Evidence map›Paper›PMID 30466208›Full record

ReviewClinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology2018

Comparative Efficacy and Safety of Long-acting Injectable and Oral Second-generation Antipsychotics for the Treatment of Schizophrenia: A Systematic Review and Meta-analysis.

Seon-Cheol Park, Mi Young Choi, Jina Choi, Eunjung Park, Ha Jin Tchoe, Jae Kyung Suh, Young Hoon Kim, Seung Hee Won, Young-Chul Chung, Kyung-Yeol Bae and 3 more

Open access · diamondAbstract readReview
In one paragraph

Review in Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 5% 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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Factors Affecting Continuation of Aripiprazole Long-acting Injection in the Real World.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2025
    Article
  10. Review
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Article
  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

13 authors at 7 institutions in 1 country.

Seon-Cheol ParkDepartment of Psychiatry, Haeundae Paik Hospital, Inje University College of Medicine Busan, Korea.
Mi Young ChoiNational Evidence-based Healthcare Collaborating Agency, Seoul, Korea.
Jina ChoiNational Evidence-based Healthcare Collaborating Agency, Seoul, Korea.
Eunjung ParkNational Evidence-based Healthcare Collaborating Agency, Seoul, Korea.
Ha Jin TchoeNational Evidence-based Healthcare Collaborating Agency, Seoul, Korea.
Jae Kyung SuhNational Evidence-based Healthcare Collaborating Agency, Seoul, Korea.
Young Hoon KimDepartment of Psychiatry, Gongju National Hospital, Gongju, Korea.
Seung Hee WonDepartment of Psychiatry, School of Medicine, Kyungpook National University, Daegu, Korea.
Young-Chul ChungDepartment of Psychiatry, Chonbuk National University Hospital, Jeonju, Korea.
Kyung-Yeol BaeDepartment of Psychiatry, Chonnam National University Medical School, Gwangju, Korea.
Sang-Kyu LeeDepartment of Psychiatry, Hallym University Chuncheon Sacred Hospital, Hallym University College of Medicine, Chuncheon, Korea.
Chan Mi ParkNational Evidence-based Healthcare Collaborating Agency, Seoul, Korea.
Seung-Hwan LeeDepartment of Psychiatry, Inje University Ilsan Paik Hospital, Goyang, Korea.
National Evidenc- based healthcare Collaborating Agency · KRHallym University · KRChonnam National University · KRGongju National Hospital · KRInje University Haeundae Paik Hospital · KRJeonbuk National University Hospital · KRKyungpook National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to compare the efficacy and safety of long-acting injectable (LAI) and oral second-generation antipsychotics (SGAs) in treating schizophrenia by performing a systematic review and meta-analysis. MEDLINE, EMBASE, PsycINFO, CINAHL, and the Cochrane Library, as well as five Korean databases, were systemically searched to identify studies published from 2000 to 16 April 2015, which compared the efficacy and safety of LAI and oral SGAs. Using data from randomized controlled trials (RCTs), meta-analyses were conducted. In addition, the GRADE (the Grading of Recommendations, Assessment, Development and Evaluation) approach was applied to explicitly assess the quality of the evidence. A total of 30 studies including 17 RCTs and 13 observational studies were selected. The group treated with LAI SGAs was characterized by significantly lower relapse rates, longer times to relapse and fewer hospital days, but also by a higher occurrence of extrapyramidal syndrome and prolactin-related symptoms than that in the group treated with oral SGAs. Our findings demonstrate that there is moderate to high level of evidence suggesting that in the treatment of schizophrenia, LAI SGAs have higher efficacy and are associated with higher rates of extrapyramidal syndrome and prolactin-related symptoms. Additionally, the use of LAI SGAs should be combined with appropriate measures to reduce dopamine D

Indexed as

EfficacyLong-acting injectableSafetySchizophreniaSecond-generation antipsychotics

Identifiers

PMID30466208
PMCPMC6245299
OpenAlexW2900713789

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.