Evidence map›Paper›PMID 32255485›Full record

ArticleAge and ageing2020

Frequency of and risk factors for potentially inappropriate medication use in Parkinson's disease.

Danielle S Abraham, Thanh Phuong Pham Nguyen, Sean Hennessy, Daniel Weintraub, Shelly L Gray, Dawei Xie, Allison W Willis

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Age and ageing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07627529 (Evaluating the Effect of Deprescribing Antimuscarinic Overactive Bladder Medications on Cognitive Function and Quality of Life of Individuals With Parkinson Disease), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 21% 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.

NCT07627529 phase4not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Evaluating the Effect of Deprescribing Antimuscarinic Overactive Bladder Medications on Cognitive Function and Quality of Life of Individuals With Parkinson Disease: A Pharmacist-led Series of N-of-1 Trials

TypeinterventionalSponsorCorporal Michael J. Crescenz VA Medical CenterRan2026 to 2027Enrolled20ConditionsParkinson Disease (PD)ArmsOveractive bladder antimuscarinic deprescribing
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Parkinson disease-associated cognitive impairment.Nature reviews. Disease primers · 2021
    Review
  10. Article
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

7 authors at 3 institutions in 1 country.

Danielle S AbrahamDepartment of Neurology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Thanh Phuong Pham NguyenDepartment of Neurology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Sean HennessyCenter for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Daniel WeintraubDepartment of Neurology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Shelly L GrayDepartment of Pharmacy, University of Washington School of Pharmacy, Seattle, WA, USA.
Dawei XieCenter for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Allison W WillisDepartment of Neurology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
University of Pennsylvania · USPhiladelphia VA Medical Center · USUniversity of Washington · US

Funding

Clinical Importance of Drug-Drug InteractionsR01AG025152 · NIA · UNIVERSITY OF PENNSYLVANIA · PI HENNESSY, SEAN, LI, LANG · 2006 to 2021
$8.1M
Drug interactions involving psychoactive drugsR01AG060975 · NIA · UNIVERSITY OF PENNSYLVANIA · PI Charles Edward Leonard · 2019 to 2026
$3.9M
Impact of Anticholinergic and Dopamine Receptor Blocking Drug Exposure on Parkinson Disease Trajectory and OutcomesR01NS099129 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI WILLIS, ALLISON · 2017 to 2021
$2.9M
NIA NIH HHS R01 AG025152NIA NIH HHS R01 AG060975NINDS NIH HHS R01 NS099129
6 · The paper itself

Abstract

backgroundimpairments in neurotransmitter pathways put Parkinson's disease (PD) patients at risk for drug-disease interactions and adverse medication events.

objectiveto determine the prevalence and risk factors for potentially inappropriate medication (PIM) prescriptions, as defined by the 2015 Beers List, in PD.

methodscross-sectional analysis was conducted on 2014 Medicare beneficiaries with PD who had parts A, B and D coverage. The prevalence of PIM prescriptions for older adults was determined overall, and specifically for medications that can exacerbate motor symptoms or cognitive impairment in PD. Logistic regression models were constructed to determine the association between age, sex, race, geography and poverty with PIM prescriptions.

resultsthe final sample included 458,086 beneficiaries. In 2014, 35.8% of beneficiaries with PD filled a prescription for at least one PIM for older adults. In total, 8.7% of beneficiaries received a PIM that could exacerbate motor symptoms and 29.0% received a PIM that could worsen cognitive impairment. After adjustment, in all models, beneficiaries who were younger, female, white, urban-dwelling and eligible for Medicaid benefits were more likely to receive a PIM.

conclusionPIM prescriptions are not uncommon in PD, particularly for medications that can exacerbate cognitive impairment. Future research will examine underlying drivers of sex and other disparities in PIM prescribing. Additional studies are needed to understand the impact of PIMs on disease symptoms, healthcare utilisation and patient outcomes.

Indexed as

Parkinson DiseasePotentially Inappropriate Medication ListAgedCross-Sectional StudiesFemaleHumansInappropriate PrescribingMedicareRisk FactorsUnited StatesBeers Criteriainappropriate prescribingolder peopleParkinson’s diseasepotentially inappropriate medication list

Identifiers

PMID32255485
PMCPMC7444670
OpenAlexW3014417941

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.