Evidence map›Paper›PMID 21506194›Full record

Trial reportHealth economics2012

Customization in prescribing for bipolar disorder.

Dominic Hodgkin, Joanna Volpe-Vartanian, Elizabeth L Merrick, Constance M Horgan, Andrew A Nierenberg, Richard G Frank, Sue Lee

Abstract readClinical Trial
In one paragraph

Trial report in Health economics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Changes in physician antipsychotic prescribing preferences, 2002-2007.Psychiatric services (Washington, D.C.) · 2014
    Article
  7. 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

7 authors.

Dominic HodgkinInstitute for Behavioral Health, Heller School of Social Policy & Management, Brandeis University, Waltham, MA 02454, USA. hodgkin@brandeis.edu
Joanna Volpe-Vartanian
Elizabeth L Merrick
Constance M Horgan
Andrew A Nierenberg
Richard G Frank
Sue Lee

Funding

The Role of Customization in Psychotropic PrescribingR01MH077727 · NIMH · BRANDEIS UNIVERSITY · PI HODGKIN, DOMINIC · 2007 to 2009
$1.1M
NIMH NIH HHS R01 MH077727NIMH NIH HHS R01 MH 77727
6 · The paper itself

Abstract

For many disorders, patient heterogeneity requires physicians to customize their treatment to each patient's needs. We test for the existence of customization in physicians' prescribing for bipolar disorder, using data from a naturalistic clinical effectiveness trial of bipolar disorder treatment (STEP-BD), which did not constrain physician prescribing. Multinomial logit is used to model the physician's choice among five combinations of drug classes. We find that our observed measure of the patient's clinical status played only a limited role in the choice among drug class combinations, even for conditions such as mania that are expected to affect class choice. However, treatment of a patient with given characteristics differed widely depending on which physician was seen. The explanatory power of the model was low. There was variation within each physician's prescribing, but the results do not suggest a high degree of customization in physicians' prescribing, based on our measure of clinical status.

Indexed as

AdultAge FactorsAntipsychotic AgentsBipolar DisorderDecision Support TechniquesDrug Therapy, CombinationFemaleHumansMalePractice Patterns, Physicians'Sex FactorsSocioeconomic FactorsAntipsychotic Agents

Identifiers

PMID21506194
PMCPMC3164906

What OpenQuestion holds

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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.