Cochrane · systematic review · CD015405

Anticholinergic deprescribing interventions for reducing risk of cognitive decline or dementia in older adults with and without prior cognitive impairment

Taylor-Rowan, M, Alharthi, AA, Noel-Storr, AH, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
3
current version
GRADE rated
1
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 2 · 66.7%Very low 1 · 33.3%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Anticholinergic burden reduction interventions compared to usual care for cognitive outcomes in older adults with and without prior cognitive impairment

Population: older adults with and without prior cognitive impairment
3 questions
OutcomeEffectEvidenceStatus / GRADE
Cognitive decline
Anticholinergic burden reduction interventions vs usual care
no estimate extracted3 studies · 299 participantsVery low
Downgraded: imprecision, inconsistency, indirectness
Incidence of clinical dementia
Anticholinergic burden reduction interventions vs usual care
no estimate extracted0 studies · 0 participantsUngraded
Adverse effects
Anticholinergic burden reduction interventions vs usual care
no estimate extracted0 studies · 0 participantsUngraded