Evidence map›Paper›PMID 35234369›Full record

Observational studyNeuropsychopharmacology reports2022

Efficacy of clozapine for long-stay patients with treatment-resistant schizophrenia: 4-year observational study.

Kentaro Mizuno, Emiko Mizuno, Akira Suekane, Toshiaki Shiratsuchi

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Neuropsychopharmacology reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 40% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
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 at 2 institutions in 2 countries.

Kentaro MizunoWakakusa Hospital, Miyazaki, Japan.ORCID 0000-0002-3026-3990
Emiko MizunoWakakusa Hospital, Miyazaki, Japan.
Akira SuekaneEmergency Department, Miyazaki Prefectual Miyazaki Hospital, Miyazaki, Japan.
Toshiaki ShiratsuchiWakakusa Hospital, Miyazaki, Japan.
Yazaki (United States) · USMiyazaki Prefectural Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimSupporting patients upon discharge following prolonged hospitalization in private psychiatric hospitals in Japan have long been an issue. This study evaluated the efficacy of clozapine in treating long-stay patients with treatment-resistant schizophrenia to reduce the frequency and duration of readmissions postdischarge.

methodsWe retrospectively examined the length and frequency of hospitalizations of long-stay and non-long-stay patients with schizophrenia who were introduced to clozapine at our hospital.

resultsComparing participants' medical records 2 years before and after the introduction of clozapine, we identified a significant decrease in both length and frequency of hospitalizations in all patients who were introduced to clozapine. In long-stay patients, the length and frequency of hospitalization were significantly reduced. However, compared to non-long-stay patients, the period from introduction of clozapine to discharge was longer and the dose of clozapine was higher. Thus, it is necessary to take time to evaluate the therapeutic effects for long-stay patients.

conclusionThe results showed that clozapine is helpful for patients with treatment-resistant schizophrenia, who are considered difficult to treat and discharge in Japan.

Indexed as

Antipsychotic AgentsClozapineSchizophreniaAftercareHumansLength of StayPatient DischargeRetrospective StudiesSchizophrenia, Treatment-ResistantAntipsychotic AgentsClozapineclozapinedrug therapyhospitalizationschizophreniatreatment outcome

Identifiers

PMID35234369
PMCPMC9216358
OpenAlexW4214945222

What OpenQuestion holds

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LicenceCC BY
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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.