Evidence map›Paper›PMID 22290267›Full record

SynthesisSchizophrenia bulletin2013

Content and quality of 10,000 controlled trials in schizophrenia over 60 years.

Jose Miyar, Clive E Adams

Abstract readMeta-Analysis
In one paragraph

Synthesis in Schizophrenia bulletin, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 5 pooled it
–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

20 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
  4. Bifeprunox versus placebo for schizophrenia.The Cochrane database of systematic reviews · 2016
    Pooled it
  5. Pooled it
  6. Trial
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  10. Review
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  14. The evidence-based group-level symptom-reduction model as the organizing principle for mental health care: time for change?World psychiatry : official journal of the World Psychiatric Association (WPA) · 2019
    Article
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  16. Review
  17. Article
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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

2 authors.

Jose MiyarSubstance Misuse Services, Nottinghamshire Healthcare Trust, Nottingham, UK.
Clive E Adams

Funding

Department of Health
6 · The paper itself

Abstract

objectiveTo carry out an up-to-date comprehensive survey of the content and quality of intervention trials relevant to the treatment of people with schizophrenia.

designData were extracted and analyzed from 10,000 trials on the Cochrane Schizophrenia Group's Register.

main outcome measuresSource, type and date of publication, country of origin, language, size of trial, interventions, and outcome measures.

resultsIn the last decade, there has been a great increase in the number of trials relevant to schizophrenia and an improvement in the accessibility to reports. The number of trials per year is rising (currently ∼600/year) with China now producing 25% of the annual total. The number of reports of trials is increasing at an even greater rate due to multiple publications. Drug trials still dominate (83%) although an increasing proportion of studies are now evaluating psychological therapies (21%). Trials remain small (median 60 people) and often employ new nonvalidated outcomes scales (2194 different scales were employed with every fifth trial introducing a new rating instrument).

conclusionsA more collaborative, pragmatic, and patient-centered approach is necessary to produce larger schizophrenia trials. Wider consultation and careful consideration of all relevant perspectives would result in trials with greater clinical utility and direct value to people with the illness and their families or carers.

Indexed as

Controlled Clinical Trials as TopicHumansSchizophrenia

Identifiers

PMID22290267
PMCPMC3523927

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.