3425/15/1/12dementiaAlzheimer’s disease<i>Ginkgo biloba</i> extractcognitive impairmentphytomedicineretrospective study
spellingShingle Jens Bohlken
André Hajek
Martin Burkart
Karel Kostev
<i>Ginkgo biloba</i> Extract Prescriptions Are Associated with Slower Progression of Dementia Severity—Analysis of Longitudinal Real-World Data
Brain Sciences
dementia
Alzheimer’s disease
<i>Ginkgo biloba</i> extract
cognitive impairment
phytomedicine
retrospective study
title <i>Ginkgo biloba</i> Extract Prescriptions Are Associated with Slower Progression of Dementia Severity—Analysis of Longitudinal Real-World Data
title_full <i>Ginkgo biloba</i> Extract Prescriptions Are Associated with Slower Progression of Dementia Severity—Analysis of Longitudinal Real-World Data
title_fullStr <i>Ginkgo biloba</i> Extract Prescriptions Are Associated with Slower Progression of Dementia Severity—Analysis of Longitudinal Real-World Data
title_full_unstemmed <i>Ginkgo biloba</i> Extract Prescriptions Are Associated with Slower Progression of Dementia Severity—Analysis of Longitudinal Real-World Data
title_short <i>Ginkgo biloba</i> Extract Prescriptions Are Associated with Slower Progression of Dementia Severity—Analysis of Longitudinal Real-World Data
title_sort i ginkgo biloba i extract prescriptions are associated with slower progression of dementia severity analysis of longitudinal real world data
topic dementia
Alzheimer’s disease
<i>Ginkgo biloba</i> extract
cognitive impairment
phytomedicine
retrospective study
url https://www.mdpi.com/2076-3425/15/1/12
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