Evidence map›Paper›PMID 32066733›Full record

ArticleTranslational psychiatry2020

Predicting treatment dropout after antidepressant initiation.

Melanie F Pradier, Thomas H McCoy, Michael Hughes, Roy H Perlis, Finale Doshi-Velez

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  16. The promise of machine learning in predicting treatment outcomes in psychiatry.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2021
    Article
  17. Article
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  19. Preferential Mixture-of-Experts: Interpretable Models that Rely on Human Expertise As Much As Possible.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science
    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 2 institutions in 1 country.

Melanie F PradierHarvard John A. Paulson School of Engineering and Applied Sciences, 29 Oxford Street, Cambridge, MA, 02138, USA.
Thomas H McCoyCenter for Quantitative Health, Massachusetts General Hospital, 185 Cambridge Street, Boston, MA, 02114, USA.ORCID http://orcid.org/0000-0002-5624-0439
Michael HughesHarvard John A. Paulson School of Engineering and Applied Sciences, 29 Oxford Street, Cambridge, MA, 02138, USA.
Roy H PerlisCenter for Quantitative Health, Massachusetts General Hospital, 185 Cambridge Street, Boston, MA, 02114, USA. rperlis@mgh.harvard.edu.ORCID http://orcid.org/0000-0002-5862-6757
Finale Doshi-VelezHarvard John A. Paulson School of Engineering and Applied Sciences, 29 Oxford Street, Cambridge, MA, 02138, USA. finale@seas.harvard.edu.
Harvard University · USTufts University · US

Funding

Natural language processing for characterizing psychopathologyR01MH106577 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI PERLIS, ROY H. · 2016 to 2018
$1.2M
Machine learning for data-driven subtyping of major depressionR56MH115187 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI PERLIS, ROY H. · 2018 to 2018
$596k
NIMH NIH HHS R01 MH106577NIMH NIH HHS R56 MH115187U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) 1R01MH106577-01
6 · The paper itself

Abstract

Antidepressants exhibit similar efficacy, but varying tolerability, in randomized controlled trials. Predicting tolerability in real-world clinical populations may facilitate personalization of treatment and maximize adherence. This retrospective longitudinal cohort study aimed to determine the extent to which incorporating patient history from electronic health records improved prediction of unplanned treatment discontinuation at index antidepressant prescription. Clinical data were analyzed from individuals from health networks affiliated with two large academic medical centers between March 1, 2008 and December 31, 2014. In total, the study cohorts included 51,683 patients with at least one International Classification of Diseases diagnostic code for major depressive disorder or depressive disorder not otherwise specified who initiated antidepressant treatment. Among 70,121 total medication changes, 16,665 (23.77%) of them were followed by failure to return; maximum risk was observed with paroxetine (27.71% discontinuation), and minimum with venlafaxine (20.78% discontinuation); Mantel-Haenzel χ

Indexed as

Major Depressive DisorderAntidepressive AgentsHumansLongitudinal StudiesParoxetineRetrospective StudiesAntidepressive AgentsParoxetine

Identifiers

PMID32066733
PMCPMC7026064
OpenAlexW3005144070

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.