Evidence map›Paper›PMID 25489474›Full record

ArticleTherapeutic advances in psychopharmacology2014

Time to discontinuation of antipsychotic drugs in a schizophrenia cohort: influence of current treatment strategies.

Rune A Kroken, Eirik Kjelby, Tore Wentzel-Larsen, Liv S Mellesdal, Hugo A Jørgensen, Erik Johnsen

Open access · bronzeAbstract read
In one paragraph

Article in Therapeutic advances in psychopharmacology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  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

6 authors at 3 institutions in 1 country.

Rune A KrokenDivision of Psychiatry, Haukeland University Hospital, Pb 23, 5812 Bergen, Norway.
Eirik KjelbyDivision of Psychiatry, Haukeland University Hospital, Bergen, Norway.
Tore Wentzel-LarsenNorwegian Centre for Violence and Traumatic Stress Studies, Oslo, Norway Centre for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo, Norway Centre for Clinical Research, Haukeland University Hospital, Bergen, Norway.
Liv S MellesdalDivision of Psychiatry, Haukeland University Hospital, Bergen, Norway.
Hugo A JørgensenDepartment of Clinical Medicine, Faculty of Medicine and Dentistry, University of Bergen, Norway.
Erik JohnsenDivision of Psychiatry, Haukeland University Hospital, Bergen, Norway Department of Clinical Medicine, Faculty of Medicine and Dentistry, University of Bergen, Norway.
Haukeland University Hospital · NOUniversity of Bergen · NONorwegian Centre for Violence and Traumatic Stress Studies · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRates of discontinuation of antipsychotic treatment for patients with schizophrenia are high and evidence is limited by selective inclusion and high attrition in randomized controlled trials.

aimsTo study time to discontinuation of antipsychotic treatment for patients with schizophrenia.

methodAll patients with schizophrenia (n = 396) discharged between 2005 and 2011 were followed until discontinuation (clinician or patient decided) of antipsychotic treatment or other endpoints. Univariate and multivariate survival analyses (with time on antipsychotic treatment as the dependent variable) using time-dependent variables were performed.

resultsClozapine displayed lower risk for all-cause (p < 0.001), clinician-decided (p = 0.012) and patient-decided (p = 0.039) discontinuation versus olanzapine oral treatment in the multivariate Cox regression. Second-generation long-acting injection antipsychotics (LAI) (p = 0.015) and first-generation long-acting injection antipsychotics (p = 0.013) showed significantly lower risks for patient-decided discontinuation than olanzapine oral.

conclusionHigher effectiveness of clozapine and LAI treatment versus oral olanzapine were identified in a clinical cohort of patients with schizophrenia.

Indexed as

antipsychoticclozapinelong-acting injection antipsychotics (LAI)schizophreniatreatment discontinuation

Identifiers

PMID25489474
PMCPMC4257983
OpenAlexW2143310966

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.