Evidence map›Paper›PMID 24237376›Full record

ArticleJournal of comparative effectiveness research2012

Tying comparative effectiveness information to decision-making and the future of comparative effectiveness research designs: the case for antipsychotic drugs.

Anirban Basu, Herbert Y Meltzer

Abstract read
In one paragraph

Article in Journal of comparative effectiveness research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Lack of tolerable treatment options for patients with schizophrenia.Neuropsychiatric disease and treatment · 2015
    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.

Anirban BasuDepartment of Health Services, PORPP, University of Washington, 1959 NE Pacific St, Box-357660, Seattle, WA 98195-7660, USA. basua@uw.edu.
Herbert Y Meltzer

Funding

A Comprehensive Probabilistic-Micro-Simulation Model to Assess Cost-EffectivenessR01MH083706 · NIMH · UNIVERSITY OF WASHINGTON · PI BASU, ANIRBAN · 2008 to 2013
$2.1M
Advancing Instrumental Variable Methods in Comparative Effectiveness ResearchRC4CA155809 · NCI · UNIVERSITY OF WASHINGTON · PI BASU, ANIRBAN · 2010 to 2010
$1.5M
Instrumental Variable Methods for Censored Cost Data and an Application in ProstaR01CA155329 · NCI · UNIVERSITY OF WASHINGTON · PI BASU, ANIRBAN · 2011 to 2013
$1.3M
NCI NIH HHS R01 CA155329NCI NIH HHS R01CA155329NCI NIH HHS RC4 CA155809NCI NIH HHS RC4CA155809NIMH NIH HHS R01 MH083706NIMH NIH HHS R01MH083706
6 · The paper itself

Abstract

The outcome of comparative effectiveness research on antipsychotic drugs, specifically the National Institute of Mental Health-funded CATIE trial, has raised questions regarding the value of second-generation antipsychotic drugs and has sparked a debate regarding their accessibility through public insurance. We reviewed the evidence on the impact of access restrictions for antipsychotic drugs in Medicaid programs and found that such restrictions resulted in increases in overall costs and a possible decline in the quality of care. We attribute this unwanted outcome to limitations in comparative effectiveness research designs that fail to inform either clinical or policy decision-making. We enumerate these limitations and illustrate the potential for more innovative comparative effectiveness research designs that may be in line with clinical decision-making using an original analysis of the CATIE trial data. The value of genomic information in enabling better trial design is also discussed.

Indexed as

Antipsychotic AgentsComparative Effectiveness ResearchCost ControlDecision MakingDrug CostsHealth PolicyHealth Services AccessibilityHumansInsurance, HealthMedicaidPharmacogeneticsQuality-Adjusted Life YearsSchizophreniaTreatment OutcomeUnited StatesAntipsychotic Agents

Identifiers

PMID24237376
PMCPMC4237158

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.