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Cochrane Database of Systematic Reviews

Cambio de antipsicóticos para pacientes con esquizofrenia con problemas de peso o metabólicos inducidos por neurolépticos

Information

DOI:
https://doi.org/10.1002/14651858.CD006629.pub2Copy DOI
Database:
  1. Cochrane Database of Systematic Reviews
Version published:
  1. 08 December 2010see what's new
Type:
  1. Intervention
Stage:
  1. Review
Cochrane Editorial Group:
  1. Cochrane Schizophrenia Group

Copyright:
  1. Copyright © 2013 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

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Authors

  • Anitha Mukundan

    Correspondence to: City Mental Health Team, Horton Park Centre, Bradford, UK

    [email protected]

    [email protected]

  • Guy Faulkner

    Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Canada

  • Tony Cohn

    Schizophrenia Program and MAPS, Centre for Addiction and Mental Health, Toronto, Canada

  • Gary Remington

    Centre for Addiction and Mental Health, University of Toronto, Toronto, Canada

Contributions of authors

Anitha Mukundan ‐ Instigated the review, participated in literature searches, selected studies, extracted data and wrote report.

Guy Faulkner ‐ participated in literature searches, selected studies, and contributed to the report.

Tony Cohn ‐ participated in literature searches, selected studies.

Gary Remington ‐ participated in literature searches, selected studies.

Sources of support

Internal sources

  • Yorkshire Deanery, UK.

  • University of Toronto, Canada.

External sources

  • No sources of support supplied

Declarations of interest

None known.

Acknowledgements

We thank Judith Wright and Samantha Roberts for their assistance in the literature searches. We would also like to thank Clive Adams from the Cochrane Schizophrenia Group for his help and support throughout this review. We fully acknowledge the use of standard text in the Methods section of this review. The Cochrane Schizophrenia Group uses a template for protocols that are adapted for each review. Guy Faulkner was supported by a publication grant from the Ontario Mental Health Foundation.

Version history

Published

Title

Stage

Authors

Version

2010 Dec 08

Antipsychotic switching for people with schizophrenia who have neuroleptic‐induced weight or metabolic problems

Review

Anitha Mukundan, Guy Faulkner, Tony Cohn, Gary Remington

https://doi.org/10.1002/14651858.CD006629.pub2

2007 Jul 18

Antipsychotic switching for people with schizophrenia who have neuroleptic‐induced weight or metabolic problems

Protocol

Anitha Mukundan, Guy Faulkner, Tony Cohn, Gary Remington

https://doi.org/10.1002/14651858.CD006629

Differences between protocol and review

a. We did not calculate NNT as per protocol, as largely this has been superseded by the use of the Summary of Findings table.

Also, this review has been ongoing for some time. During this period Summary of Findings tables became possible. We did not pre‐state outcomes that should be the focus of this table, but have chosen these post‐hoc: These outcomes were chosen after the data were known.

1. Weight ‐ no clinically important change in body weight (as defined by individual studies)

2. Change in BMI

3. Presence of metabolic syndrome

4. Global state ‐ no clinically important change in global state (as defined by individual studies)

5. Mental state (with particular reference to the positive and negative symptoms of schizophrenia) ‐ no clinically important change in general mental state

6. Averse effects ‐ serious

7. Satisfaction with treatment ‐ recipient of care not satisfied with treatment

b. In the protocol, a random‐effects model was planned to be used for measuring treatment effect but the review has used a fixed‐effect model and the reasons for this have been detailed under data synthesis. The Methods section also had to be modified slightly to accommodate the requirements of RevMan 5 (published protocol used RevMan 4).

c. The original protocol states that we were to work independently in extraction of data. Time constraints precluded this so these data were only extracted by AM ‐ but the review has been checked by GF, TC and GR.

PICOs

Population
Intervention
Comparison
Outcome

The PICO model is widely used and taught in evidence-based health care as a strategy for formulating questions and search strategies and for characterizing clinical studies or meta-analyses. PICO stands for four different potential components of a clinical question: Patient, Population or Problem; Intervention; Comparison; Outcome.

See more on using PICO in the Cochrane Handbook.