Evidence map›Paper›PMID 37313633›Full record

ArticleGeriatrics & gerontology international2023

Development of a pharmacological evidence-based anticholinergic burden scale for medications commonly used in older adults.

Shizuo Yamada, Masae Mochizuki, Junko Chimoto, Risa Futokoro, Satomi Kagota, Kazumasa Shinozuka

Open access · hybridAbstract read
In one paragraph

Article in Geriatrics & gerontology international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 9% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Anticholinergic Medication Burden Scales: A Systematic Review.Journal of the American Geriatrics Society · 2026
    Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Ikigai in aging hearts: Japan's approach to cardiovascular care.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    Review
  7. Observational
  8. 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

6 authors at 2 institutions in 1 country.

Shizuo YamadaCenter for Pharma-Food Research (CPFR), Graduate School of Pharmaceutical Sciences, University of Shizuoka, Shizuoka, Japan.ORCID https://orcid.org/0000-0002-5915-9863
Masae MochizukiCenter for Pharma-Food Research (CPFR), Graduate School of Pharmaceutical Sciences, University of Shizuoka, Shizuoka, Japan.
Junko ChimotoCenter for Pharma-Food Research (CPFR), Graduate School of Pharmaceutical Sciences, University of Shizuoka, Shizuoka, Japan.
Risa FutokoroSchool of Pharmacy and Pharmaceutical Sciences, Mukogawa Women's University, Nishinomiya, Japan.
Satomi KagotaSchool of Pharmacy and Pharmaceutical Sciences, Mukogawa Women's University, Nishinomiya, Japan.
Kazumasa ShinozukaSchool of Pharmacy and Pharmaceutical Sciences, Mukogawa Women's University, Nishinomiya, Japan.
Mukogawa Women's University · JPUniversity of Shizuoka · JP

Funding

University of Shizuoka
6 · The paper itself

Abstract

aimThe present study aimed to develop a pharmacological evidence-based anticholinergic burden scale (ABS) through a direct assessment of muscarinic receptor-binding activities of 260 medications commonly used in older adults.

methodsThe muscarinic receptor-binding activities of 260 drugs were assessed by the displacement of specific [N-methyl-

resultsIn total, 96 of 260 drugs displayed concentration-dependent muscarinic receptor binding in rat brain. Based on muscarinic receptor-binding activity (IC

conclusionsTo our knowledge, the present study developed the first comprehensive pharmacological evidence-based ABS of drugs based on muscarinic receptor-binding activity, which provides guidance as to which drugs may be discontinued to reduce anticholinergic burden. Geriatr Gerontol Int 2023; 23: 558-564.

Indexed as

Cholinergic AntagonistsScopolamineAgedAnimalsHumansRatsReceptors, MuscarinicCholinergic AntagonistsReceptors, MuscarinicScopolamineanticholinergic burdenJapanmedication listsmuscarinic receptors

Identifiers

PMID37313633
PMCPMC11503540
OpenAlexW4380577169

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.