Evidence map›Paper›PMID 26221005›Full record

SynthesisThe international journal of neuropsychopharmacology2015

Cholinesterase Inhibitors for Lewy Body Disorders: A Meta-Analysis.

Shinji Matsunaga, Taro Kishi, Ichiro Yasue, Nakao Iwata

Erratum issuedOpen access · goldAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in The international journal of neuropsychopharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. A spatial covarianceJournal of neurology · 2025
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  6. Cognition and Activity of Daily Living Function in people with Parkinson's disease.Journal of neural transmission (Vienna, Austria : 1996) · 2024
    Review
  7. Article
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  9. Review
  10. Paradigm Shift: Multiple Potential Pathways to Neurodegenerative Dementia.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Immunotherapies for Aging-Related Neurodegenerative Diseases-Emerging Perspectives and New Targets.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2020
    Review
  17. Cholinergic muscarinic MBrain communications · 2020
    Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Shinji MatsunagaDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan (Drs Matsunaga, Kishi, Yasue, and Iwata). shinjim@fujita-hu.ac.jp tarok@fujita-hu.ac.jp.
Taro KishiDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan (Drs Matsunaga, Kishi, Yasue, and Iwata). shinjim@fujita-hu.ac.jp tarok@fujita-hu.ac.jp.
Ichiro YasueDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan (Drs Matsunaga, Kishi, Yasue, and Iwata).
Nakao IwataDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan (Drs Matsunaga, Kishi, Yasue, and Iwata).
Fujita Health University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe performed a meta-analysis of cholinesterase inhibitors for patients with Lewy body disorders, such as Parkinson's disease, Parkinson's disease dementia, and dementia with Lewy bodies.

methodsThe meta-analysis included only randomized controlled trials of cholinesterase inhibitors for Lewy body disorders.

resultsSeventeen studies (n = 1798) were assessed. Cholinesterase inhibitors significantly improved cognitive function (standardized mean difference [SMD] = -0.53], behavioral disturbances (SMD = -0.28), activities of daily living (SMD = -0.28), and global function (SMD = -0.52) compared with control treatments. Changes in motor function were not significantly different from control treatments. Furthermore, the cholinesterase inhibitor group had a higher all-cause discontinuation (risk ratio [RR] = 1.48, number needed to harm [NNH] = 14), discontinuation due to adverse events (RR = 1.59, NNH = 20), at least one adverse event (RR = 1.13, NNH = 11), nausea (RR = 2.50, NNH = 13), and tremor (RR = 2.30, NNH = 20).

conclusionsCholinesterase inhibitors appear beneficial for the treatment of Lewy body disorders without detrimental effects on motor function. However, a careful monitoring of treatment compliance and side effects is required.

Indexed as

Cholinesterase InhibitorsHumansLewy Body DiseaseRandomized Controlled Trials as TopicCholinesterase Inhibitorscholinesterase inhibitorsdementia with Lewy bodiesLewy body disordersmeta-analysisParkinson’s disease

Identifiers

PMID26221005
PMCPMC4772820
OpenAlexW1825856938

What Socratic 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 Socratic graph.