Evidence map›Paper›PMID 38001423›Full record

SynthesisBMC psychiatry2023

Escitalopram versus other antidepressive agents for major depressive disorder: a systematic review and meta-analysis.

Juntao Yin, Xiaoyong Song, Chaoyang Wang, Xuhong Lin, Mingsan Miao

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Juntao Yin *Department of Pharmacy, Huaihe Hospital, Henan University, Kaifeng, China.
Xiaoyong Song *Department of Pharmacy, Huaihe Hospital, Henan University, Kaifeng, China.
Chaoyang WangDepartment of General Surgery, Huaihe Hospital, Henan University, Kaifeng, China.
Xuhong LinDepartment of Clinical Laboratory, Huaihe Hospital, Henan University, Henan, China. pharmayjt@sohu.com.
Mingsan MiaoNational International Cooperation Base of Chinese Medicine, Henan University of Chinese Medicine, Zhengzhou, 450046, China. 10200119@vip.henu.edu.cn.
Henan University Huaihe Hospital and Huaihe Clinical Institute · CNFirst Affiliated Hospital of Henan University · CN

Funding

National Natural Science Foundation of China [grant numbers 21605042Science and Technology Department of Henan Province 112102310306
6 · The paper itself

Abstract

backgroundEscitalopram is selective serotonin reuptake inhibitors (SSRIs) and one of the most commonly prescribed newer antidepressants (ADs) worldwide. We aimed to explore the efficacy, acceptability and tolerability of escitalopram in comparison with other ADs in the acute-phase treatment of major depressive disorder (MDD).

methodsMedline/PubMed, EMBASE, the Cochrane Library, CINAHL, and Clinical Trials.gov were searched from inception to July 10, 2023. Trial databases of drug-approving agencies were hand-searched for published, unpublished and ongoing controlled trials. All randomized controlled trials comparing escitalopram against any other antidepressant for patients with MDD. Responders and remitters to treatment were calculated on an intention-to-treat basis. For dichotomous data, risk ratios (RRs) were calculated with 95% confidence intervals (CI). Continuous data were analyzed using standardized mean differences (with 95% CI) using the random effects model.

resultsA total of 30 studies were included in this meta‑analysis, among which sixteen trials compared escitalopram with another SSRI and 14 compared escitalopram with a newer AD. Escitalopram was shown to be significantly more effective than citalopram in achieving acute response (RR 0.67, 95% CI 0.50-0.87). Escitalopram was also more effective than citalopram in terms of remission (RR 0.53, 95% CI 0.30-0.93).

conclusionsEscitalopram was superior to other ADs for the acute phase treatment of MDD in terms of efficacy, acceptability and tolerability. However, no significant difference was found between escitalopram and other ADs in early response or follow-up response to treatment of MDD.

Indexed as

Major Depressive DisorderAntidepressive AgentsCitalopramEscitalopramHumansSelective Serotonin Reuptake InhibitorsAntidepressive AgentsCitalopramEscitalopramSelective Serotonin Reuptake InhibitorsAntidepressantEscitalopramMajor depressive disorder (MDD)Meta-analysisSelective serotonin reuptake inhibitors (SSRI)

Identifiers

PMID38001423
PMCPMC10675869
OpenAlexW4388966609

What OpenQuestion holds

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LicenceCC BY
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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.