Evidence map›Paper›PMID 18408531›Full record

SynthesisInternational clinical psychopharmacology2008

Efficacy and tolerability of second-generation antidepressants in social anxiety disorder.

Richard A Hansen, Bradley N Gaynes, Gerald Gartlehner, Charity G Moore, Ruchi Tiwari, Kathleen N Lohr

Open access · greenAbstract readNetwork Meta-AnalysisSystematic Review
In one paragraph

Synthesis in International clinical psychopharmacology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 4 pooled it
2.6field-weighted citation impact, top 11% 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

12 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  5. Review
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  7. Article
  8. The Effects of the Urban Built Environment on Mental Health: A Cohort Study in a Large Northern Italian City.International journal of environmental research and public health · 2015
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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 4 institutions in 2 countries.

Richard A HansenDivision of Pharmaceutical Outcomes and Policy, School of Pharmacy, University of North Carolina, Chapel Hill, NC 27599, USA. rahansen@unc.edu
Bradley N Gaynes
Gerald Gartlehner
Charity G Moore
Ruchi Tiwari
Kathleen N Lohr
Universität für Weiterbildung Krems · ATUniversity of North Carolina at Chapel Hill · USRTI International · USThe Ohio State University · US

Funding

Multidisciplinary Clinical Research Career Develop(RMI)K12RR023248 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ORRINGER, EUGENE P · 2005 to 2007
$6.3M
NCRR NIH HHS K12 RR 023248NCRR NIH HHS K12 RR023248
6 · The paper itself

Abstract

A systematic review and meta-analysis were conducted to evaluate the comparative efficacy and tolerability of second-generation antidepressants in social anxiety disorder. Studies were identified by searching MEDLINE, Embase, The Cochrane Library, PsychLit, and the International Pharmaceutical Abstracts from January 1980 through October 2006. Comparative evidence was summarized and indirect comparisons were made using network meta-analysis. Only three head-to-head trials were identified; comparative trials found only minimal differences in efficacy between escitalopram and paroxetine, and no statistically significant differences in efficacy between extended-release venlafaxine and paroxetine. Pooled evidence from 15 placebo-controlled trials suggests that escitalopram [relative benefit (RB) 1.3; 95% confidence interval (CI) 1.2-1.5], paroxetine (RB 1.9; 95% CI 1.5-2.3), sertraline (RB 1.8; 95% CI 1.5-2.2), and venlafaxine (RB 1.7; 95% CI 1.5-1.9) all produce significantly more responders than placebo; evidence favored fluvoxamine over placebo but was not significant (RB 1.5; 95% CI 0.9-2.4). Network meta-analysis did not reveal differences in efficacy among drugs. Overall, a fair amount of evidence supports the efficacy of escitalopram, fluvoxamine, paroxetine, sertraline, and venlafaxine in social anxiety disorder. The drugs do not differ in efficacy, although their adverse event profiles do.

Indexed as

Anti-Anxiety AgentsAntidepressive Agents, Second-GenerationPhobic DisordersDisability EvaluationEvidence-Based MedicineHumansRecovery of FunctionSeverity of Illness IndexTreatment OutcomeAnti-Anxiety AgentsAntidepressive Agents, Second-Generation

Identifiers

PMID18408531
PMCPMC2657552
OpenAlexW2062938921

What OpenQuestion holds

Textmetadata
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.