Evidence map›Paper›PMID 26423559›Full record

ArticleGeneral hospital psychiatry

Adherence to common cardiovascular medications in patients with schizophrenia vs. patients without psychiatric illness.

Ashli Owen-Smith, Christine Stewart, Carla Green, Brian K Ahmedani, Beth E Waitzfelder, Rebecca Rossom, Laurel A Copeland, Gregory E Simon

Open access · greenAbstract readComparative Study
In one paragraph

Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 20% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Adherence of patients with schizophrenia to hypothyroidism treatment.Global mental health (Cambridge, England) · 2023
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  8. Review
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  16. Cardiovascular disease treatment among patients with severe mental illness: a data linkage study between primary and secondary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016
    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

8 authors at 6 institutions in 1 country.

Ashli Owen-SmithGeorgia State University, Georgia; Kaiser Permanente, Georgia. Electronic address: aowensmith@gsu.edu.
Christine StewartGroup Health Cooperative.
Carla GreenKaiser Permanente, Northwest.
Brian K AhmedaniHenry Ford Health System.
Beth E WaitzfelderKaiser Permanente, Hawaii.
Rebecca RossomHealth Partners.
Laurel A CopelandBaylor Scott and White Health.
Gregory E SimonGroup Health Cooperative.
Group Health Cooperative · USKaiser Permanente · USBaylor Scott & White Health · USGeorgia State University · USHealthPartners · USHenry Ford Health System · US

Funding

SSRI's and SuicidalityU19MH092201 · NIMH · KAISER FOUNDATION RESEARCH INSTITUTE · PI SIMON, GREGORY E. · 2010 to 2018
$19.5M
NIMH NIH HHS U19 MH092201NIMH NIH HHS U19MH092201
6 · The paper itself

Abstract

objectiveThe purpose of the study was to examine whether individuals with diagnoses of schizophrenia were differentially adherent to their statin or angiotensin-converting enzyme inhibitor/angiotensin receptor blocker (ACEI/ARB) medications compared to individuals without psychiatric illness.

methodUsing electronic medical record data across 13 Mental Health Research Network sites, individuals with diagnoses of schizophrenia or schizoaffective disorder receiving two or more medication dispensings of a statin or an ACEI/ARB in 2011 (N=710) were identified and matched on age, sex and Medicare status to controls with no documented mental illness and two or more medication dispensings of a statin in 2011 (N=710). Medication adherence, and sociodemographic and clinical characteristics of the study population were assessed.

resultsMultivariable models indicated that having a schizophrenia diagnosis was associated with increased odds of statin medication adherence; the odds ratio suggested a small effect. After adjustment for medication regimen, schizophrenia no longer showed an association with statin adherence. Having a schizophrenia diagnosis was not associated with ACEI/ARB medication adherence.

conclusionsCompared to patients without any psychiatric illness, individuals with schizophrenia were marginally more likely to be adherent to their statin medications. Given that patterns of adherence to cardioprotective medications may be different from patterns of adherence to antipsychotic medications, improving adherence to the former may require unique intervention strategies.

Indexed as

Drug MonitoringAgedAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsCardiovascular DiseasesCase-Control StudiesComorbidityFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedMultivariate AnalysisOdds RatioPsychotic DisordersSchizophreniaAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsHydroxymethylglutaryl-CoA Reductase InhibitorsCardiovascular medicationsMedication adherenceSchizophreniaSerious mental illness

Identifiers

PMID26423559
PMCPMC4698196
OpenAlexW1001491143

What OpenQuestion holds

Texttitle and abstract
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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.