Evidence map›Paper›PMID 36097725›Full record

ArticleBJPsych open2022

Antidepressant use and risk of adverse outcomes: population-based cohort study.

Narinder Bansal, Mohammed Hudda, Rupert A Payne, Daniel J Smith, David Kessler, Nicola Wiles

Abstract read
In one paragraph

Article in BJPsych open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

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

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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.

Narinder BansalDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, UK.ORCID https://orcid.org/0000-0002-6925-1719
Mohammed HuddaPopulation Health Research Institute, St George's, University of London, UK.
Rupert A PayneDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, UK.
Daniel J SmithCentre for Clinical Brain Sciences, University of Edinburgh, Royal Edinburgh Hospital, UK.ORCID https://orcid.org/0000-0002-2267-1951
David KesslerDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, UK.
Nicola WilesDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, UK.

Funding

Medical Research Council MC_PC_17228Medical Research Council MC_QA137853
6 · The paper itself

Abstract

backgroundAntidepressants are one of the most widely prescribed drugs in the global north. However, little is known about the health consequences of long-term treatment.

aimsThis study aimed to investigate the association between antidepressant use and adverse events.

methodThe study cohort consisted of UK Biobank participants whose data was linked to primary care records (

resultsSSRI treatment was associated with decreased risk of diabetes at 5 years (hazard ratio 0.64, 95% CI 0.49-0.83) and 10 years (hazard ratio 0.68, 95% CI 0.53-0.87), and hypertension at 10 years (hazard ratio 0.77, 95% CI 0.66-0.89). At 10-year follow-up, SSRI treatment was associated with increased risks of CV (hazard ratio 1.34, 95% CI 1.02-1.77), CVD mortality (hazard ratio 1.87, 95% CI 1.38-2.53) and all-cause mortality (hazard ratio 1.73, 95% CI 1.48-2.03), and 'other' class treatment was associated with increased risk of CHD (hazard ratio 1.99, 95% CI 1.31-3.01), CVD (hazard ratio 1.86, 95% CI 1.10-3.15) and all-cause mortality (hazard ratio 2.20, 95% CI 1.71-2.84).

conclusionsOur findings indicate an association between long-term antidepressant usage and elevated risks of CHD, CVD mortality and all-cause mortality. Further research is needed to assess whether the observed associations are causal, and elucidate the underlying mechanisms.

Indexed as

Antidepressantsepidemiologyoutcome studiesprimary carerisk assessment

Identifiers

PMID36097725
PMCPMC9534882

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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.