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February 1, 2021Psychological MedicineOpen Access

Demographic and clinical variables associated with response to clozapine in schizophrenia: a systematic review and meta-analysis

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Authors

KGKira GriffithsLiberating Technologies (United States)EMEdward MillgateThe King's CollegeAEAlice EgertonKing's College London

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Implication

Systematic review evaluates clozapine response factors in treatment-resistant schizophrenia, suggesting earlier treatment initiation may improve outcomes.

Key Points

  • This research aims to identify demographic and clinical variables linked to responses to clozapine in patients with treatment-resistant schizophrenia.
  • Conducted a systematic review of literature on clozapine response factors.
  • Performed a random-effects meta-analysis on demographic and clinical variables among responders and non-responders.
  • Reviewed 31 articles qualitatively and 17 quantitatively, focusing on factors like duration of illness and age at clozapine initiation.
  • Clozapine responders had a significantly shorter duration of illness compared to non-responders (g = 0.31; 95% CI 0.06-0.56; p = 0.01).
  • Younger age at clozapine initiation and fewer hospitalizations were associated with better response.
  • Results suggest timely initiation of clozapine may lead to improved patient outcomes.

Cite This Study

Griffiths et al. (2021) studied this question.

synapsesocial.com/papers/6a34dcee86769fa257ffa2f9https://doi.org/10.1017/s0033291721000246
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement2009 · 65,272 citations
  2. 2Effects of Clozapine on Heart Rate Dynamics and Their Relationship With Therapeutic Response in Treatment-Resistant Schizophrenia2012 · 16 citations
  3. 3Measuring inconsistency in meta-analyses2003 · 64,260 citations
  4. 4Treatment-resistant bipolar disorder2001 · 13 citations