Evidence map›Paper›PMID 25961431›Full record

Trial reportPsychological medicine2015

Cardiovascular risk factors and metabolic syndrome in people with established psychotic illnesses: baseline data from the IMPaCT randomized controlled trial.

P Gardner-Sood, J Lally, S Smith, Z Atakan, K Ismail, K E Greenwood, A Keen, C O'Brien, O Onagbesan, C Fung and 11 more

Erratum issued Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychological medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04792268 (Implementation of an Electronic Clinical Decision Support System), which is not on this map. Cited by 59 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 4 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.

NCT04792268 nacompletednot on this mapstarted 2022, after this paper: background citation

Implementation of an Electronic Clinical Decision Support System (eCDSS) for the Early Recognition and Management of Diabetes and Dysglycaemia in Secondary Mental Healthcare : Feasibility Study

TypeinterventionalSponsorKing's College LondonRan2022 to 2023Enrolled4ConditionsSevere Mental Disorder, Diabetes Mellitus, Dysglycemia, Staff AttitudeArmsAccess to eCDSS on wards
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

P Gardner-SoodDepartment of Psychosis Studies,Institute of Psychiatry, Psychology and Neuroscience (IoPPN),King's College London,London,UK.
J LallyDepartment of Psychosis Studies,Institute of Psychiatry, Psychology and Neuroscience (IoPPN),King's College London,London,UK.
S SmithInstitute of Psychiatry, Psychology and Neuroscience (IoPPN),King's College London,London,UK.
Z AtakanDepartment of Psychosis Studies,Institute of Psychiatry, Psychology and Neuroscience (IoPPN),King's College London,London,UK.
K IsmailInstitute of Psychiatry, Psychology and Neuroscience (IoPPN),King's College London,London,UK.
K E GreenwoodSchool of Psychology,University of Sussex,Brighton and Early Intervention in Psychosis Service,Sussex Partnership NHS Foundation Trust,West Sussex,UK.
A KeenInstitute of Psychiatry, Psychology and Neuroscience (IoPPN),King's College London,London,UK.
C O'BrienInstitute of Psychiatry, Psychology and Neuroscience (IoPPN),King's College London,London,UK.
O OnagbesanNIHR Biomedical Research Centre - BioResource for Mental Health, Social, Genetic and Development Psychiatric Centre,London,UK.
C FungInstitute of Psychiatry, Psychology and Neuroscience (IoPPN),King's College London,London,UK.
E PapanastasiouInstitute of Psychiatry, Psychology and Neuroscience (IoPPN),King's College London,London,UK.
J EberhardClinical Psychiatric Research Center, Lund University, Skåne, Sweden.
J EberherdInstitute of Psychiatry, Psychology and Neuroscience (IoPPN),King's College London,London,UK.
A PatelCentre for the Economics of Mental and Physical Health (CEMPH), Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London,London,UK.
R OhlsenFlorence Nightingale Faculty of Nursing and Midwifery,King's College London,London,UK.
D StahlDepartment of Biostatistics,Institute of Psychiatry, Psychology and Neuroscience (IoPPN),King's College London,London,UK.
A DavidInstitute of Psychiatry, Psychology and Neuroscience (IoPPN),King's College London,London,UK.
D HopkinsDivision of Ambulatory Care and Local Networks,King's College Hospital NHS Foundation Trust,London,UK.
R M MurrayDepartment of Psychosis Studies,Institute of Psychiatry, Psychology and Neuroscience (IoPPN),King's College London,London,UK.
F GaughranNational Psychosis Service,South London and Maudsley NHS Foundation Trust,London,UK.
IMPaCT team

Funding

Department of Health RP-PG-0606-1049
6 · The paper itself

Abstract

backgroundThe aims of the study were to determine the prevalence of cardiometabolic risk factors and establish the proportion of people with psychosis meeting criteria for the metabolic syndrome (MetS). The study also aimed to identify the key lifestyle behaviours associated with increased risk of the MetS and to investigate whether the MetS is associated with illness severity and degree of functional impairment.

methodBaseline data were collected as part of a large randomized controlled trial (IMPaCT RCT). The study took place within community mental health teams in five Mental Health NHS Trusts in urban and rural locations across England. A total of 450 randomly selected out-patients, aged 18-65 years, with an established psychotic illness were recruited. We ascertained the prevalence rates of cardiometabolic risk factors, illness severity and functional impairment and calculated rates of the MetS, using International Diabetes Federation (IDF) and National Cholesterol Education Program Third Adult Treatment Panel criteria.

resultsHigh rates of cardiometabolic risk factors were found. Nearly all women and most men had waist circumference exceeding the IDF threshold for central obesity. Half the sample was obese (body mass index ≥ 30 kg/m2) and a fifth met the criteria for type 2 diabetes mellitus. Females were more likely to be obese than males (61% v. 42%, p < 0.001). Of the 308 patients with complete laboratory measures, 57% (n = 175) met the IDF criteria for the MetS.

conclusionsIn the UK, the prevalence of cardiometabolic risk factors in individuals with psychotic illnesses is much higher than that observed in national general population studies as well as in most international studies of patients with psychosis.

Indexed as

AdolescentAdultAgedBenzodiazepinesCardiovascular DiseasesCommunity Mental Health CentersDiabetes Mellitus, Type 2EnglandFemaleHumansMaleMental DisordersMetabolic SyndromeMiddle AgedObesityPrevalenceBenzodiazepinesMetabolic syndromephysical healthpsychotic disorderschizophreniasevere mental illnesses

Identifiers

PMID25961431
PMCPMC4531468

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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.