Evidence map›Paper›PMID 35486616›Full record

SynthesisPloS one2022

Long-acting injectable antipsychotics for early psychosis: A comprehensive systematic review.

Lulu Lian, David D Kim, Ric M Procyshyn, Diana Cázares, William G Honer, Alasdair M Barr

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
5.8field-weighted citation impact, top 3% 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

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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  14. The knowledge and attitudes of psychiatrists toward antipsychotic long-acting injections in Turkiye.Dusunen adam : Bakirkoy Ruh ve Sinir Hastaliklari Hastanesi yayin organi · 2025
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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

6 authors at 2 institutions in 2 countries.

Lulu LianDepartment of Anesthesiology, Pharmacology & Therapeutics, University of British Columbia, Vancouver, B.C., Canada.
David D KimDepartment of Anesthesiology, Pharmacology & Therapeutics, University of British Columbia, Vancouver, B.C., Canada.
Ric M ProcyshynBritish Columbia Mental Health & Substance Use Services Research Institute, Vancouver, B.C., Canada.
Diana CázaresDepartment of Chemical & Biological Sciences, Universidad de las Americas Puebla, Puebla, Mexico.
William G HonerBritish Columbia Mental Health & Substance Use Services Research Institute, Vancouver, B.C., Canada.
Alasdair M BarrDepartment of Anesthesiology, Pharmacology & Therapeutics, University of British Columbia, Vancouver, B.C., Canada.ORCID 0000-0002-3407-1574
University of British Columbia · CAUniversidad de las Américas Puebla · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimLong acting injectable (LAI) antipsychotics are an alternative to oral antipsychotic (OAP) treatment and may be beneficial for patients in the early stages of schizophrenia. This study aims to provide a comprehensive review on the efficacy of first-generation and second-generation LAI antipsychotics in recent-onset, first-episode, and early psychosis patients.

methodsMEDLINE, EMBASE, PsycINFO, and Web of Science Core databases were used to search for studies that used LAIs in early psychosis patients. Studies published up to 06 Jun 2019 were included with no language restrictions applied. Inclusion criteria were a diagnosis of schizophrenia or related disorder, where patients were in their first episode or had a duration of illness ≤5 years.

results33 studies were included: 8 RCTs, 4 post-hoc analyses, 2 case reports, and 19 naturalistic studies. The majority of studies evaluated risperidone LAIs (N = 14) and paliperidone palmitate (N = 10), while the remainder investigated fluphenazine decanoate (N = 3), flupentixol decanoate (N = 2), and aripiprazole (N = 1). Two studies did not specify the LAI formulation used, and one cohort study compared the efficacy of multiple different LAI formulations.

conclusionsWhile the majority of data is based on naturalistic studies investigating risperidone LAIs or paliperidone palmitate, LAIs may be an effective treatment for early psychosis patients in terms of adherence, relapse reduction, and symptom improvements. There is still a need to conduct more high quality RCTs that investigate the efficacy of different LAI formulations in early psychosis patients.

Indexed as

Antipsychotic AgentsPsychotic DisordersCohort StudiesDelayed-Action PreparationsHumansPaliperidone PalmitateRisperidoneAntipsychotic AgentsDelayed-Action PreparationsPaliperidone PalmitateRisperidone

Identifiers

PMID35486616
PMCPMC9053823
OpenAlexW4225149689

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.