Evidence map›Paper›PMID 23734807›Full record

ArticleBiomarkers in medicine2013

Length of psychiatric hospitalization is correlated with CYP2D6 functional status in inpatients with major depressive disorder.

Gualberto Ruaño, Bonnie L Szarek, David Villagra, Krystyna Gorowski, Mohan Kocherla, Richard L Seip, John W Goethe, Harold I Schwartz

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Biomarkers in medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02120729 (Pharmacogenetic Decision Support IT System for Psychiatric Hospitalization), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
7.8field-weighted citation impact, top 3% 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.

NCT02120729 naunknown statusnot on this mapstarted 2014, after this paper: background citation

Pharmacogenetic Decision Support IT System for Psychiatric Hospitalization: RCT

TypeinterventionalSponsorHartford HospitalRan2014 to 2019Enrolled1,500ConditionsMajor Depressive DisorderArmsGenotype-guided care
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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  10. No Effect of Dose Adjustment to theFrontiers in psychiatry · 2018
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Gualberto RuañoGenetics Research Center, Hartford Hospital, 67 Jefferson Street, Hartford, CT 06106, USA.
Bonnie L Szarek
David Villagra
Krystyna Gorowski
Mohan Kocherla
Richard L Seip
John W Goethe
Harold I Schwartz
Hartford Financial Services (United States)Hartford Hospital · US

Funding

DNA Diagnostics for Minimizing Metabolic Side-Effects of AntipsychoticsR44MH073291 · NIMH · GENOMAS, INC. · PI RUANO, GUALBERTO · 2007 to 2009
$1.5M
Gene Markers: Antipsychotic-Induced Metabolic SyndromeR43MH073291 · NIMH · GENOMAS, INC. · PI RUANO, GUALBERTO · 2005 to 2005
$107k
NIMH NIH HHS 2 R44 MH073291NIMH NIH HHS R43 MH073291NIMH NIH HHS R44 MH073291
6 · The paper itself

Abstract

aimThis study aimed to determine the effect of the CYP2D6 genotype on the length of hospitalization stay for patients treated for major depressive disorder.

methodsA total of 149 inpatients with a diagnosis of major depressive disorder at the Institute of Living, Hartford Hospital (CT, USA), were genotyped to detect altered alleles in the CYP2D6 gene. Prospectively defined drug metabolism indices (metabolic reserve, metabolic alteration and allele alteration) were determined quantitatively and assessed for their relationship to length of hospitalization stay.

resultsHospital stay was significantly longer in deficient CYP2D6 metabolizers (metabolic reserve <2) compared with functional or suprafunctional metabolizers (metabolic reserve ≥2; 7.8 vs 5.7 days, respectively; p = 0.002).

conclusionCYP2D6 enzymatic functional status significantly affected length of hospital stay, perhaps due to reduced efficacy or increased side effects of the medications metabolized by the CYP2D6 isoenzyme. Functional scoring of CYP2D6 alleles may have a substantial impact on the quality of care, patient satisfaction and the economics of psychiatric treatment.

Indexed as

AllelesCohort StudiesCytochrome P-450 CYP2D6FemaleGenotypeHospitals, PsychiatricHumansInpatientsLength of StayMajor Depressive DisorderMaleProspective StudiesCytochrome P-450 CYP2D6

Identifiers

PMID23734807
PMCPMC4912222
OpenAlexW1982533755

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Registered trials

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.