Evidence map›Paper›PMID 36539885›Full record

SynthesisBMC pharmacology & toxicology2022

Association between anticholinergic activity and xerostomia and/ or xerophthalmia in the elderly: systematic review.

E Prado-Mel, P Ciudad-Gutiérrez, H Rodríguez-Ramallo, S Sánchez-Fidalgo, B Santos-Ramos, A M Villalba-Moreno

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC pharmacology & toxicology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 13 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

E Prado-MelHospital Universitario Vírgen del Rocío(Pharmacy department), Andalucía, Seville, Spain.
P Ciudad-GutiérrezHospital Universitario Vírgen del Rocío(Pharmacy department), Andalucía, Seville, Spain.
H Rodríguez-RamalloHospital Universitario Vírgen del Rocío(Pharmacy department), Andalucía, Seville, Spain.
S Sánchez-FidalgoUniversity of Seville(Department of Preventive Medicine and Public Health), Andalucía, Seville, Spain. fidalgo@us.es.ORCID 0000-0002-3630-7122
B Santos-RamosHospital Universitario Vírgen del Rocío(Pharmacy department), Andalucía, Seville, Spain.
A M Villalba-MorenoHospital Universitario Vírgen del Rocío(Pharmacy department), Andalucía, Seville, Spain.
Hospital Universitario Virgen del Rocío · ESAndalusian Health Service · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this work was to investigate the association between anticholinergic burden or anticholinergic drug use and xerostomia and/or xerophtalmia in elderly through a systematic review of the published literature.

methodsA search was carried out in 3 databases (CINAHL, Embase and Pubmed). Studies conducted in people ≥65 years of age, who took anticholinergic medications, and measured the association between the anticholinergic burden or the use of these medications with the prevalence of xerostomia and / or xerophthalmia, published up to August 2022, were selected. Studies published in languages other than Spanish and/or English were excluded.

resultsOne thousand two hundred eleven articles were identified, 10 were selected for this review: six cross-sectional studies, two cohorts, one case-control and one randomized controlled clinical trial. A total of 3535 patients included in the different studies were studied. The most used scales were the Anticholinergic Drug Scale (ADS) and the Anticholinergic Risk Scale (ARS). Four articles studied the relationship between the use of anticholinergic medication and the prevalence of xerostomia and / or xerophthalmia, finding a positive relationship with xerostomia in all of them. Another 6 measured the relationship between anticholinergic burden and xerostomia and / or xerophthalmia. Four found a positive relationship between anticholinergic burden and xerostomia and/or xerophthalmia.

conclusionsOur findings suggest a clear relationship between the use of anticholinergic drugs or anticholinergic burden and the presence of xerostomia. This relationship was less conclusive in the case of xerophthalmia.

Indexed as

XerophthalmiaXerostomiaAgedCholinergic AntagonistsCross-Sectional StudiesHumansPrevalenceRandomized Controlled Trials as TopicCholinergic AntagonistsAnticholinergic burdenAnticholinergic drugsAnticholinergic scaleXerophthalmiaXerostomia

Identifiers

PMID36539885
PMCPMC9769019
OpenAlexW4312113603

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.