Effects of drop-out on efficacy estimates in five Cochrane reviews of popular antipsychotics for schizophrenia

Ref ID 297
First Author P. Hutton
Journal ACTA PSYCHIATRICA SCANDINAVICA
Year Of Publishing 2012
URL https://core.ac.uk/download/43706356.pdf
Keywords • Cochrane
• Missing data
• Pharmacological
• Mental health
Problem(s) • Failure to address missing outcome data in analyses
Article Type Empirical
Article Subtype Small analytical study
First Author Country United Kingdom
Aim To assess how Cochrane reviews of five popular or frequently prescribed second-generation antipsychotics in the UK (olanzapine, risperidone, quetiapine, amisulpride and aripiprazole) approached the problem of high drop-out in placebo-controlled trials.
Level of Investigation Descriptive
Summary of Findings All Cochrane reviews included a number of studies they said they had excluded, or intended to exclude, because of high levels of attrition. Several reviews also excluded data from a number of relatively low-attrition studies because of missing standard deviations. Five Cochrane reviews of five popular antipsychotics for schizophrenia misrepresented the available evidence on their efficacy.
Number of systematic reviews included 5
Number of eligible systematic reviews assessed 5
Treatment impacted Yes
Treatment impacted description The authors attempted to quantify the level of missing data each efficacy outcome in each review relied upon and also the impact of excluding studies with high drop-out.
Interpretation impacted Yes
Interpretation impacted description The impact of including high-attrition studies was stated to be difficult to quantify because of the exclusion of relevant low-attrition studies.