Evidence map›Paper›PMID 35387806›Full record

ArticleBMJ open2022

Mental healthcare utilisation by patients before and after receiving paliperidone palmitate treatment: mirror image analyses.

Giouliana Kadra-Scalzo, Deborah Ahn, Alex Bird, Matthew Broadbent, Chin-Kuo Chang, Megan Pritchard, Hitesh Shetty, David Taylor, Richard Hayes, Robert Stewart

Abstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Giouliana Kadra-ScalzoPsychological Medicine, King's College London, London, UK giouliana.kadra@kcl.ac.uk.ORCID 0000-0003-3182-905X
Deborah AhnPsychological Medicine, King's College London, London, UK.
Alex BirdJanssen Pharmaceutical Companies of Johnson & Johnson, Titusville, New Jersey, USA.
Matthew BroadbentSouth London and Maudsley NHS Foundation Trust. London, UK, London, UK.
Chin-Kuo ChangPsychological Medicine, King's College London, London, UK.
Megan PritchardSouth London and Maudsley NHS Foundation Trust. London, UK, London, UK.
Hitesh ShettySouth London and Maudsley NHS Foundation Trust. London, UK, London, UK.
David TaylorSouth London and Maudsley NHS Foundation Trust. London, UK, London, UK.
Richard Hayes *Psychological Medicine, King's College London, London, UK.
Robert Stewart *Psychological Medicine, King's College London, London, UK.

Funding

Department of Health
6 · The paper itself

Abstract

objectivesTo compare mental healthcare use and healthcare professional (HCP) contacts for patients before and after initiation of paliperidone palmitate.

settingThe South London and Maudsley NHS Foundation Trust (SLAM) Biomedical Research Centre Clinical Record Interactive Search.

participantsWe identified all adults with a diagnosis of schizophrenia (International Classification of Diseases 10th Revision: F20.x), who had received paliperidone palmitate prescription for at least 365 days and had at least 1 year of recorded treatment from SLAM, prior to the first recorded receipt of paliperidone palmitate. PRIMARY AND SECONDARY OUTCOME MEASURES: Inpatient and community mental healthcare service use, such as inpatient bed days, number of active days in the service, face-to-face and telephone HCP use in the 12 months before and after paliperidone palmitate initiation.

resultsWe identified 664 patients initiated on paliperidone palmitate. Following initiation, inpatient bed days were lower, although patients remained active on the service case load longer for both mirror approach 1 (mean difference of inpatient bed days -10.48 (95% CI -15.75 to -5.22); days active 40.67 (95% CI 33.39 to 47.95)) and mirror approach 2 (mean difference of inpatient bed days -23.96 (95% CI -30.01 to -17.92); mean difference of days active 40.69 (95% CI 33.39 to 47.94)). The postinitiation period was further characterised by fewer face-to-face and telephone contacts with medical and social work HCPs, and an increased contact with clinical psychologists.

conclusionsOur findings indicate a change in the profile of HCP use, consistent with a transition from treatment to possible rehabilitation.

Indexed as

Antipsychotic AgentsSchizophreniaAdultHumansLondonPaliperidone PalmitatePatient Acceptance of Health CareAntipsychotic AgentsPaliperidone Palmitateadult psychiatrymental healthschizophrenia & psychotic disorders

Identifiers

PMID35387806
PMCPMC8987753

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