Evidence map›Paper›PMID 39379847›Full record

SynthesisBMC psychiatry2024

Pharmacogenomics-assisted treatment versus standard of care in schizophrenia: a systematic review and meta-analysis.

Saibal Das, Manoj Kalita, Manabendra Makhal, M Devaraja, Bhavani Shankara Bagepally, Jerin Jose Cherian, Rajesh Aadityan, Mounamukhar Bhattacharjee, Sarnendu Mondal, Sreyashi Sen and 6 more

Abstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. 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

16 authors.

Saibal DasIndian Council of Medical Research - Centre for Ageing and Mental Health, Kolkata, India. saibal.das@ki.se.
Manoj KalitaIndian Council of Medical Research - Centre for Ageing and Mental Health, Kolkata, India.
Manabendra MakhalDepartment of Psychiatry, Calcutta National Medical College and Hospital, Kolkata, India.
M DevarajaIndian Council of Medical Research - Centre for Ageing and Mental Health, Kolkata, India.
Bhavani Shankara BagepallyIndian Council of Medical Research, National Institute of Epidemiology, Chennai, India.
Jerin Jose CherianDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Rajesh AadityanAll India Institute of Medical Sciences, Raebareli, India.
Mounamukhar BhattacharjeeIndian Council of Medical Research - Centre for Ageing and Mental Health, Kolkata, India.
Sarnendu MondalIndian Council of Medical Research - Centre for Ageing and Mental Health, Kolkata, India.
Sreyashi SenIndian Council of Medical Research - Centre for Ageing and Mental Health, Kolkata, India.
Manaswini MondalIndian Council of Medical Research - Centre for Ageing and Mental Health, Kolkata, India.
Aniruddha BasuDepartment of Psychiatry, All India Institute of Medical Sciences, Kalyani, India.
Atanu Kumar DuttaDepartment of Biochemistry, All India Institute of Medical Sciences, Kalyani, India.
Indranil SahaIndian Council of Medical Research - Centre for Ageing and Mental Health, Kolkata, India.
Asim SahaIndian Council of Medical Research - Centre for Ageing and Mental Health, Kolkata, India.
Amit ChakrabartiIndian Council of Medical Research - Centre for Ageing and Mental Health, Kolkata, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPharmacogenomic (PGx) factors significantly influence how patients respond to antipsychotic medications This systematic review was performed to synthesize the clinical utility of PGx-assisted treatment versus standard of care in schizophrenia.

methodsPubMed, Embase, and Cochrane CENTRAL databases were searched for randomized controlled trials (RCTs) from inception till June 2024 that had compared the clinical utility of PGx-assisted intervention as compared to the standard of care in schizophrenia. The primary outcome was safety, and the secondary outcomes were efficacy and medication adherence. Pooled standardized mean differences (SMD) along with a 95% confidence interval (CI) were calculated (random-effects model) wherever feasible.

resultsA total of 18,821 studies were screened, and five were included for review. All the RCTs had a high risk of bias. Four studies included the commonly used antipsychotics. Three studies reported negative outcomes (safety, efficacy, and medication adherence) and two reported positive outcomes (safety) using different scales. In the meta-analysis, there were significant differences in the total Udvalg for Kliniske Undersogelser Side-Effect Rating scale score [SMD 0.95 (95% CI: 0.76-1.13), p < 0.001); I

conclusionCurrent evidence on the clinical utility of PGx-assisted treatment in schizophrenia is limited and inconsistent and further evidence is required in this regard.

Indexed as

Antipsychotic AgentsPrecision MedicineSchizophreniaStandard of CareHumansMedication AdherencePharmacogenomic VariantsRandomized Controlled Trials as TopicAntipsychotic AgentsAntipsychoticPharmacogenomics (PGx)Precision medicineSchizophreniaTherapeutic drug monitoring

Identifiers

PMID39379847
PMCPMC11463053

What OpenQuestion holds

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Registered trials

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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.