Evidence map›Paper›PMID 32462326›Full record

ArticleEuropean journal of clinical pharmacology2020

Real-world data on new users of atypical antipsychotics: characterisation, prescription patterns, healthcare costs and early cardio-metabolic occurrences from a large Italian database.

Carlo Piccinni, Letizia Dondi, Giulia Ronconi, Silvia Calabria, Immacolata Esposito, Antonella Pedrini, Aldo P Maggioni, Corrado Barbui, Nello Martini

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In one paragraph

Article in European journal of clinical pharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

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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

9 authors at 4 institutions in 1 country.

Carlo PiccinniFondazione ReS (Ricerca e Salute)-Research and Health Foundation, Via Magnanelli 6/3, Casalecchio di Reno, 40033, Bologna, Italy. piccinni@fondazioneres.it.ORCID http://orcid.org/0000-0002-8648-8961
Letizia DondiFondazione ReS (Ricerca e Salute)-Research and Health Foundation, Via Magnanelli 6/3, Casalecchio di Reno, 40033, Bologna, Italy.
Giulia RonconiFondazione ReS (Ricerca e Salute)-Research and Health Foundation, Via Magnanelli 6/3, Casalecchio di Reno, 40033, Bologna, Italy.
Silvia CalabriaFondazione ReS (Ricerca e Salute)-Research and Health Foundation, Via Magnanelli 6/3, Casalecchio di Reno, 40033, Bologna, Italy.
Immacolata EspositoDrugs and Health, Rome, Italy.
Antonella PedriniFondazione ReS (Ricerca e Salute)-Research and Health Foundation, Via Magnanelli 6/3, Casalecchio di Reno, 40033, Bologna, Italy.
Aldo P MaggioniFondazione ReS (Ricerca e Salute)-Research and Health Foundation, Via Magnanelli 6/3, Casalecchio di Reno, 40033, Bologna, Italy.
Corrado BarbuiWHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy.
Nello MartiniFondazione ReS (Ricerca e Salute)-Research and Health Foundation, Via Magnanelli 6/3, Casalecchio di Reno, 40033, Bologna, Italy.
Associazione Nazionale Medici Cardiologi Ospedalieri · ITFondazione Roma · ITMinistero della Salute · ITUniversity of Verona · IT

Funding

Angelini Pharma None
6 · The paper itself

Abstract

purposeTo describe new users of atypical antipsychotics (APs) in terms of sociodemographic characteristics, cardio-metabolic risk profile, prescription patterns, healthcare costs and cardio-metabolic events over the 24 months after treatment initiation.

methodsAtypical AP new users were selected from the ReS database and grouped into three: patients already affected by cardio-metabolic diseases (group A), patients without these clinical conditions but with predisposing conditions (group B) and patients without cardio-metabolic diseases and predisposing conditions (group C). Annual prescription patterns and healthcare costs were analysed. Subjects of groups B and C were matched with controls to compare the occurrences of cardio-metabolic events over 24 months.

resultsThirty-two thousand thirty-four new users of atypical APs were selected (median age 69). The 22.3% had cardio-metabolic diseases, 14.8% had predisposing conditions and 62.9% had none of these. The 99.3% received monotherapy. The mean annual cost per patient was €2785, and the median cost was €1108. After 24 months, a cardio-metabolic event occurred in 11.5% of group B vs. 8.7% of the controls (p < .01), and in 5.0% of group C vs. 2.1% of the controls (p < .01).

conclusionPatients treated with atypical AP were on average old and, in a non-negligible amount, with cardio-metabolic disease or predisposing conditions. New users of atypical APs showed a significantly higher likelihood to develop a cardio-metabolic event early after treatment initiation.

Indexed as

AdolescentAdultAgedAged, 80 and overAntipsychotic AgentsCardiometabolic Risk FactorsCardiovascular DiseasesDatabases, FactualFemaleHealth Care CostsHumansItalyMaleMetabolic DiseasesMiddle AgedPractice Patterns, Physicians'Antipsychotic AgentsAdministrative dataAtypical antipsychoticCardio-metabolic riskItalyReal-world evidence

Identifiers

PMID32462326
OpenAlexW3029169890

What OpenQuestion holds

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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.