Evidence map›Paper›PMID 30848442›Full record

Observational studyAdvances in therapy2019

Factors Associated with the Initiation of Long-Acting Injectable Paliperidone Palmitate Versus Aripiprazole Among Medicaid Patients with Schizophrenia: An Observational Study.

Qian Cai, Charmi Patel, Edward Kim, Nancy Connolly, Ozgur Tunceli, Antoine C El Khoury

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Advances in therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 48% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. 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

6 authors at 2 institutions in 1 country.

Qian CaiJanssen Scientific Affairs, LLC, Titusville, NJ, USA. qcai10@its.jnj.com.
Charmi PatelJanssen Scientific Affairs, LLC, Titusville, NJ, USA.
Edward KimJanssen Scientific Affairs, LLC, Titusville, NJ, USA.
Nancy ConnollyJanssen Scientific Affairs, LLC, Titusville, NJ, USA.
Ozgur TunceliJanssen Scientific Affairs, LLC, Titusville, NJ, USA.
Antoine C El KhouryJanssen Scientific Affairs, LLC, Titusville, NJ, USA.
Janssen (United States) · USJanssen Scientific Affairs (United States)

Funding

Janssen Scientific Affairs LLC NA
6 · The paper itself

Abstract

introductionFactors underlying the selection of antipsychotics for patients with schizophrenia are poorly understood. This study investigated variables associated with initiation of treatment with the long-acting injectables paliperidone palmitate (LAI-PP) and aripiprazole LAI (LAI-AP) in Medicaid patients with schizophrenia.

methodsAdults with at least one medical or pharmacy claim for LAI-PP or LAI-AP from 1 January 2013 to 31 December 2016 were selected from the IBM

resultsOf included patients, 5501 initiated LAI-PP and 1449 initiated LAI-AP. Patients more likely to initiate LAI-PP versus LAI-AP were older, male, or African American (all p < 0.01). Patients with obesity (odds ratio [OR] 0.84; 95% confidence interval [CI] 0.71, 0.98), post-traumatic stress disorder (OR 0.76; 95% CI 0.63, 0.92), or prior oral antipsychotic use (OR 0.66; 95% CI 0.55, 0.79) were less likely to initiate LAI-PP; whereas, patients with nonorganic psychoses (OR 1.35; 95% CI 1.18, 1.55) or prior use of other injectable antipsychotics (OR 1.26; 95% CI 1.09, 1.47) were more likely to initiate LAI-PP versus LAI-AP. Patients with at least two all-cause hospitalizations were 1.37 times more likely to initiate LAI-PP vs LAI-AP (OR 1.37; 95% CI 1.18, 1.60).

conclusionFactors associated with initiating LAI-PP and LAI-AP differed. Notably, patients who initiated LAI-PP had greater prior use of medical services than LAI-AP patients. Understanding prescribing practices may help optimize treatment strategies and improve disease management.

fundingJanssen Scientific Affairs, LLC.

Indexed as

SchizophreniaAdultAntipsychotic AgentsAripiprazoleDelayed-Action PreparationsDrug Utilization ReviewFemaleHumansInjectionsMaleMedicaidPaliperidone PalmitatePatient SelectionPractice Patterns, Physicians'United StatesAntipsychotic AgentsAripiprazoleDelayed-Action PreparationsPaliperidone PalmitateAripiprazoleClaims databaseLong-acting injectablesMedicaidMental healthPaliperidone palmitateReal-world evidenceSchizophrenia

Identifiers

PMID30848442
OpenAlexW2921372068

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.