Meta-analysis on the effectiveness of patient-centered care among patients with dementia

ABSTRACT

Background@#Dementia is a chronic progressive disease that ultimately affects the patient’s quality of life. It is therefore important to manage and treat patients with the disease holistically, addressing other factors such as the patient’s lifestyle, family problems and even economic strains.@*Objective@#This meta-analysis was conducted to determine the effectiveness of a patient-centered intervention among patients with dementia as the primary objective.@*Methods@#A meta-analysis of studies was done on elderly patients diagnosed with dementia undergoing usual care or patientcentered care. Eligible studies for the meta-analysis were searched on electronic databases of Pubmed, Cochrane, Grey Literature and by cross referencing. Three review authors independently carried out all aspects of study selection, ‘risk of bias’ assessment and data extraction. RevMan 5 software was used in the analysis of gathered data.@*Results@#Results in favor of patient centered care interventions were seen in the studies. In the analyses of 3 studies pertaining to the improvement of quality of life as measured by QUALID, QOD AD and EURO QL scale, the combined results were noted to favor the intervention over the control. Pooled results showed effectiveness favoring PCC intervention as compared to usual care (mean difference 0.26, 95% CI -1.31, 0.80), though not statistically significant.@*Conclusion@#Patient-centered care intervention is effective in improving the quality of life of patients with dementia. PCC should be initiated whenever possible from the time of dementia diagnosis and through the stages of the diseas