Cochrane · systematic review · CD008016

Maintenance treatment with antipsychotic drugs for schizophrenia

Ceraso, A, LIN, JJ, Schneider-Thoma, J, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Schizophrenia2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 42.9%Moderate 1 · 14.3%High 3 · 42.9%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

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Maintenance treatment with antipsychotic drugs versus placebo/no treatment for schizophrenia

Population: schizophrenia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Relapse: 7 to 12 months
Maintenance treatment with antipsychotic drugs vs placebo/no treatment
RR 0.38 [0.32, 0.45]30 studies · 4249 participantsHigh
Leaving the study early: due to any reason (acceptability of treatment)
Maintenance treatment with antipsychotic drugs vs placebo/no treatment
RR 0.54 [0.49, 0.61]56 studies · 7001 participantsHigh
Service use: number of participants hospitalised
Maintenance treatment with antipsychotic drugs vs placebo/no treatment
RR 0.43 [0.32, 0.57]21 studies · 3558 participantsHigh
Death: due to suicide
Maintenance treatment with antipsychotic drugs vs placebo/no treatment
RR 0.6 [0.12, 2.97]19 studies · 4634 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Quality of life (various scales; low score=better)
Maintenance treatment with antipsychotic drugs vs placebo/no treatment
no estimate extracted7 studies · 1573 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Number of participants in employment
Maintenance treatment with antipsychotic drugs vs placebo/no treatment
RR 1.08 [0.82, 1.41]3 studies · 593 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Social functioning (various scales; low score=better)
Maintenance treatment with antipsychotic drugs vs placebo/no treatment
no estimate extracted15 studies · 3588 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias