Evidence map›Paper›PMID 33434943›Full record

ArticlePharmacopsychiatry2021

Pharmacological Treatment of Schizophrenia: Japanese Expert Consensus.

Hitoshi Sakurai, Norio Yasui-Furukori, Takefumi Suzuki, Hiroyuki Uchida, Hajime Baba, Koichiro Watanabe, Ken Inada, Yuka Sugawara Kikuchi, Toshiaki Kikuchi, Asuka Katsuki and 2 more

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in Pharmacopsychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  5. Review
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  7. Review
  8. Article
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  11. Clinical Characteristics of Patients with Schizophrenia Maintained without Antipsychotics: A Cross-sectional Survey of a Case Series.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2021
    Article
  12. 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

12 authors at 11 institutions in 2 countries.

Hitoshi SakuraiDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Norio Yasui-FurukoriDepartment of Psychiatry, Dokkyo Medical University School of Medicine, Tochigi, Japan.
Takefumi SuzukiDepartment of Neuropsychiatry, University of Yamanashi Faculty of Medicine, Yamanashi, Japan.
Hiroyuki UchidaDepartment of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan.
Hajime BabaDepartment of Psychiatry & Behavioral Science, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Koichiro WatanabeDepartment of Neuropsychiatry, Kyorin University School of Medicine, Tokyo, Japan.
Ken InadaDepartment of Psychiatry, Tokyo Women's Medical University School of Medicine, Tokyo Japan.
Yuka Sugawara KikuchiDepartment of Psychiatry, Akita University School of Medicine, Akita, Japan.
Toshiaki KikuchiDepartment of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan.
Asuka KatsukiDepartment of Psychiatry, University of Occupational and Environmental Health, Fukuoka, Japan.
Ikuko KishidaFujisawa Hospital, Kanagawa, Japan.
Masaki KatoDepartment of Neuropsychiatry, Kansai Medical University, Osaka, Japan.
Keio University · JPAkita University · JPDokkyo Medical University · JPFujisawa City Hospital · JPJuntendo University · JPKansai Medical University · JPKyorin University · JPMassachusetts General Hospital · USTokyo Women's Medical University · JPUniversity of Occupational and Environmental Health Japan · JPUniversity of Yamanashi · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionConventional treatment guidelines of schizophrenia do not necessarily provide solutions on clinically important issues.

methodsA total of 141 certified psychiatrists of the Japanese Society of Clinical Neuropsychopharmacology evaluated treatment options regarding 19 clinically relevant situations in the treatment of schizophrenia with a 9-point scale (1="disagree" and 9="agree").

resultsFirst-line antipsychotics varied depending on predominant symptoms: risperidone (mean±standard deviation score, 7.9±1.4), olanzapine (7.5±1.6), and aripiprazole (6.9±1.9) were more likely selected for positive symptoms; aripiprazole (7.6±1.6) for negative symptoms; aripiprazole (7.3±1.9), olanzapine (7.2±1.9), and quetiapine (6.9±1.9) for depression and anxiety; and olanzapine (7.9±1.5) and risperidone (7.5±1.5) for excitement and aggression. While only aripiprazole was categorized as a first-line treatment for relapse prevention (7.6±1.0) in patients without noticeable symptoms, aripiprazole (8.0±1.6) and brexpiprazole (6.9±2.3) were categorized as such for social integration. First-line treatments in patients who are vulnerable to extrapyramidal symptoms include quetiapine (7.5±2.0) and aripiprazole (6.9±2.1). DISCUSSION: These clinical recommendations represent the expert consensus on the use of a particular antipsychotic medication for a particular situation, filling a current gap in the literature.

Indexed as

Antipsychotic AgentsSchizophreniaAripiprazoleBenzodiazepinesConsensusHumansJapanQuetiapine FumarateAntipsychotic AgentsAripiprazoleBenzodiazepinesQuetiapine Fumarate

Identifiers

PMID33434943
PMCPMC7946533
OpenAlexW3118873519

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.