Evidence map›Paper›PMID 32218598›Full record

ArticlePloS one2020

Potential gains in life expectancy from reducing amenable mortality among people diagnosed with serious mental illness in the United Kingdom.

Alex Dregan, Ann McNeill, Fiona Gaughran, Peter B Jones, Anna Bazley, Sean Cross, Kate Lillywhite, David Armstrong, Shubulade Smith, David P J Osborn and 3 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
2.7field-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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
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  19. Observational
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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

13 authors at 4 institutions in 1 country.

Alex DreganInstitute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, United Kingdom.ORCID 0000-0002-7620-4902
Ann McNeillInstitute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, United Kingdom.
Fiona GaughranInstitute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, United Kingdom.
Peter B JonesDepartment of Psychiatry, University of Cambridge, Cambridge, United Kingdom.ORCID 0000-0002-0387-880X
Anna BazleySouth London and Maudsley NHS Foundation Trust and London, London, United Kingdom.
Sean CrossSouth London and Maudsley NHS Foundation Trust and London, London, United Kingdom.
Kate LillywhiteSouth London and Maudsley NHS Foundation Trust and London, London, United Kingdom.
David ArmstrongSchool of Population Health and Environmental Sciences, King's College London, London, United Kingdom.
Shubulade SmithInstitute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, United Kingdom.
David P J OsbornDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, United Kingdom.
Robert StewartInstitute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, United Kingdom.
Til WykesInstitute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, United Kingdom.
Matthew HotopfInstitute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, United Kingdom.
King's College London · GBSouth London and Maudsley NHS Foundation Trust · GBFaculty (United Kingdom) · GBUniversity of Cambridge · GB

Funding

Department of HealthMedical Research Council MC_PC_17214Medical Research Council MR/S028188/1Medical Research Council MR/T045302/1
6 · The paper itself

Abstract

backgroundTo estimate the potential gain in life expectancy from addressing modifiable risk factors for all-cause mortality (excluding suicide and deaths from accidents or violence) across specific serious mental illness (SMI) subgroups, namely schizophrenia, schizoaffective disorders, and bipolar disorders in a Western population.

methodsWe have used relative risks from recent meta-analyses to estimate the population attribution fraction (PAF) due to specific modifiable risk factors known to be associated with all-cause mortality within SMI. The potential gain in life expectancy at birth, age 50 and age 65 years were assessed by estimating the combined effect of modifiable risk factors from different contextual levels (behavioural, healthcare, social) and accounting for the effectiveness of existing interventions tackling these factors. Projections for annual gain in life expectancy at birth during a two-decade was estimated using the Annual Percentage Change (APC) formula. The predicted estimates were based on mortality rates for year 2014-2015.

resultsBased on the effectiveness of existing interventions targeting these modifiable risk factors, we estimated potential gain in life expectancy at birth of four (bipolar disorders), six (schizoaffective disorders), or seven years (schizophrenia). The gain in life expectancy at age 50 years was three (bipolar disorders) or five (schizophrenia and schizoaffective disorders) years. The projected gain in life expectancy at age 65 years was three (bipolar disorders) or four (schizophrenia and schizoaffective disorders) years.

conclusionsThe implementation of existing interventions targeting modifiable risk factors could narrow the current mortality gap between the general and the SMI populations by 24% (men) to 28% (women). These projections represent ideal circumstances and without the limitation of overestimation which often comes with PAFs.

Indexed as

Life ExpectancyAgedBipolar DisorderDatabases, FactualFemaleHumansLife StyleMaleMeta-Analysis as TopicMiddle AgedPsychotic DisordersRisk FactorsSchizophreniaSeverity of Illness IndexSurvival RateUnited Kingdom

Identifiers

PMID32218598
PMCPMC7100972
OpenAlexW3013958660

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.