Evidence map›Paper›PMID 35244485›Full record

ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2022

10-Year Trends in Healthcare Spending among Patients with Schizophrenia in Alberta, Canada.

Andrew J Stewart, Scott B Patten, Kirsten M Fiest, Tyler S Williamson, James P Wick, Paul E Ronksley

Abstract read
In one paragraph

Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 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
–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

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

  1. Prevalence and Incidence of Dementia for Schizophrenia and Other Primary Psychotic Disorders: A Systematic Review and Meta-Analysis.Asia-Pacific psychiatry : official journal of the Pacific Rim College of Psychiatrists · 2026
    Pooled it
  2. Article
  3. Factors associated with high health care spending among patients with schizophrenia.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2022
    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

6 authors.

Andrew J StewartDepartment of Community Health Sciences, Cumming School of Medicine, 2129University of Calgary, Calgary, Canada.ORCID 0000-0001-9773-2686
Scott B PattenDepartment of Community Health Sciences, Cumming School of Medicine, 2129University of Calgary, Calgary, Canada.ORCID 0000-0001-9871-4041
Kirsten M FiestDepartment of Community Health Sciences, Cumming School of Medicine, 2129University of Calgary, Calgary, Canada.
Tyler S WilliamsonDepartment of Community Health Sciences, Cumming School of Medicine, 2129University of Calgary, Calgary, Canada.
James P WickDepartment of Medicine, Cumming School of Medicine, 2129University of Calgary, Calgary, Canada.
Paul E RonksleyDepartment of Community Health Sciences, Cumming School of Medicine, 2129University of Calgary, Calgary, Canada.

Funding

CIHR PJT-168829
6 · The paper itself

Abstract

objectivesSchizophrenia is characterized by high levels of disability often resulting in increased healthcare utilization and spending. With expanding healthcare costs across all healthcare sectors, there is a need to understand how healthcare spending has changed over time. We conducted a population-based study using administrative health data from Alberta, Canada, to describe changes in medical complexity and direct healthcare spending among patients with schizophrenia over a 10-year period.

methodsA serial cross-sectional study from January 1, 2008, to December 31, 2017, was conducted to determine changes in demographic characteristics, medical complexity, and costs among all adults (18 years or older) with schizophrenia. Total healthcare spending and sector-specific costs attributable to hospitalizations, emergency department visits, practitioner billings, and prescriptions were calculated and compared over time.

resultsOver the 10-year period the contact prevalence of patients with schizophrenia increased from 0.6% (

conclusionsHealthcare spending among patients with schizophrenia continues to increase and may be partially attributable to growing rates of multimorbidity within this population. Although promising second-generation antipsychotic medications have entered the market, this has resulted in considerable changes in the distribution of healthcare spending over time. These findings will inform policy discussions around resource allocation and efforts to curb health spending while also improving care for patients with schizophrenia.

Indexed as

SchizophreniaAdultAlbertaCross-Sectional StudiesHealth Care CostsHealth ExpendituresHumansRetrospective Studiescomorbidityeconomic analysishealth services researchSchizophrenia

Identifiers

PMID35244485
PMCPMC9449136

What OpenQuestion holds

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LicenceCC BY-NC
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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.