Evidence map›Paper›PMID 40671306›Full record

ReviewEuropean psychiatry : the journal of the Association of European Psychiatrists2025

Clinical practice guidelines for the treatment of tardive dyskinesia in Europe: A descriptive review.

Mark J Edwards, Pierre Michel Llorca, Maurice T Driessen, Krzysztof Duma, Nayla Chaijale, Liza Sopina, Sameer Kotak, Andrea Fagiolini, David Taylor, Christoph U Correll

Abstract readReview
In one paragraph

Review in European psychiatry : the journal of the Association of European Psychiatrists, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Mark J EdwardsDepartment of Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID 0000-0002-8283-9015
Pierre Michel LlorcaDepartment of Medical and Research Activities, Fondation FondaMental, Créteil, France.ORCID 0000-0001-7438-8990
Maurice T DriessenGlobal Health Economics and Outcomes Research, Teva Pharmaceuticals EU, Amsterdam, Netherlands.
Krzysztof DumaMovement Disorders, Teva Pharmaceuticals EU, Amsterdam, Netherlands.ORCID 0009-0008-4338-0222
Nayla ChaijaleGlobal Medical Affairs, Teva Branded Pharmaceutical Products R&D LLC, West Chester, PA, USA.
Liza SopinaIndependent Consultant, Odense, Denmark.
Sameer KotakManagement, Yorker Health, Glen Rock, NJ, USA.
Andrea FagioliniDepartment of Molecular and Developmental Medicine, University of Siena, Siena, Italy.ORCID 0000-0001-5827-0853
David TaylorPharmaceutical Science, King's College London, London, UK.
Christoph U CorrellDepartment of Psychiatry, The Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA.ORCID 0000-0002-7254-5646

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile evidence-based clinical practice guidelines promote high-quality care, their absence may create unwarranted variation in disease management, leading to suboptimal outcomes. This study aimed to identify existing clinical practice guidelines for tardive dyskinesia (TD) in France, Germany, Italy, Spain, and the United Kingdom (EU4+UK), assessing the evidence for recommended TD treatments.

methodsMEDLINE, PubMed, and other sources (e.g., government/public agencies, associations, patient/research organizations) were searched to identify clinical practice guidelines for TD published between January 2000 and February 2025 in EU4+UK. Mentions of TD treatments in identified documents were classified as "recommendations" or "descriptions." Recommendations were ranked according to the Scottish Intercollegiate Guidelines Network grading system or received a "no-rank" label. Subanalyses on tetrabenazine and tiapride, were performed.

resultsOf the 31 documents identified, only two were TD-specific, with the remainder primarily developed for schizophrenia, major depressive disorder, and bipolar disorder. Data extraction led to 112 mentions of TD treatments (40 recommendations, 72 descriptions). Most recommendations focused on antipsychotic regimen modification (75%) and had no rank (88%). Only five recommendations (no rank) proposed a pharmaceutical (add-on) treatment: three for tetrabenazine and one each for amantadine and buspirone. Neither of the TD-specific guidelines contained TD treatment recommendations.

conclusionsNo specific clinical practice guidelines for TD in EU4 + UK were found, although TD management was mentioned in guidelines for other disorders. Most recommendations were not supported by high-quality evidence. To improve quality of care for patients with TD in Europe, updated treatment recommendations are needed based on high-quality studies.

Indexed as

Practice Guidelines as TopicTardive DyskinesiaAntipsychotic AgentsEuropeHumansAntipsychotic Agentsantipsychotic medicationclinical practice guidelinestardive dyskinesiatreatment recommendationsVMAT2 inhibitor

Identifiers

PMID40671306
PMCPMC12438997

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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.