Evidence map›Paper›PMID 35160166›Full record

ReviewJournal of clinical medicine2022

Effectiveness of Interventions to Improve the Anticholinergic Prescribing Practice in Older Adults: A Systematic Review.

Mohammed S Salahudeen, Adel Alfahmi, Anam Farooq, Mehnaz Akhtar, Sana Ajaz, Saud Alotaibi, Manal Faiz, Sheraz Ali

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. It Is Time for Senescience.Journal of clinical medicine · 2022
    Article
  6. 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

8 authors.

Mohammed S SalahudeenSchool of Pharmacy and Pharmacology, University of Tasmania, Hobart 7001, Australia.ORCID 0000-0001-9131-7465
Adel AlfahmiSchool of Pharmacy and Pharmacology, University of Tasmania, Hobart 7001, Australia.ORCID 0000-0003-4152-4145
Anam FarooqPharmaceutical Care Department, Dr Sulaiman Al-Habib Hospital, Riyadh 12214, Saudi Arabia.
Mehnaz AkhtarShifa College of Pharmaceutical Sciences, Shifa Tmaeer-e-Millat University, Islamabad 44000, Pakistan.
Sana AjazShifa College of Pharmaceutical Sciences, Shifa Tmaeer-e-Millat University, Islamabad 44000, Pakistan.
Saud AlotaibiPharmaceutical Care Services, King Saud Medical City, Ministry of Health, Riyadh 12746, Saudi Arabia.
Manal FaizAzra Naheed Medical College, Superior University, Lahore 55150, Pakistan.
Sheraz AliSchool of Pharmacy and Pharmacology, University of Tasmania, Hobart 7001, Australia.ORCID 0000-0001-9557-0345

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPharmacotherapy in older adults is one of the most challenging aspects of patient care. Older people are prone to drug-related problems such as adverse effects, ineffectiveness, underdosage, overdosage, and drug interactions. Anticholinergic medications are associated with poor outcomes in older patients, and there is no specific intervention strategy for reducing drug burden from anticholinergic activity medications. Little is known about the effectiveness of current interventions that may likely improve the anticholinergic prescribing practice in older adults.

aimsThis review seeks to document all types of interventions aiming to reduce anticholinergic prescribing among older adults and assess the current evidence and quality of existing single and combined interventions.

methodsWe systematically searched MEDLINE, Embase, Cochrane Central Register of Controlled Trials, CINAHL, and PsycINFO from January 1990 to August 2021. Only studies that examined the effect of interventions in older people focused on improving compliance with anticholinergic prescribing guidelines with quantifiable data were included. The primary outcome of interest was to find the effectiveness of interventions that enhance the anticholinergic prescribing practice in older adults.

resultsWe screened 3168 records and ended up in 23 studies that met the inclusion criteria. We found only single-component interventions to reduce anticholinergic prescribing errors in older people. Pharmacists implemented interventions without collaboration in nearly half of the studies (

conclusionThis systematic review suggests that healthcare practitioner-oriented interventions have the potential to reduce the occurrence of anticholinergic prescribing errors in older people. Interventions were primarily effective in reducing the burden of anticholinergic medications and assisting with deprescribing anticholinergic medications in older adults.

Indexed as

anticholinergicsinterventionolder peopleprescribing

Identifiers

PMID35160166
PMCPMC8836376

What OpenQuestion holds

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Registered trials

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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.