Cochrane · systematic review · CD010219

Selective noradrenaline reuptake inhibitors for schizophrenia

Matthews, PRL, Horder, J, Pearce, M · Cochrane Database of Systematic Reviews · 2018 · 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
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 3 · 42.9%Low 3 · 42.9%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

Noradrenaline reuptake inhibitors versus placebo

Population: adults with schizophrenia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Mental state: significant response or improvement in negative symptoms (PANSS negative subscale, high = worse) ‐ short term (12 weeks)
Noradrenaline reuptake inhibitors vs placebo
RR 3.17 [1.52, 6.58]1 study · 50 participantsVery low
Downgraded: imprecision
Mental state: specific ‐ average positive symptoms score (PANSS positive subscale, high = worse) ‐ short term (2 to 12 weeks)
Noradrenaline reuptake inhibitors vs placebo
no estimate extracted5 studies · 294 participantsLow
Downgraded: imprecision
Clinical global response: significant response or improvement in global status (CGI‐S, high = worse) ‐ short term (4 weeks)
Noradrenaline reuptake inhibitors vs placebo
RR 0.99 [0.45, 2.2]1 study · 28 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Cognitive functioning: significant response or improvement in cognitive functioning
Noradrenaline reuptake inhibitors vs placebo
no estimate extractedNRNo studies
Cognitive functioning: average compostive endpoint score (SMD, low = favours NRI) ‐ short term (2 to 12 weeks)
Noradrenaline reuptake inhibitors vs placebo
no estimate extracted4 studies · 180 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Quality of life: Average endpoint score (GQOLI‐74, high = better) ‐ short term (2 to 12 weeks)
Noradrenaline reuptake inhibitors vs placebo
no estimate extracted1 study · 114 participantsVery low
Downgraded: imprecision
Adverse effects: Nausea ‐ short term (2 to 12 weeks)
Noradrenaline reuptake inhibitors vs placebo
RR 0.49 [0.1, 2.41]3 studies · 176 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias