Evidence map›Paper›PMID 31699180›Full record

ArticleBJPsych open2019

Health screening, cardiometabolic disease and adverse health outcomes in individuals with severe mental illness.

Robert Pearsall, Richard J Shaw, Gary McLean, Moira Connolly, Kate A Hughes, James G Boyle, John Park, Daniel J Smith, Daniel Mackay

Abstract read
In one paragraph

Article in BJPsych open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. 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

9 authors.

Robert PearsallConsultant Psychiatrist and Honorary Clinical Senior Lecturer in Psychiatry, Institute of Health and Wellbeing, University of Glasgow, UK.ORCID https://orcid.org/0000-0002-6697-9157
Richard J ShawResearch Associate, Institute of Health and Wellbeing, University of Glasgow, UK.ORCID https://orcid.org/0000-0002-7906-6066
Gary McLeanResearch Associate, Institute of Health and Wellbeing, University of Glasgow, UK.
Moira ConnollyConsultant Psychiatrist, Department of Psychiatry, Gartnavel Royal Hospital, Glasgow, UK.
Kate A HughesConsultant Endocrinologist, Physician and Honorary Senior Lecturer, Department of Medicine, Glasgow Royal Infirmary, UK.
James G BoyleConsultant Diabetologist and Honorary Clinical Associate Professor, School of Medicine, University of Glasgow, UK.
John ParkRN (Mental Health), Lead Research Nurse, Department of Psychiatry, Stobhill Hospital, UK.
Daniel J SmithProfessor of Psychiatry, Institute of Health and Wellbeing, University of Glasgow, UK.ORCID https://orcid.org/0000-0002-2267-1951
Daniel MackayReader in Public Health, Institute of Health and Wellbeing, University of Glasgow, UK.

Funding

Chief Scientist Office HICG/1/13Medical Research Council MC_PC_17217
6 · The paper itself

Abstract

backgroundPoor physical health in severe mental illness (SMI) remains a major issue for clinical practice.

aimsTo use electronic health records of routinely collected clinical data to determine levels of screening for cardiometabolic disease and adverse health outcomes in a large sample (n = 7718) of patients with SMI, predominantly schizophrenia and bipolar disorder.

methodWe linked data from the Glasgow Psychosis Clinical Information System (PsyCIS) to morbidity records, routine blood results and prescribing data.

resultsThere was no record of routine blood monitoring during the preceding 2 years for 16.9% of the cohort. However, monitoring was poorer for male patients, younger patients aged 16-44, those with schizophrenia, and for tests of cholesterol, triglyceride and glycosylated haemoglobin. We estimated that 8.0% of participants had diabetes and that lipids levels, and use of lipid-lowering medication, was generally high.

conclusionsElectronic record linkage identified poor health screening and adverse health outcomes in this vulnerable patient group. This approach can inform the design of future interventions and health policy.

Indexed as

antipsychotic medicationdiabetesphysical healthschizophreniaScreening

Identifiers

PMID31699180
PMCPMC6854356

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.