Evidence map›Paper›PMID 32026379›Full record

ArticleDrugs - real world outcomes2020

Once-Monthly Long-Acting Injectable Aripiprazole for the Treatment of Patients with Schizophrenia and Co-occurring Substance Use Disorders: A Multicentre, Observational Study.

Nestor Szerman, Ignacio Basurte-Villamor, Pablo Vega, Jose Martinez-Raga, Carlos Parro-Torres, Julia Cambra Almerge, Lara Grau-López, Mario De Matteis, Francisco Arias

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Drugs - real world outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Nestor SzermanInstituto Psiquiatría y Salud Mental, Hospital General Universitario Gregorio Marañón, Calle de Lope de Rueda, 43, 28009, Madrid, Spain. nszermanb@gmail.com.ORCID http://orcid.org/0000-0002-9821-7958
Ignacio Basurte-VillamorInstituto Psiquiatría y Salud Mental, Hospital General Universitario Gregorio Marañón, Calle de Lope de Rueda, 43, 28009, Madrid, Spain.ORCID http://orcid.org/0000-0001-9898-4105
Pablo VegaInstituto de Adicciones, Madrid Salud, Madrid, Spain.ORCID http://orcid.org/0000-0002-6085-8602
Jose Martinez-RagaPsychiatry Department, University Hospital Dr. Peset, University of Valencia and University CEU-UCH, Valencia, Spain.ORCID http://orcid.org/0000-0002-2856-6562
Carlos Parro-TorresPsychiatry Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Julia Cambra AlmergePsychiatry Department, "Proyecto Hombre", Madrid, Spain.ORCID http://orcid.org/0000-0002-7381-2136
Lara Grau-LópezAddiction and Dual Diagnosis Unit, Department of Psychiatry, Vall d'Hebron University Hospital, CIBERSAM, Barcelona, Spain.ORCID http://orcid.org/0000-0003-1297-1819
Mario De MatteisPsychiatry Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.ORCID http://orcid.org/0000-0001-9654-9150
Francisco AriasPsychiatry Department, 12 de Octubre University Hospital, Madrid, Spain.ORCID http://orcid.org/0000-0003-0740-9282
Hospital General Universitario Gregorio Marañón · ESCentro de Investigación Biomédica en Red de Salud Mental · ESInstituto Nacional de la Salud · ESResearch Institute Hospital 12 de Octubre · ESUniversitat de València · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the efficacy and impact of long-acting injectable (LAI) aripiprazole in patients with schizophrenia with a coexisting substance use disorder (SUD). PATIENTS AND

methodsA multicenter, observational, descriptive and retrospective study was conducted in patients with a DSM-5 diagnosis of schizophrenia who had a coexisting SUD and were treated with LAI-aripiprazole. Disease severity was evaluated with the Clinical Global Impression (CGI) severity scale for schizophrenia, daily functioning and disability were evaluated with the World Health Organisation Disability Assessment Scale (WHODAS-2.0), and the severity of the addiction was evaluated with the Severity of Dependence Scale (SDS).

resultsThe sample included 40 patients. Overall, after 6 months of treatment with LAI-aripiprazole at a dose of 400 mg/4 weeks in 77.5% of the patients, we observed significant improvement in the psychopathological symptoms, with a reduction of over 30% in the scores of the five CGI-severity scales. The WHODAS-2.0 mean (standard deviation) score was also significantly reduced from 57.6 (8.2) to 42.3 (4.3) points (p < 0.001). Regarding SUDs, after 6 months of treatment, substance use was stopped in 5 of the 9 patients with cocaine use disorder and in 3 of the 16 patients with alcohol abuse disorder. A significant reduction in the severity of the dependence was observed only in the subgroups of participants with cocaine and alcohol use disorders.

conclusionOur study suggests that once-monthly LAI-aripiprazole retains its antipsychotic efficacy in patients with schizophrenia and a coexisting SUD and could be useful for the management of cocaine or alcohol use disorders in this population.

Identifiers

PMID32026379
PMCPMC7060971
OpenAlexW3004899445

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.