Evidence map›Paper›PMID 29127560›Full record

ArticleCommunity mental health journal2018

Characteristics of Medicaid Recipients Receiving Persistent Antipsychotic Polypharmacy.

Robert O Cotes, David R Goldsmith, Sarah L Kopelovich, Cathy A Lally, Benjamin G Druss

Abstract read
In one paragraph

Article in Community mental health journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 35% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
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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

5 authors at 2 institutions in 1 country.

Robert O CotesDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, 80 Jesse Hill Jr Dr SE, Atlanta, GA, 30303, USA. rcotes@emory.edu.ORCID 0000-0001-9903-8807
David R GoldsmithDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, 80 Jesse Hill Jr Dr SE, Atlanta, GA, 30303, USA.
Sarah L KopelovichDivision of Public Behavioral Health & Justice Policy, Department of Psychiatry & Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA.
Cathy A LallyDepartment of Health Policy and Management, Center for Behavioral Health Policy Studies, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Benjamin G DrussDepartment of Health Policy and Management, Center for Behavioral Health Policy Studies, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Emory University · USUniversity of Washington · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Institutional Career Development CoreKL2TR002381 · NCATS · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Anandi Nayan Sheth · 2017 to 2026
$14.1M
RECIDIVISM, DRUG ABUSE, AND HIV RISK BEHAVIORSR01DA014694 · NIDA · GEORGE MASON UNIVERSITY · PI TANGNEY, JUNE P · 2001 to 2015
$8.2M
Principal Research CoreP20MH078188 · NIMH · NATHAN S. KLINE INSTITUTE FOR PSYCH RES · PI HOPPER, KIM · 2007 to 2011
$4.1M
Emory Psychiatry Clinical Scientist Training Program (CSTP)R25MH101079 · NIMH · EMORY UNIVERSITY · PI GOLDSMITH, DAVID RYAN, MILLER, ANDREW H · 2014 to 2025
$1.9M
Impact of Inflammation on Reward Circuits, Motivational Deficits and Negative Symptoms in SchizophreniaK23MH114037 · NIMH · EMORY UNIVERSITY · PI GOLDSMITH, DAVID RYAN · 2018 to 2022
$957k
NCATS NIH HHS KL2 TR002381NCATS NIH HHS UL1 TR002378NIDA NIH HHS R01 DA014694NIMH NIH HHS K23 MH114037NIMH NIH HHS L30 MH114414NIMH NIH HHS P20 MH078188NIMH NIH HHS R25 MH101079
6 · The paper itself

Abstract

Antipsychotic polypharmacy (APP) is a common strategy despite guidelines advising against this practice. This article seeks to quantify the prevalence and correlates of APP using Medicaid Analytic eXtract files from 2003 to 2004. Nineteen percent of Medicaid recipients who received an antipsychotic were treated with APP. Individuals who received APP were more likely to be white, male, disabled, between the ages of 18-29, diagnosed with a psychotic disorder, and diagnosed with a higher number of psychiatric conditions. Geographic variation in APP rates was also observed. Quality improvement initiatives may help reduce APP for medically vulnerable patients.

Indexed as

PolypharmacyAdolescentAdultAntipsychotic AgentsDatabases, FactualDrug Therapy, CombinationDrug UtilizationFemaleGeographyHumansMaleMedicaidMental DisordersMiddle AgedRisk FactorsUnited StatesAntipsychotic AgentsAntipsychotic polypharmacyGeographic variationMedicaidPharmacoepidemiology

Identifiers

PMID29127560
PMCPMC6427065
OpenAlexW2767785990

What OpenQuestion holds

Textmetadata
LicenceTDM
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.