Evidence map›Paper›PMID 36405400›Full record

ArticleTherapeutic advances in psychopharmacology2022

Real-life effectiveness of transitioning from paliperidone palmitate 1-monthly to paliperidone palmitate 3-monthly long-acting injectable formulation.

Olivier Corbeil, Anne-Marie Essiambre, Laurent Béchard, Audrey-Anne Roy, Maxime Huot-Lavoie, Sébastien Brodeur, Ranjith Chandrasena, Chantale Thériault, Candice Crocker, Jean-Pierre Melun and 3 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in psychopharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. The relationship between schizophrenia or schizoaffective disorder and type 1 diabetes mellitus: a scoping review of observational studies.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2024
    Article
  4. Observational
  5. Article
  6. Review
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

13 authors at 5 institutions in 1 country.

Olivier CorbeilFaculty of Pharmacy, Université Laval, 1050 Av. de la Médecine, Quebec City, QC G1V 0A6, Canada.ORCID https://orcid.org/0000-0002-4192-853X
Anne-Marie EssiambreCERVO Brain Research Centre, Quebec City, QC, Canada.
Laurent BéchardFaculty of Pharmacy, Université Laval, Quebec City, QC, Canada.ORCID https://orcid.org/0000-0001-6697-1799
Audrey-Anne RoyFaculty of Medicine, Université Laval, Quebec City, QC, Canada.
Maxime Huot-LavoieCERVO Brain Research Centre, Quebec City, QC, Canada.
Sébastien BrodeurQuebec Mental Health University Institute, Quebec City, QC, Canada.
Ranjith ChandrasenaDepartment of Psychiatry, Western University, London, ON, Canada.
Chantale ThériaultCERVO Brain Research Centre, Quebec City, QC, Canada.
Candice CrockerDepartment of Psychiatry, Dalhousie University, Halifax, NS, Canada.
Jean-Pierre MelunMontreal Mental Health University Institute, Montreal, QC, Canada.
Phil TibboDepartment of Psychiatry, Dalhousie University, Halifax, NS, Canada.
Marie-France DemersFaculty of Pharmacy, Université Laval, Quebec City, QC, Canada.
Marc-André RoyQuebec Mental Health University Institute, Quebec City, QC, Canada.
Institut Universitaire en Santé Mentale de Québec · CAUniversité Laval · CADalhousie University · CADouglas Mental Health University Institute · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Non-adherence to antipsychotics in schizophrenia is associated with an increased risk of psychotic relapse and hospitalization, a risk that is reduced with the use of long-acting injectable (LAI) antipsychotics. Randomized clinical trials (RCTs) have demonstrated the efficacy of paliperidone palmitate 3-monthly (PP3M) for psychotic relapse prevention in schizophrenia, but it remains poorly documented among individuals treated in real-life settings who can benefit the most out of LAIs. Objectives: The objective of this study was to evaluate the effectiveness of PP3M in relapse prevention among patients with schizophrenia. Methods: This is a multicentre retrospective study conducted in four outpatients' clinics across Canada. All consecutive patients with a main diagnosis of schizophrenia who initiated PP3M between June 2016 and March 2020 were included. The primary outcome was psychotic relapse, defined using broad and clinically relevant criteria. Results: Among 178 consecutive patients who were switched to PP3M, the 12-month relapse rate was 18.5% and the relapse-free survival probability was 0.788 (95% confidence interval [CI] = 0.725-0.856). Comorbid diagnoses of personality disorders and substance use disorders were associated with hazard rates (HRs) of 3.6 (95% CI = 1.8-7.3, Conclusion: These findings reinforce the necessity of conducting research in patients with comorbid psychiatric disorders who are typically underrepresented in RCTs, yet overrepresented in real-life settings, in order to better inform and guide clinical practice.

Indexed as

antipsychoticlong-acting injectablenaturalistic settingpaliperidone palmitate 1-monthlypaliperidone palmitate 3-monthlypsychotic disorderrelapseschizophrenia

Identifiers

PMID36405400
PMCPMC9666838
OpenAlexW4309656230

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.