Evidence map›Paper›PMID 34453057›Full record

ArticleNPJ schizophrenia2021

Antipsychotic-placebo separation on the PANSS-6 subscale as compared to the PANSS-30: a pooled participant-level analysis.

Fredrik Hieronymus, Pernille Kølbæk, Christoph U Correll, Søren D Østergaard

Abstract read
In one paragraph

Article in NPJ schizophrenia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

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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

4 authors.

Fredrik HieronymusDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark. fredrik.hieronymus@neuro.gu.se.ORCID http://orcid.org/0000-0003-0930-6068
Pernille KølbækDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Christoph U CorrellDivision of Psychiatry Research, The Zucker Hillside Hospital, Glen Oaks, NY, USA.
Søren D ØstergaardDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.

Funding

Det Frie Forskningsråd (Danish Council for Independent Research) 7016-00048BKræftens Bekæmpelse (Danish Cancer Society) R283-A16461Lundbeckfonden (Lundbeck Foundation) R344-2020-1073Lundbeckfonden (Lundbeck Foundation) R358-2020-2341Novo Nordisk Fonden (Novo Nordisk Foundation) NNF20SA0062874
6 · The paper itself

Abstract

In order for measurement-based care to be implemented, there is a need for brief rating instruments that can be administered in a short amount of time, but that are still sufficiently informative. Here, we assessed the drug-placebo sensitivity of the six-item subscale (PANSS-6) of the 30-item Positive and Negative Syndrome Scale (PANSS-30) using a large collection of patient-level data (n = 6685) from randomized controlled trials of risperidone and paliperidone. When analyzing the data by study, we found no material difference in mean effect sizes (ES) between the two measures (PANSS-30 ES = 0.45, PANSS-6 ES = 0.44; p = 0.642). Stratifying the pooled population according to several putative effect moderators (e.g., age, formulation, dose, or diagnosis) generally yielded no meaningful ES differences between the two measures. Similarly, early improvement (≥20% improvement at week 1) on the PANSS-6 predicted subsequent response (≥40% improvement at endpoint) as well as the analog prediction using PANSS-30. Finally, cross-sectional symptom remission assessed via the PANSS-6 showed very good agreement (sensitivity = 100%, specificity = 98%) with cross-sectional symptom remission defined by the Remission in Schizophrenia Working Group.

Identifiers

PMID34453057
PMCPMC8397783

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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.