Cochrane · systematic review · CD009831

Haloperidol versus first‐generation antipsychotics for the treatment of schizophrenia and other psychotic disorders

Dold, M, Samara, MT, Li, C, et al. · Cochrane Database of Systematic Reviews · 2015 · 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
11
current version
GRADE rated
11
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 6 · 54.5%Low 5 · 45.5%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

Haloperidol versus first‐generation antipsychotics for schizophrenia (short term)

Population: people with schizophrenia
6 questions
OutcomeEffectEvidenceStatus / GRADE
Clinically important response to treatment (short term)
Haloperidol vs first‐generation antipsychotics
RR 0.93 [0.87, 1]40 studies · 2132 participantsLow
Downgraded: risk of bias, inconsistency
Leaving the study early due to any reason as a measure of overall acceptability (short term)
Haloperidol vs first‐generation antipsychotics
RR 1.04 [0.87, 1.24]28 studies · 1299 participantsLow
Downgraded: risk of bias, inconsistency
Leaving the study early due to inefficacy of treatment as a measure of overall efficacy (short term)
Haloperidol vs first‐generation antipsychotics
RR 0.93 [0.4, 2.16]13 studies · 507 participantsVery low
Downgraded: risk of bias, inconsistency
Leaving the study early due to adverse events as a measure of overall tolerability (short term)
Haloperidol vs first‐generation antipsychotics
RR 1 [0.42, 2.35]16 studies · 640 participantsVery low
Downgraded: risk of bias, inconsistency
Adverse effects: number of participants with at least one adverse effect (short term)
Haloperidol vs first‐generation antipsychotics
RR 1.06 [0.94, 1.2]10 studies · 693 participantsLow
Downgraded: risk of bias, inconsistency
Adverse effects: extrapyramidal side effects: number of participants with at least one extrapyramidal side effect (short term)
Haloperidol vs first‐generation antipsychotics
RR 1.12 [0.95, 1.31]17 studies · 998 participantsVery low
Downgraded: risk of bias, inconsistency

Haloperidol versus first‐generation antipsychotics for schizophrenia (medium term)

Population: people with schizophrenia
5 questions
OutcomeEffectEvidenceStatus / GRADE
Clinically important response to treatment (medium term)
Haloperidol vs first‐generation antipsychotics
RR 0.51 [0.37, 0.69]1 study · 80 participantsLow
Downgraded: risk of bias
Leaving the study early due to any reason as a measure of overall acceptability (medium term)
Haloperidol vs first‐generation antipsychotics
RR 1.02 [0.75, 1.38]2 studies · 137 participantsVery low
Downgraded: risk of bias
Leaving the study early due to adverse events as a measure of overall tolerability (medium term)
Haloperidol vs first‐generation antipsychotics
no estimate extracted1 study · 80 participantsLow
Downgraded: risk of bias
Adverse effects: number of participants with at least one adverse effect (medium term)
Haloperidol vs first‐generation antipsychotics
RR 1.07 [0.58, 1.97]2 studies · 137 participantsVery low
Downgraded: risk of bias
Adverse effects: extrapyramidal side effects: number of participants with at least one extrapyramidal side effect (medium term)
Haloperidol vs first‐generation antipsychotics
RR 1.04 [0.62, 1.75]1 study · 80 participantsVery low
Downgraded: risk of bias