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Getting the message across

Dr Will Stahl-Timmins
Associate Research Fellow
ECEHH - European Centre for Environment and Human Health
Graphic 1 - Pharma Transport Town
Graphic 2 - GOfER
ECEHH - European Centre for Environment and Human Health
Graphic 1 - Pharma Transport Town
Graphic 2 - GOfER
ECEHH - European Centre for Environment and Human Health
Graphic 1 - Pharma Transport Town
Graphic 2 - GOfER
Future plans:

      Policy version (EEA)

 Health Professionals version

General Public version (exhibit)
ECEHH - European Centre for Environment and Human Health
Graphic 1 - Pharma Transport Town
Graphic 2 - GOfER
GOfER
Graphical Overview for Evidence Reviews
outcome measures used
                    no. of              design, size                     baseline                                study       cog func be glo
 author location   centres              & follow-up                       MMSE             sex        ages      quality




                                                                                                                             ADCS-ADL




                                                                                                                            ADCS-CGIC
                                                                                                                              ADAS-cog


                                                                                                                                  other



                                                                                                                                  other

                                                                                                                                  other
                                                                                                                                CIBIC
                                                                                                                                MMSE



                                                                                                                                 DAD
                                                                                                                                  PDS




                                                                                                                                  CDR

                                                                                                                                  QoL
                                                                                                                                   SIB




                                                                                                                                   NPI


                                                                                                                                  GDS
                                        0yr         1          2     0    10   20 30                 55 75 95

                                              Donepezil 1mg N = 42                     M         F
 Rogers &                                                                                                           Rand
                                              Donepezil 3mg N = 40                     M         F
                     ?       N = 161          Donepezil 5mg N = 39                     M         F
                                                                                                                    Char
                                                                                                                    Blind
                                                                                                                    Analy
                                                                                                                                                    1mg
                                                                                                                                                    3mg
    1996                                                                                         F
                                              Placebo N = 40                           M                                                            5mg

                                         Donepezil 5mg N = 154
                                                                                       M         F                                                  5mg
Rogers et al.                                                                                                       Rand
                                                                                       M         F                  Char                            10
                                         Donepezil 10mg N = 157                                                     Blind                           mg
 1998 (A)                    N = 473                                                                                Analy
                                                                                       M         F
                                         Placebo N = 162
                                         Donepezil 5mg N = 157
                                                                                       M         F                                                  5mg
Rogers et al.                                                                                                       Rand
                                                                                       M         F                  Char                            10
                                         Donepezil 10mg N = 158                                                                                     mg
                                                                                                                    Blind
  1998 (B)                   N = 468                                                                                Analy
                                                                                       M         F
                                         Placebo N = 153
                                         Donepezil 5mg N = 271
                                                                                       M         F                                                  5mg
 Burns et al.                                                                                                       Rand
                                                                                       M         F                  Char                            10mg
                                         Donepezil 10mg N = 273                                                     Blind
    1999                                                                                                            Analy
                             N = 818                                                   M         F
                                         Placebo N = 274

 Greenberg                               Donepezil 5mg (D)
                                                                                                                    Rand
   et al.                                      group 1 (p-D-p-p) N=30                  M         F                  Char
                                               group 2 (p-p-D-p) N=30                  M         F                  Blind
                               N = 60                                                                               Analy
    2000                                 Placebo (p)

                                         Donepezil 5mg N = 134
Homma et al.                                                                           M         F                  Rand
                                                                                                                    Char
                                                                                                                    Blind
    2000                     N = 268                                                   M         F                  Analy
                                         Placebo N = 129

                                         Donepezil 10mg N = 214
 Mohs et al.                                                                           M         F                  Rand
                                                                                                                    Char




                                                                                                                            ADCS-CGIC
                                                                                                                            ADCS-ADL
                                                                                                                    Blind




                                                                                                                            ADAS-cog
    2001                     N = 431                                                   M         F                  Analy




                                                                                                                            MMSE




                                                                                                                            CIBIC
                                         Placebo N = 217




                                                                                                                            DAD
                                                                                                                            other



                                                                                                                            other

                                                                                                                            other


                                                                                                                            CDR
                                                                                                                            GDS
                                                                                                                            PDS




                                                                                                                            QoL
                                                                                                                            NPI
                                                                                                                            SIB
                                        0yr         1          2     0    10   20 30                 55 75 95               cog   func be   glo
Mean task time
(% of total task time)      Error Bars: 95% CI



  20%




  15%

                                                 two-sample t(69) = 4.4
                                                 p < 0.001
  10%




   5%




   0%

                  Report   GOfER
                           COGS
task accuracy

   GOfER: 74.3%
   report:        46.4%




c2 (1, N = 63) = 5.12, p = 0.024
outcome measures used
                    no. of              design, size                     baseline                                study       cog func be glo
 author location   centres              & follow-up                       MMSE             sex        ages      quality




                                                                                                                             ADCS-ADL




                                                                                                                            ADCS-CGIC
                                                                                                                              ADAS-cog


                                                                                                                                  other



                                                                                                                                  other

                                                                                                                                  other
                                                                                                                                CIBIC
                                                                                                                                MMSE



                                                                                                                                 DAD
                                                                                                                                  PDS




                                                                                                                                  CDR

                                                                                                                                  QoL
                                                                                                                                   SIB




                                                                                                                                   NPI


                                                                                                                                  GDS
                                        0yr         1          2     0    10   20 30                 55 75 95

                                              Donepezil 1mg N = 42                     M         F
 Rogers &                                                                                                           Rand
                                              Donepezil 3mg N = 40                     M         F
                     ?       N = 161          Donepezil 5mg N = 39                     M         F
                                                                                                                    Char
                                                                                                                    Blind
                                                                                                                    Analy
                                                                                                                                                    1mg
                                                                                                                                                    3mg
    1996                                                                                         F
                                              Placebo N = 40                           M                                                            5mg

                                         Donepezil 5mg N = 154
                                                                                       M         F                                                  5mg
Rogers et al.                                                                                                       Rand
                                                                                       M         F                  Char                            10
                                         Donepezil 10mg N = 157                                                     Blind                           mg
 1998 (A)                    N = 473                                                                                Analy
                                                                                       M         F
                                         Placebo N = 162
                                         Donepezil 5mg N = 157
                                                                                       M         F                                                  5mg
Rogers et al.                                                                                                       Rand
                                                                                       M         F                  Char                            10
                                         Donepezil 10mg N = 158                                                                                     mg
                                                                                                                    Blind
  1998 (B)                   N = 468                                                                                Analy
                                                                                       M         F
                                         Placebo N = 153
                                         Donepezil 5mg N = 271
                                                                                       M         F                                                  5mg
 Burns et al.                                                                                                       Rand
                                                                                       M         F                  Char                            10mg
                                         Donepezil 10mg N = 273                                                     Blind
    1999                                                                                                            Analy
                             N = 818                                                   M         F
                                         Placebo N = 274

 Greenberg                               Donepezil 5mg (D)
                                                                                                                    Rand
   et al.                                      group 1 (p-D-p-p) N=30                  M         F                  Char
                                               group 2 (p-p-D-p) N=30                  M         F                  Blind
                               N = 60                                                                               Analy
    2000                                 Placebo (p)

                                         Donepezil 5mg N = 134
Homma et al.                                                                           M         F                  Rand
                                                                                                                    Char
                                                                                                                    Blind
    2000                     N = 268                                                   M         F                  Analy
                                         Placebo N = 129

                                         Donepezil 10mg N = 214
 Mohs et al.                                                                           M         F                  Rand
                                                                                                                    Char




                                                                                                                            ADCS-CGIC
                                                                                                                            ADCS-ADL
                                                                                                                    Blind




                                                                                                                            ADAS-cog
    2001                     N = 431                                                   M         F                  Analy




                                                                                                                            MMSE




                                                                                                                            CIBIC
                                         Placebo N = 217




                                                                                                                            DAD
                                                                                                                            other



                                                                                                                            other

                                                                                                                            other


                                                                                                                            CDR
                                                                                                                            GDS
                                                                                                                            PDS




                                                                                                                            QoL
                                                                                                                            NPI
                                                                                                                            SIB
                                        0yr         1          2     0    10   20 30                 55 75 95               cog   func be   glo
ECEHH - European Centre for Environment and Human Health
Graphic 1 - Pharma Transport Town
Graphic 2 - GOfER
w.stahl-timmins@exeter.ac.uk

www.ecehh.org
blog.willstahl.com

Twitter: @will_s_t

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Wst chem21

  • 1. Getting the message across Dr Will Stahl-Timmins Associate Research Fellow
  • 2. ECEHH - European Centre for Environment and Human Health Graphic 1 - Pharma Transport Town Graphic 2 - GOfER
  • 3. ECEHH - European Centre for Environment and Human Health Graphic 1 - Pharma Transport Town Graphic 2 - GOfER
  • 4.
  • 5.
  • 6.
  • 7. ECEHH - European Centre for Environment and Human Health Graphic 1 - Pharma Transport Town Graphic 2 - GOfER
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14. Future plans: Policy version (EEA) Health Professionals version General Public version (exhibit)
  • 15. ECEHH - European Centre for Environment and Human Health Graphic 1 - Pharma Transport Town Graphic 2 - GOfER
  • 16. GOfER Graphical Overview for Evidence Reviews
  • 17. outcome measures used no. of design, size baseline study cog func be glo author location centres & follow-up MMSE sex ages quality ADCS-ADL ADCS-CGIC ADAS-cog other other other CIBIC MMSE DAD PDS CDR QoL SIB NPI GDS 0yr 1 2 0 10 20 30 55 75 95 Donepezil 1mg N = 42 M F Rogers & Rand Donepezil 3mg N = 40 M F ? N = 161 Donepezil 5mg N = 39 M F Char Blind Analy 1mg 3mg 1996 F Placebo N = 40 M 5mg Donepezil 5mg N = 154 M F 5mg Rogers et al. Rand M F Char 10 Donepezil 10mg N = 157 Blind mg 1998 (A) N = 473 Analy M F Placebo N = 162 Donepezil 5mg N = 157 M F 5mg Rogers et al. Rand M F Char 10 Donepezil 10mg N = 158 mg Blind 1998 (B) N = 468 Analy M F Placebo N = 153 Donepezil 5mg N = 271 M F 5mg Burns et al. Rand M F Char 10mg Donepezil 10mg N = 273 Blind 1999 Analy N = 818 M F Placebo N = 274 Greenberg Donepezil 5mg (D) Rand et al. group 1 (p-D-p-p) N=30 M F Char group 2 (p-p-D-p) N=30 M F Blind N = 60 Analy 2000 Placebo (p) Donepezil 5mg N = 134 Homma et al. M F Rand Char Blind 2000 N = 268 M F Analy Placebo N = 129 Donepezil 10mg N = 214 Mohs et al. M F Rand Char ADCS-CGIC ADCS-ADL Blind ADAS-cog 2001 N = 431 M F Analy MMSE CIBIC Placebo N = 217 DAD other other other CDR GDS PDS QoL NPI SIB 0yr 1 2 0 10 20 30 55 75 95 cog func be glo
  • 18. Mean task time (% of total task time) Error Bars: 95% CI 20% 15% two-sample t(69) = 4.4 p < 0.001 10% 5% 0% Report GOfER COGS
  • 19. task accuracy GOfER: 74.3% report: 46.4% c2 (1, N = 63) = 5.12, p = 0.024
  • 20. outcome measures used no. of design, size baseline study cog func be glo author location centres & follow-up MMSE sex ages quality ADCS-ADL ADCS-CGIC ADAS-cog other other other CIBIC MMSE DAD PDS CDR QoL SIB NPI GDS 0yr 1 2 0 10 20 30 55 75 95 Donepezil 1mg N = 42 M F Rogers & Rand Donepezil 3mg N = 40 M F ? N = 161 Donepezil 5mg N = 39 M F Char Blind Analy 1mg 3mg 1996 F Placebo N = 40 M 5mg Donepezil 5mg N = 154 M F 5mg Rogers et al. Rand M F Char 10 Donepezil 10mg N = 157 Blind mg 1998 (A) N = 473 Analy M F Placebo N = 162 Donepezil 5mg N = 157 M F 5mg Rogers et al. Rand M F Char 10 Donepezil 10mg N = 158 mg Blind 1998 (B) N = 468 Analy M F Placebo N = 153 Donepezil 5mg N = 271 M F 5mg Burns et al. Rand M F Char 10mg Donepezil 10mg N = 273 Blind 1999 Analy N = 818 M F Placebo N = 274 Greenberg Donepezil 5mg (D) Rand et al. group 1 (p-D-p-p) N=30 M F Char group 2 (p-p-D-p) N=30 M F Blind N = 60 Analy 2000 Placebo (p) Donepezil 5mg N = 134 Homma et al. M F Rand Char Blind 2000 N = 268 M F Analy Placebo N = 129 Donepezil 10mg N = 214 Mohs et al. M F Rand Char ADCS-CGIC ADCS-ADL Blind ADAS-cog 2001 N = 431 M F Analy MMSE CIBIC Placebo N = 217 DAD other other other CDR GDS PDS QoL NPI SIB 0yr 1 2 0 10 20 30 55 75 95 cog func be glo
  • 21. ECEHH - European Centre for Environment and Human Health Graphic 1 - Pharma Transport Town Graphic 2 - GOfER