Evidence map›Paper›PMID 30344996›Full record

ArticleTherapeutic advances in psychopharmacology2018

Real-world effectiveness of long-acting antipsychotic treatments in a nationwide cohort of 3957 patients with schizophrenia, schizoaffective disorder and other diagnoses in Quebec.

Emmanuel Stip, Jean Lachaine

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Therapeutic advances in psychopharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.1field-weighted citation impact, top 8% 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, 35 citations in OpenAlex.

  1. Article
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  7. Real-World Utilization Patterns of Long-Acting Injectable Antipsychotics in Canada: A Retrospective Study.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022
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  8. Article
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  10. Observational
  11. Review
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  16. [Long-acting antipsychotics: The QAAPAPLE algorithm review].Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Emmanuel StipDépartement de Psychiatrie, Université de Montréal Faculté de Médecine, C.P. 6128, Succursale Centre-Ville, Montréal, Québec H3C 3J7, Canada.
Jean LachaineCR-CHUM, University of Montréal, Montréal, Québec, Canada Faculty of Pharmacy, University of Montréal, Montréal, Québec, Canada.
Université de Montréal · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-acting injectable antipsychotics (LAI-AP) for patients with schizophrenia (SCZ) have saved significant healthcare costs. However, the cost effectiveness of LAI-AP for patients with other mental disorders has yet to be established. The goal of this study was to evaluate the impact of early initiation of LAI-AP medications on healthcare resource utilization (HRU). Drawing on the Quebecois universal healthcare program (RAMQ), we conducted a nationwide prospective cohort study of LAI-AP under real-world conditions.

methodsThis study was performed using a representative sample of patients newly treated with LAI-AP (

resultsIn the people with SCZ group, 976 patients were on an SGA-LAI, and 1020 patients were on an FGA-LAI; 41.9% of all users were on risperidone LAI-AP during this period and 17.9% were on zuclopenthixol decanoate. The number of hospitalizations was reduced by half. Durations were also significantly reduced. The total healthcare cost savings for all users were C$29,876 per patient/per year. Younger patients tended to receive more SGA-LAI than FGA-LAI: 29%

conclusionThe initiation of LAI-AP saved significant costs to the province of Québec compared with the previous year. Initiation of a LAI-AP resulted in lower resource use. Higher medication costs were offset by lower inpatient and outpatient costs.

Indexed as

antipsychoticscompliancehealthcare resource utilizationlong-acting injection formulations of antipsychoticsrelapse preventionschizoaffective disorderschizophrenia

Identifiers

PMID30344996
PMCPMC6180377
OpenAlexW2809021766

What OpenQuestion holds

Textmetadata
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.