Cochrane · systematic review · CD009005

Antipsychotic combinations for schizophrenia

Ortiz‐Orendain, J, Castiello‐de Obeso, S, Colunga‐Lozano, LE, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

SchizophreniaAMSTAR 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
4
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 2 · 28.6%Very low 3 · 42.9%Low 1 · 14.3%Moderate 0 · 0%High 0 · 0%

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

Combinations of antipsychotic drugs compared to single antipsychotic drugs for schizophrenia

Population: schizophrenia or related disorders
7 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical response: No clinically important response ‐ as defined by each of the studies
Combinations of antipsychotic drugs vs single antipsychotic drugs
RR 0.73 [0.64, 0.83]29 studies · 2398 participantsVery low
Downgraded: risk of bias
Relapse ‐ as defined by each of the studies
Combinations of antipsychotic drugs vs single antipsychotic drugs
no estimate extracted3 studies · 512 participantsUngraded
Leaving the study early
Combinations of antipsychotic drugs vs single antipsychotic drugs
RR 0.9 [0.76, 1.07]43 studies · 3137 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Service utilisation: Hospital admission
Combinations of antipsychotic drugs vs single antipsychotic drugs
RR 0.96 [0.36, 2.55]3 studies · 202 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Service utilisation: Change in hospital status ‐ not reported
Combinations of antipsychotic drugs vs single antipsychotic drugs
no estimate extractedNRNo studies
Adverse events: Serious event or requiring discontinuation
Combinations of antipsychotic drugs vs single antipsychotic drugs
RR 1.05 [0.65, 1.69]30 studies · 2398 participantsVery low
Downgraded: risk of bias
Quality of life
Combinations of antipsychotic drugs vs single antipsychotic drugs
no estimate extracted4 studies · 398 participantsUngraded