Evidence map›Paper›PMID 42802498›Full record

ArticleLower urinary tract symptoms2026

Sex Differences in Prescribing Patterns of Anticholinergics and β3-Adrenoceptor Agonists for Overactive Bladder: A Nationwide Study in Japan, FY2017-FY2024.

Toshikazu Koike, Takashi Kawahara, Akihito Hashizume, Masanobu Yamazaki, Daiji Takamoto, Hiroki Ito, Teppei Takeshima, Hiroji Uemura, Kazuhide Makiyama, Jun-Ichi Teranishi

Abstract read
In one paragraph

Article in Lower urinary tract symptoms, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Toshikazu KoikeDepartments of Urology and Renal Transplantation, Yokohama City University Medical Center, Yokohama, Japan.
Takashi KawaharaDepartments of Urology and Renal Transplantation, Yokohama City University Medical Center, Yokohama, Japan.ORCID https://orcid.org/0000-0002-7049-3379
Akihito HashizumeDepartments of Urology and Renal Transplantation, Yokohama City University Medical Center, Yokohama, Japan.ORCID https://orcid.org/0009-0008-1054-0779
Masanobu YamazakiDepartments of Urology and Renal Transplantation, Yokohama City University Medical Center, Yokohama, Japan.
Daiji TakamotoDepartments of Urology and Renal Transplantation, Yokohama City University Medical Center, Yokohama, Japan.
Hiroki ItoDepartments of Urology and Renal Transplantation, Yokohama City University Medical Center, Yokohama, Japan.ORCID https://orcid.org/0000-0002-4433-370X
Teppei TakeshimaDepartments of Urology and Renal Transplantation, Yokohama City University Medical Center, Yokohama, Japan.ORCID https://orcid.org/0000-0003-2733-5487
Hiroji UemuraDepartments of Urology and Renal Transplantation, Yokohama City University Medical Center, Yokohama, Japan.
Kazuhide MakiyamaDepartment of Urology, Graduate School of Medicine, Yokohama City University, Yokohama, Japan.ORCID https://orcid.org/0000-0002-7449-2015
Jun-Ichi TeranishiDepartments of Urology and Renal Transplantation, Yokohama City University Medical Center, Yokohama, Japan.ORCID https://orcid.org/0000-0003-1499-546X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDrug treatment for overactive bladder (OAB) is changing, with an increasing share of β3-adrenoceptor agonists relative to anticholinergics, but it is not known how far this change has progressed in older people, who are most vulnerable to the risks of anticholinergics. We examined the use of these drugs in Japan by age and sex, and analyzed changes in anticholinergic burden using a large database.

methodsWe analyzed outpatient prescriptions of two β3-adrenoceptor agonists and six anticholinergics from FY2017 to FY2024, using the sex- and age-stratified tables of the NDB Open Data of Japan. Dispensed tablets were converted into patient-days, and the β3-adrenoceptor agonist share was calculated. Anticholinergic burden was measured as ACB-weighted prescription volume (patient-days multiplied by the anticholinergic cognitive burden score). Because FY2021-FY2022 was a period of nationwide generic supply disruption, FY2018 and FY2024 were used as endpoints when estimating change over time.

resultsThe β3-adrenoceptor agonist share rose from 36.2% to 64.9%, but anticholinergic use fell only slightly (3.10 × 10

conclusionsThe β3-adrenoceptor agonist share for OAB has continued to increase in Japan, but this change appears slower in older women, in whom anticholinergic exposure remains high.

Indexed as

Adrenergic beta-3 Receptor AgonistsCholinergic AntagonistsDrug PrescriptionsPractice Patterns, Physicians'Urinary Bladder, OveractiveAdultAgedAged, 80 and overFemaleHumansJapanMaleMiddle AgedSex FactorsAdrenergic beta-3 Receptor AgonistsCholinergic Antagonistsagedanticholinergic agentsanticholinergic cognitive burdenoveractive bladderpharmacoepidemiologyprescription drugssex characteristicsβ3‐adrenoceptor agonists

Identifiers

PMID42802498
PMCPMC13617172

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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.