Evidence map›Paper›PMID 31462334›Full record

SynthesisPsychological medicine2021

Predictors of treatment resistant schizophrenia: a systematic review of prospective observational studies.

S E Smart, A P Kępińska, R M Murray, J H MacCabe

Abstract readSystematic Review
In one paragraph

Synthesis in Psychological medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

42 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. UntargetedTranslational psychiatry · 2026
    Article
  8. Article
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  10. Article
  11. Article
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  15. Article
  16. Article
  17. Article
  18. Article
  19. Improving outcome of treatment-resistant schizophrenia: effects of cognitive remediation therapy.European archives of psychiatry and clinical neuroscience · 2024
    Article
  20. Review
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

4 authors.

S E SmartDepartment of Psychosis Studies, Institute of Psychiatry, Psychology, & Neuroscience, King's College London, 16 de Crespigny Park, London, SE5 8AF, UK.ORCID 0000-0002-6709-5425
A P KępińskaDepartment of Psychosis Studies, Institute of Psychiatry, Psychology, & Neuroscience, King's College London, 16 de Crespigny Park, London, SE5 8AF, UK.
R M MurrayDepartment of Psychosis Studies, Institute of Psychiatry, Psychology, & Neuroscience, King's College London, 16 de Crespigny Park, London, SE5 8AF, UK.
J H MacCabeDepartment of Psychosis Studies, Institute of Psychiatry, Psychology, & Neuroscience, King's College London, 16 de Crespigny Park, London, SE5 8AF, UK.

Funding

Department of HealthMedical Research Council MR/L011794/1
6 · The paper itself

Abstract

Treatment-resistant schizophrenia, affecting approximately 20-30% of patients with schizophrenia, has a high burden both for patients and healthcare services. There is a need to identify treatment resistance earlier in the course of the illness, in order that effective treatment, such as clozapine, can be offered promptly. We conducted a systemic literature review of prospective longitudinal studies with the aim of identifying predictors of treatment-resistant schizophrenia from the first episode. From the 545 results screened, we identified 12 published studies where data at the first episode was used to predict treatment resistance. Younger age of onset was the most consistent predictor of treatment resistance. We discuss the gaps in the literature and how future prediction models can identify predictors of treatment response more robustly.

Indexed as

Schizophrenic PsychologyAntipsychotic AgentsClozapineObservational Studies as TopicProspective StudiesRisk FactorsSchizophreniaTreatment OutcomeAntipsychotic AgentsClozapineFirst episodelongitudinalpredictionpsychosisschizophreniatreatment resistant

Identifiers

PMID31462334
PMCPMC7856410

What OpenQuestion holds

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LicenceCC BY
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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.