Evidence map›Paper›PMID 31407842›Full record

SynthesisAmerican journal of medical genetics. Part A2019

Adverse effects of antipsychotic medication in patients with 22q11.2 deletion syndrome: A systematic review.

Janna de Boer, Erik Boot, Lissa van Gils, Therese van Amelsvoort, Janneke Zinkstok

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in American journal of medical genetics. Part A, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Psychiatric Comorbidities in Adults with DiGeorge Syndrome.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2022
    Article
  8. Neurological manifestation of 22q11.2 deletion syndrome.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Review
  9. Article
  10. Review
  11. Clinical management of psychosis in 22q11.2 deletion syndrome.Journal of psychiatry & neuroscience : JPN
    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

5 authors at 3 institutions in 2 countries.

Janna de BoerDepartment of Psychiatry, University Medical Center Utrecht, Utrecht University & University Medical Center Utrecht Brain Center, Utrecht, The Netherlands.ORCID 0000-0003-1231-2733
Erik Boot's Heeren Loo Zorggroep, Amersfoort, The Netherlands.
Lissa van GilsDepartment of Psychiatry, University Medical Center Utrecht, Utrecht University & University Medical Center Utrecht Brain Center, Utrecht, The Netherlands.
Therese van AmelsvoortDepartment of Psychiatry & Neuropsychology, Maastricht University, Maastricht, The Netherlands.
Janneke ZinkstokDepartment of Psychiatry, University Medical Center Utrecht, Utrecht University & University Medical Center Utrecht Brain Center, Utrecht, The Netherlands.
Utrecht University · NLMaastricht University · NLUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The 22q11.2 deletion syndrome (22q11.2DS) is a multisystem condition and the most prevalent microdeletion syndrome in humans. Approximately 25% of individuals with 22q11.2DS receive antipsychotic treatment. To assess whether patients with 22q11.2DS are vulnerable to adverse effects of antipsychotic medication, we carried out a literature review. A systematic search strategy was performed using PubMed (Medline), Embase, PsychInfo, and Cochrane Database of Systematic Reviews. Publications describing adverse effects of antipsychotic medication in patients with 22q11.2DS were included in the review and assessed for their methodological quality. A total of 11 publications reporting on eight trials, cross-sectional or cohort studies, and 30 case reports were included. The most commonly reported adverse effects can be classified into the following categories: movement disorders, weight gain, seizures, cardiac side effects, and cytopenias. Many of these symptoms are manifestations of 22q11.2DS, also in the absence of antipsychotic medication. Based on the reviewed literature, a causal relation between antipsychotic medication and the reported adverse effects could not be established in the majority of cases. Randomized clinical trials are needed to make firm conclusions regarding risk of adverse effects of antipsychotics in patients with 22q11.2DS.

Indexed as

Antipsychotic AgentsDiagnosis, DifferentialDiGeorge SyndromeDrug-Related Side Effects and Adverse ReactionsHumansPhenotypeAntipsychotic Agents22q11.2 deletion syndromeadverse effectsantipsychotic medicationsystematic review

Identifiers

PMID31407842
PMCPMC6851664
OpenAlexW2968971243

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.