ReviewEClinicalMedicine2025
Diagnostic inequalities relating to physical healthcare among people with mental health conditions: a systematic review.
Review in EClinicalMedicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
16 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Delivering Palliative Care in Mental Health Nursing Settings: A Systematic Review.Journal of psychiatric and mental health nursing · 2026Pooled it
- Effectiveness of specialist-delivered interventions in severe mental illness: A systematic review and meta-analysis.The Australian and New Zealand journal of psychiatry · 2026Pooled it
- Exploring the effectiveness of physical health check interventions for people with severe mental illness: a systematic review of qualitative and quantitative evidence.BMC health services research · 2026Pooled it
- End-of-life care for people with severe and persistent mental illness and a life-limiting disease: An umbrella review.European psychiatry : the journal of the Association of European Psychiatrists · 2025Pooled it
- In Reference to: "Incidence, contributing factors, and predictors of diagnostic errors in medical inpatients: A retrospective cohort study".Journal of hospital medicine · 2026Article
- Estimating Accelerated Retinal Decline in Mental Health Disorders Through Normative Modeling.Schizophrenia bulletin · 2026Article
- Disparities in oral glucocorticoid prescribing among patients with mental disorders: nationwide cohort study.BJPsych open · 2026Article
- Review
- The silent struggle of ageing with SMI: a narrative review of physical health disparities in older adults with serious mental illness.Social psychiatry and psychiatric epidemiology · 2026Review
- Nurses' attitudes toward physical health care of psychiatric patients scale: development and validation study.BMC nursing · 2026Article
- Health Characteristics of Emerging and Young Adults with SMI.Community mental health journal · 2026Article
- The Mental Health-Acute Coronary Syndrome Continuum: Bidirectional Pathophysiological Links and Clinical Implications.Medical sciences (Basel, Switzerland) · 2026Review
- Variability in documentation of neurological and psychiatric examinations among emergency department patients with behavioral health-related presentations: a retrospective study.Frontiers in psychiatry · 2026Article
- Risk of Stroke in Patients With Schizophrenia, Bipolar Disorder, and Major Depressive Disorder: A Cohort Study of 183,504 Subjects.Acta psychiatrica Scandinavica · 2026Article
- "Although I'm mentally ill, that doesn't mean that I'm not also physically ill" - barriers, facilitators and diagnostic overshadowing in healthcare for individuals with lived experience of mental ill-health.Frontiers in public health · 2026Article
- From lifestyle psychiatry to whole person health: Evidence, dissemination, and scalable approaches.European psychiatry : the journal of the Association of European Psychiatrists · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Inaccurate diagnosis of physical health problems in people with mental health conditions may contribute to poorer health outcomes. We review the evidence on whether individuals with mental health conditions are at risk of diagnostic inequalities related to their physical health. Methods: We searched MEDLINE, PsycINFO, Embase, and CINAHL, 1 September 2002-18 Septemebr 2024 (PROSPERO 2022: CRD42022375892). Seventy-nine studies were eligible for inclusion. Risk of Bias (RoB) was assessed using the Newcastle-Ottawa or RoB2 tools and results were presented as a narrative synthesis. Findings: Findings from the included studies suggests that people with mental health conditions face diagnostic inequalities for their physical health. A minority of studies adopted a design that specifically measured professional- and service-related factors associated with diagnostic inequalities. Most studies, however, measured diagnostic endpoints only, meaning that no inference could be made regarding the relative impact of patients' and clinicians' behaviour in producing inequalities. Interpretation: Further investigations should consider the stage of the diagnostic process at which inequalities occur, to improve knowledge of the mechanisms underpinning diagnostic inequalities, and support the development of targeted improvement interventions. Funding: This study is funded by The Health Foundation's grant to the University of Cambridge for The Healthcare Improvement Studies (THIS) Institute. Grant number not applicable.
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Registered trials
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.