Evidence map›Paper›PMID 25645893›Full record

ArticleCommunity mental health journal2015

Antipsychotic Cardiometabolic Side Effect Monitoring in a State Community Mental Health System.

Robert O Cotes, Alex de Nesnera, Michael Kelly, Karen Orsini, Haiyi Xie, Greg McHugo, Stephen Bartels, Mary F Brunette

Abstract read
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In one paragraph

Article in Community mental health journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Improving Cardiometabolic Monitoring of Children on Antipsychotics.Journal of child and adolescent psychopharmacology · 2017
    Trial
  3. 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

8 authors.

Robert O CotesDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, 80 Jesse Hill Jr Dr SE, Atlanta, GA, 30303, USA, Robert.o.cotes@emory.edu.
Alex de Nesnera
Michael Kelly
Karen Orsini
Haiyi Xie
Greg McHugo
Stephen Bartels
Mary F Brunette

Funding

Health Promotion and Fitness for Younger and Older Adults With SMIR01MH078052 · NIMH · DARTMOUTH COLLEGE · PI BARTELS, STEPHEN J · 2007 to 2012
$3.5M
NIMH NIH HHS R01MH078052
6 · The paper itself

Abstract

Antipsychotic medications can cause serious cardiometabolic side effects. No recent research has broadly evaluated monitoring and strategies to improve monitoring in U.S. public mental health systems. To address this knowledge gap, we evaluated education with audit and feedback to leaders to improve cardiometabolic monitoring in a state mental health system. We used Chi square statistics and logistic regressions to explore changes in monitoring recorded in randomly sampled records over 2 years. In 2009, assessment of patients on antipsychotics was 29.6 % for cholesterol, 40.4 % for glucose, 29.1 % for triglycerides, 54.3 % for weight, 33.6 % for blood pressure, and 5.7 % for abdominal girth. In 2010, four of ten mental health centers improved their rate of adult laboratory monitoring. Overall monitoring in the state did not increase. Education for prescribers with audit and feedback to leaders can improve monitoring in some settings, but more intensive and/or prolonged interventions may be required.

Indexed as

Community Mental Health ServicesAdultAntipsychotic AgentsBiomarkersBlood GlucoseBlood PressureBlood Pressure DeterminationBody WeightCarbohydrate MetabolismChildCholesterolDrug MonitoringFormative FeedbackGovernment ProgramsGuideline AdherenceHumansAntipsychotic AgentsBiomarkersBlood GlucoseCholesterolTriglycerides

Identifiers

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.