Evidence map›Paper›PMID 18753306›Full record

ReviewSchizophrenia bulletin2008

Pharmacogenetics in psychiatry: are we ready for widespread clinical use?

Maria J Arranz, Shitij Kapur

Open access · bronzeAbstract readReview
In one paragraph

Review in Schizophrenia bulletin, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
7.8field-weighted citation impact, top 2% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.

  1. Pooled it
  2. New Targets for Schizophrenia Treatment beyond the Dopamine Hypothesis.International journal of molecular sciences · 2017
    Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Pharmacogenetics of antipsychotics.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2014
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Ethics and neuropsychiatric genetics: a review of major issues.The international journal of neuropsychopharmacology · 2012
    Review
  13. Review
  14. Article
  15. Psychiatric comorbidity in children and adolescents with restless legs syndrome: a retrospective study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2011
    Article
  16. Review
  17. Article
  18. Article
  19. Genomics for disease treatment and prevention.The Psychiatric clinics of North America · 2011
    Review
  20. WPA guidance on mental health and mental health care in migrants.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2011
    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

2 authors at 2 institutions in 1 country.

Maria J ArranzSection of Schizophrenia, Imaging and Therapeutics, Division of Psychological Medicine and Psychiatry, Institute of Psychiatry, King's College, London, UK. m.arranz@iop.kcl.ac.uk
Shitij Kapur
King's College London · GBUniversity of Cambridge · GB

Funding

Medical Research Council G0701748
6 · The paper itself

Abstract

There are high expectations about the capabilities of pharmacogenetics to tailor psychotropic treatment and "personalize" treatment. While a large number of associations, with generally small effect size, have been discovered, a "test" with widespread use and adoption is still missing. A more realistic picture, recognizing the important contribution of clinical and environmental factors toward overall clinical outcome has emerged. In this emerging view, genetic findings, if considered individually, may have limited clinical applications. Thus, in recent years, combinations of information in several genes have been used for the selection of appropriate therapeutic doses and for the prediction of agranulocytosis, hyperlipidemia, and response to antipsychotic and antidepressant medications. While these tests based on multiple genes show greater predictive ability than individual allele tests, their net impact on clinical consequence and costs is limited, thus leading to limited penetration into widespread clinical use. As one looks at other branches of medicine, there are successful examples of pharmacogenetic tests guiding treatment, and thus, it is reasonable to hope that with the incorporation of clinical and environmental information and the identification of new genes drawn from genome-wide analysis, will improve the predictive utility of these tests leading to their increased use by clinicians.

Indexed as

Antipsychotic AgentsCytochrome P-450 Enzyme SystemDose-Response Relationship, DrugGene ExpressionGenetic TestingHumansPharmacogeneticsPhenotypeSchizophreniaSchizophrenic PsychologySocial EnvironmentTreatment OutcomeAntipsychotic AgentsCytochrome P-450 Enzyme System

Identifiers

PMID18753306
PMCPMC2632495
OpenAlexW2129656162

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.