Evidence map›Paper›PMID 39677584›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)

The relationship between anticholinergic burden and frailty in the year preceding a diagnosis of dementia with Lewy bodies.

Kathryn A Wyman-Chick, Matthew J Barrett, Michael J Miller, Lana Sargent, Ella A B Chrenka, Joseph P M Kane, Samuel J Crowley, Jennifer L Kuntz, Sotirios A Parashos, John T Schousboe and 3 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Kathryn A Wyman-ChickHealthPartners Institute Bloomington Minnesota USA.
Matthew J BarrettVirginia Commonwealth University Richmond Virginia USA.
Michael J MillerMid Atlantic Permanente Research Institute Rockville Maryland USA.
Lana SargentVirginia Commonwealth University Richmond Virginia USA.
Ella A B ChrenkaHealthPartners Institute Bloomington Minnesota USA.
Joseph P M KaneCenter for Public Health, Institute of Clinical Sciences Belfast B, Royal Victoria Hospital, Queens University Belfast Belfast Northern Ireland.
Samuel J CrowleyMedical University of South Carolina Charleston South Carolina USA.
Jennifer L KuntzKaiser Permanente Center for Health Research Portland Oregon USA.
Sotirios A ParashosHealthPartners Institute Bloomington Minnesota USA.
John T SchousboeHealthPartners Institute Bloomington Minnesota USA.
Huong NguyenDepartment of Research and Evaluation Kaiser Permanente Southern California Pasadena California USA.
Ann M WernerHealthPartners Institute Bloomington Minnesota USA.
Rebecca C RossomHealthPartners Institute Bloomington Minnesota USA.

Funding

Factors Associated with Healthcare Utilization Among Community-Dwelling Adults with Clinical Features of Dementia with Lewy BodiesR21AG074368 · NIA · HEALTHPARTNERS INSTITUTE · PI WYMAN-CHICK, KATHRYN A · 2021 to 2021
$441k
Development and characterization of EEG signature of cognitive fluctuations in Lewy body dementiaR21AG077469 · NIA · VIRGINIA COMMONWEALTH UNIVERSITY · PI BARRETT, MATTHEW JAMES, MUKHOPADHYAY, NITAI D. · 2022 to 2022
$427k
NIA NIH HHS R21 AG074368NIA NIH HHS R21 AG077469
6 · The paper itself

Abstract

introductionLittle is known regarding the relationship between anticholinergic medications and frailty in dementia with Lewy bodies (DLB).

methodsAnticholinergic Cognitive Burden Scale (ACB) and Claims-based Frailty Index scores were calculated for 12 months prior to the dementia diagnosis using electronic medical record and claims data. Logistic regression was used to estimate the association between ACB and odds of frailty.

resultsCompared to controls ( DISCUSSION: Cumulative anticholinergic burden may be a modifiable predictor of frailty among older adults, including those newly diagnosed with dementia. Highlights: Patients with newly diagnosed dementia with Lewy bodies (DLB) are more likely to have prescriptions for anticholinergic medications relative to patients newly diagnosed with Alzheimer's disease (AD) and older adults without documented cognitive impairment.In the year prior to a documented dementia diagnosis, 74% of patients with DLB and 66% of patients with AD had evidence of frailty.Anticholinergic medication burden was associated with frailty among all older adults in the study, including those without a dementia diagnosis.

Indexed as

Alzheimer's diseaseanticholinergicearly‐stage dementiafrailtyLewy bodymild cognitive impairmentmild dementiapolypharmacypredementiaprodromal

Identifiers

PMID39677584
PMCPMC11645712

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.