Evidence map›Paper›PMID 30232932›Full record

ArticleJournal of psychopharmacology (Oxford, England)2018

Predicting parkinsonism side-effects of antipsychotic polypharmacy prescribed in secondary mental healthcare.

Giouliana Kadra, Athan Spiros, Hitesh Shetty, Ehtesham Iqbal, Richard D Hayes, Robert Stewart, Hugo Geerts

Open access · hybridAbstract read
In one paragraph

Article in Journal of psychopharmacology (Oxford, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
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  3. Salvaging CNS Clinical Trials Halted Due to COVID-19.CPT: pharmacometrics & systems pharmacology · 2020
    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

7 authors at 3 institutions in 2 countries.

Giouliana Kadra1 King's College London, Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, London, UK.ORCID 0000-0003-3182-905X
Athan Spiros2 In Silico Biosciences, Berwyn, PA, USA.
Hitesh Shetty3 South London and Maudsley NHS Trust, BRC Nucleus, London, UK.
Ehtesham Iqbal4 King's College London, SGDP, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
Richard D Hayes1 King's College London, Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
Robert Stewart1 King's College London, Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
Hugo Geerts2 In Silico Biosciences, Berwyn, PA, USA.
King's College London · GBIn Silico Biosciences (United States) · USSouth London and Maudsley NHS Foundation Trust · GB

Funding

Department of HealthMedical Research Council MC_PC_17214Medical Research Council MR/J01219X/1
6 · The paper itself

Abstract

backgroundComputer-modelling approaches have the potential to predict the interactions between different antipsychotics and provide guidance for polypharmacy.

aimsTo evaluate the accuracy of the quantitative systems pharmacology platform to predict parkinsonism side-effects in patients prescribed antipsychotic polypharmacy.

methodsUsing anonymized data from South London and Maudsley NHS Foundation Trust electronic health records we applied quantitative systems pharmacology, a neurophysiology-based computer model of humanized neuronal circuits, to predict the risk for parkinsonism symptoms in patients with schizophrenia prescribed two concomitant antipsychotics. The performance of the quantitative systems pharmacology model was compared with the performance of simple parameters such as: combination of affinity constants (1/K

resultsWe identified 832 patients with schizophrenia who were receiving two antipsychotics for six or more months, between 1 January 2007 and 31 December 2014. The area under the receiver operating characteristic (AUROC) curve for the quantitative systems pharmacology model was 0.66 ( p = 0.01), while AUROCs for D

conclusionOur results indicate that quantitative systems pharmacology has the potential to predict the risk of parkinsonism associated with antipsychotic polypharmacy from minimal source information, and thus might have potential decision-support applicability in clinical settings.

Indexed as

Computer SimulationAdolescentAdultAgedAntipsychotic AgentsDose-Response Relationship, DrugDrug InteractionsDrug Therapy, CombinationFemaleHumansMaleMiddle AgedModels, BiologicalParkinsonian DisordersPolypharmacyReproducibility of ResultsAntipsychotic AgentsAntipsychotic polypharmacyantipsychoticscomputer-modellingconcomitantelectronic health records

Identifiers

PMID30232932
PMCPMC6238161
OpenAlexW2888441878

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.