Evidence map›Paper›PMID 19843646›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2010

Potentially inappropriate medication use in older adults with mild cognitive impairment.

Andrea L Weston, Andrea M Weinstein, Cynthia Barton, Kristine Yaffe

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.

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  20. Long-term cognitive and functional effects of potentially inappropriate medications in older women.The journals of gerontology. Series A, Biological sciences and medical sciences · 2014
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Andrea L WestonDepartment of Geriatric Psychiatry, San Francisco Veterans Affairs Medical Center, California, USA. andrea.weston@ucsf.edu
Andrea M Weinstein
Cynthia Barton
Kristine Yaffe
San Francisco VA Medical Center · USNorthern California Institute for Research and Education · USUniversity of California, San Francisco · US

Funding

Predictors & Outcomes of Cognitive Trajectories in the Oldest OldK24AG031155 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI YAFFE, KRISTINE · 2007 to 2020
$1.5M
NIA NIH HHS 1K24AG031155-01
6 · The paper itself

Abstract

backgroundPatients with mild cognitive impairment (MCI) may be especially vulnerable to the side effects of potentially inappropriate medications (PIMs), especially those that impair cognition.

methodsWe conducted a cross-sectional study to determine the prevalence of PIM use among 689 patients with MCI. We used the 2003 Beers Criteria for cognitive impairment to identify PIMs. We then determined if certain patients were more likely to use PIMs.

resultsThere were 143 (20.8%) patients with MCI taking a PIM: 108 (15.7%) patients were taking one PIM and 35 (5.1%) patients were taking two or more PIMs. The most common PIMs were anticholinergics (35.7%) and benzodiazepines (31.5%). Patients were more likely to be taking PIMs if they were women and were taking a greater number of medications and less likely if they had a history of myocardial infarction.

conclusionsPatients with MCI are frequently taking PIMs that may negatively affect cognition. Future research is needed to assess whether cognitive impairment symptoms are improved if PIM use is reduced.

Indexed as

AgedCaliforniaCognition DisordersCross-Sectional StudiesFemaleFollow-Up StudiesHumansMaleMedication ErrorsPrevalencePrognosisRetrospective StudiesRisk Factors

Identifiers

PMID19843646
PMCPMC2904596
OpenAlexW2134352613

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.