Evidence map›Paper›PMID 29955546›Full record

ArticleThe mental health clinician2018

Evaluation of adherence and persistence with oral versus long-acting injectable antipsychotics in patients with early psychosis.

Erika N Titus-Lay, Elayne D Ansara, Alex N Isaacs, Carol A Ott

Open access · goldAbstract read
In one paragraph

Article in The mental health clinician, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

4 authors at 3 institutions in 1 country.

Erika N Titus-LayAssistant Professor, Department of Clinical and Administrative Sciences, California Northstate University College of Pharmacy, Elk Grove, California, etitus222@gmail.com.ORCID 0000-0002-4566-9723
Elayne D AnsaraClinical Pharmacy Specialist, Psychiatry, Department of Pharmacy, Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana.ORCID 0000-0001-9835-0305
Alex N IsaacsClinical Assistant Professor of Pharmacy Practice, Pharmacy Administration, Purdue University College of Pharmacy, West Lafayette, Indiana; Clinical Pharmacy Specialist, Internal Medicine, Eskenazi Health, Indianapolis, Indiana.ORCID 0000-0001-8788-6868
Carol A OttClinical Professor of Pharmacy Practice, Pharmacy Administration, Purdue University College of Pharmacy, West Lafayette, Indiana; Clinical Pharmacy Specialist, Outpatient Psychiatry, Eskenazi Health, Indianapolis, Indiana.ORCID 0000-0003-2719-3845
Indiana University Health · USCalifornia Northstate University · USRichard L. Roudebush VA Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite the theory that long-acting injectable (LAI) antipsychotics should be more likely to improve adherence, reduce gaps in therapy, and prevent relapse compared with oral antipsychotics, there is little published evidence on this issue, specifically in patients with early psychosis.

methodsPatients with a new diagnosis for a psychotic disorder between July 1, 2013, and August 31, 2014, were retrospectively evaluated during a 12-month duration. The primary outcomes were adherence and persistence. Adherence was determined by proportion of days with medication, and persistence was defined as zero gaps in medication therapy. The secondary outcome was the number of times a psychiatric acute care service was used. Patients were divided into 3 groups based on their antipsychotic prescription history: oral only, LAI only, or both formulations at separate times throughout the study period.

resultsForty-seven patients met inclusion criteria. The average proportions of days with medication were 32%, 76%, and 75% for the oral, LAI, and both formulations groups, respectively ( DISCUSSION: Long-acting injectable antipsychotics were associated with better adherence compared with oral antipsychotics in patients with early psychosis.

Indexed as

acute care servicesadherenceantipsychoticearly psychosislong-acting injectable antipsychoticpersistence

Identifiers

PMID29955546
PMCPMC6007741
OpenAlexW2793825585

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.