Comparative Efficacy and Acceptability of Antidepressants in Parkinson's Disease: A Network Meta-Analysis
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{"title"=>"Comparative Efficacy and Acceptability of Antidepressants in Parkinson's Disease: A Network Meta-Analysis", "type"=>"journal", "authors"=>[{"first_name"=>"Jinling", "last_name"=>"Liu", "scopus_author_id"=>"55869216000"}, {"first_name"=>"Jiangchuan", "last_name"=>"Dong", "scopus_author_id"=>"55619145900"}, {"first_name"=>"Lei", "last_name"=>"Wang", "scopus_author_id"=>"57070556200"}, {"first_name"=>"Ying", "last_name"=>"Su", "scopus_author_id"=>"55704995700"}, {"first_name"=>"Peng", "last_name"=>"Yan", "scopus_author_id"=>"55869942700"}, {"first_name"=>"Shenggang", "last_name"=>"Sun", "scopus_author_id"=>"7404509399"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"pmid"=>"24098546", "doi"=>"10.1371/journal.pone.0076651", "sgr"=>"84884875794", "isbn"=>"EN :1932-6203", "scopus"=>"2-s2.0-84884875794", "issn"=>"19326203", "pui"=>"369937451"}, "id"=>"e4b88e65-5bf9-3cb9-ac22-6cb321b21caa", "abstract"=>"BACKGROUND: Depression is a common non-motor symptom in patients with Parkinson's disease (PD). There are many kinds of antidepressants being used, such as tricyclic antidepressants (TCAs), selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), and Dopamine agonists which are suggested as alternative antidepressants for the treatment of depression in PD. Which one should we choose first? Literatures have shown inconsistent results.\\n\\nMETHODS: We conducted a network meta-analysis of randomized controlled trials to compare the efficacy and acceptability of therapeutic methods for the treatment of depression in Parkinson's disease.\\n\\nRESULTS: We used the odds ratios (OR) as effect size firstly and the results indicated no statistical significance between each compared intervention. Then we used the logarithm of the individual odds ratios as effect size. With efficacy of TCAs as the standard of comparison, the degree of incoherence (a measure of how closely the entire network fits together) was small (ω = 4.824827e-05). The logor were: SSRIs -0.69 (95% CI -1.28- -0.10); Pramipexole -0.73 (-1.71- -0.26); Pergolide -1.97 (-3.67- 0.27); SNRIs -0.86 (-1.86- 0.15); Placebo -1.24 (-1.99- -0.50). With Placebo as the standard of comparison, the logor were: TCAs 1.24 (0.50- 1.99); SSRIs 0.55 (-0.03- 1.13); Pramipexole 0.51 (-0.12- 1.15); Pergolide -0.73 (-2.25- 0.80); SNRIs 0.38 (-0.42- 1.19); TCAs, pramipexole, pergolide and SNRIs showed better profile of acceptability, leading to significant fewer discontinuations than that of SSRIs.\\n\\nCONCLUSIONS: There is insufficient evidence to support antidepressant efficacy for SSRIs, pramipexole, pergolide and SNRIs. TCAs might be the best choice when starting antidepressant treatment in patients of Parkinson's disease because it has the most favorable balance between benefits and acceptability, followed by pramipexole and SNRIs, SSRIs might be the last choice.", "link"=>"http://www.mendeley.com/research/comparative-efficacy-acceptability-antidepressants-parkinsons-disease-network-metaanalysis-1", "reader_count"=>38, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Researcher"=>7, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>6, "Student > Postgraduate"=>3, "Other"=>2, "Student > Master"=>9, "Student > Bachelor"=>6, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Researcher"=>7, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>6, "Student > Postgraduate"=>3, "Other"=>2, "Student > Master"=>9, "Student > Bachelor"=>6, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>1, "Engineering"=>2, "Biochemistry, Genetics and Molecular Biology"=>3, "Mathematics"=>1, "Agricultural and Biological Sciences"=>6, "Medicine and Dentistry"=>17, "Neuroscience"=>3, "Pharmacology, Toxicology and Pharmaceutical Science"=>4, "Social Sciences"=>1}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>2}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>17}, "Neuroscience"=>{"Neuroscience"=>3}, "Social Sciences"=>{"Social Sciences"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>6}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>3}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>1}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>4}}, "reader_count_by_country"=>{"Netherlands"=>1, "United States"=>1}, "group_count"=>2}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1222200"], "description"=>"<p>Acceptability: direct comparisons between each pair of antidepressant treatment.</p>", "links"=>[], "tags"=>["comparisons", "antidepressant"], "article_id"=>812864, "categories"=>["Biological Sciences"], "users"=>["Jinling Liu", "Jiangchuan Dong", "Lei Wang", "Ying Su", "Peng Yan", "Shenggang Sun"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0076651.g004", "stats"=>{"downloads"=>1, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Acceptability_direct_comparisons_between_each_pair_of_antidepressant_treatment_/812864", "title"=>"Acceptability: direct comparisons between each pair of antidepressant treatment.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-10-02 02:00:53"}
  • {"files"=>["https://ndownloader.figshare.com/files/1222198"], "description"=>"<p>Solid lines represent direct comparison trials, and dashed lines represent indirect comparisons. The size of red circle meant the total patients number of each treatment, the larger circle, the bigger number. The line's thickness represented the total patients' number of pair-wise comparisons.</p>", "links"=>[], "tags"=>["trials", "antidepressant", "drugs"], "article_id"=>812862, "categories"=>["Biological Sciences"], "users"=>["Jinling Liu", "Jiangchuan Dong", "Lei Wang", "Ying Su", "Peng Yan", "Shenggang Sun"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0076651.g002", "stats"=>{"downloads"=>1, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Network_of_clinical_trials_of_antidepressant_drugs_in_Parkinson_s_disease_/812862", "title"=>"Network of clinical trials of antidepressant drugs in Parkinson's disease.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-10-02 02:00:53"}
  • {"files"=>["https://ndownloader.figshare.com/files/1222206", "https://ndownloader.figshare.com/files/1222207"], "description"=>"<div><p>Background</p><p>Depression is a common non-motor symptom in patients with Parkinson's disease (PD). There are many kinds of antidepressants being used, such as tricyclic antidepressants (TCAs), selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), and Dopamine agonists which are suggested as alternative antidepressants for the treatment of depression in PD. Which one should we choose first? Literatures have shown inconsistent results.</p><p>Methods</p><p>We conducted a network meta-analysis of randomized controlled trials to compare the efficacy and acceptability of therapeutic methods for the treatment of depression in Parkinson's disease.</p><p>Results</p><p>We used the odds ratios (OR) as effect size firstly and the results indicated no statistical significance between each compared intervention. Then we used the logarithm of the individual odds ratios as effect size. With efficacy of TCAs as the standard of comparison, the degree of incoherence (a measure of how closely the entire network fits together) was small (ω =  4.824827e-05). The logor were: SSRIs −0.69 (95% CI −1.28– −0.10); Pramipexole −0.73 (−1.71– −0.26); Pergolide −1.97 (−3.67– 0.27); SNRIs −0.86 (−1.86– 0.15); Placebo −1.24 (−1.99– −0.50). With Placebo as the standard of comparison, the logor were: TCAs 1.24 (0.50– 1.99); SSRIs 0.55 (−0.03– 1.13); Pramipexole 0.51 (−0.12– 1.15); Pergolide −0.73 (−2.25– 0.80); SNRIs 0.38 (−0.42– 1.19); TCAs, pramipexole, pergolide and SNRIs showed better profile of acceptability, leading to significant fewer discontinuations than that of SSRIs.</p><p>Conclusions</p><p>There is insufficient evidence to support antidepressant efficacy for SSRIs, pramipexole, pergolide and SNRIs. TCAs might be the best choice when starting antidepressant treatment in patients of Parkinson's disease because it has the most favorable balance between benefits and acceptability, followed by pramipexole and SNRIs, SSRIs might be the last choice.</p></div>", "links"=>[], "tags"=>["efficacy", "acceptability", "antidepressants"], "article_id"=>812870, "categories"=>["Biological Sciences"], "users"=>["Jinling Liu", "Jiangchuan Dong", "Lei Wang", "Ying Su", "Peng Yan", "Shenggang Sun"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0076651.s001", "https://dx.doi.org/10.1371/journal.pone.0076651.s002"], "stats"=>{"downloads"=>5, "page_views"=>22, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Comparative_Efficacy_and_Acceptability_of_Antidepressants_in_Parkinson_s_Disease_A_Network_Meta_Analysis_/812870", "title"=>"Comparative Efficacy and Acceptability of Antidepressants in Parkinson's Disease: A Network Meta-Analysis", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2013-10-02 02:00:53"}
  • {"files"=>["https://ndownloader.figshare.com/files/1222203"], "description"=>"<p>A, B: efficacy; C, D: acceptability; A, C: TCA as the standard of comparison; B, D: Placebo as the standard of comparison.</p>", "links"=>[], "tags"=>["logarithm", "ratios"], "article_id"=>812867, "categories"=>["Biological Sciences"], "users"=>["Jinling Liu", "Jiangchuan Dong", "Lei Wang", "Ying Su", "Peng Yan", "Shenggang Sun"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0076651.g007", "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Results_of_net_meta_analysis_using_the_logarithm_of_the_odds_ratios_as_effect_size_/812867", "title"=>"Results of net meta-analysis: using the logarithm of the odds ratios as effect size.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-10-02 02:00:53"}
  • {"files"=>["https://ndownloader.figshare.com/files/1222202"], "description"=>"<p>Net meta-analysis: consistency test.</p>", "links"=>[], "tags"=>["consistency"], "article_id"=>812866, "categories"=>["Biological Sciences"], "users"=>["Jinling Liu", "Jiangchuan Dong", "Lei Wang", "Ying Su", "Peng Yan", "Shenggang Sun"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0076651.g006", "stats"=>{"downloads"=>1, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Net_meta_analysis_consistency_test_/812866", "title"=>"Net meta-analysis: consistency test.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-10-02 02:00:53"}
  • {"files"=>["https://ndownloader.figshare.com/files/1222197"], "description"=>"<p>Flow diagram of the study.</p>", "links"=>[], "tags"=>["diagram"], "article_id"=>812861, "categories"=>["Biological Sciences"], "users"=>["Jinling Liu", "Jiangchuan Dong", "Lei Wang", "Ying Su", "Peng Yan", "Shenggang Sun"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0076651.g001", "stats"=>{"downloads"=>1, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Flow_diagram_of_the_study_/812861", "title"=>"Flow diagram of the study.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-10-02 02:00:53"}
  • {"files"=>["https://ndownloader.figshare.com/files/1222205"], "description"=>"<p>Results are the ORs defined as one treatment in the table compared with underneath treatments. ORs in the lower left of the table represented efficacy, and the upper right of the table represented acceptability.</p>", "links"=>[], "tags"=>["acceptability"], "article_id"=>812869, "categories"=>["Biological Sciences"], "users"=>["Jinling Liu", "Jiangchuan Dong", "Lei Wang", "Ying Su", "Peng Yan", "Shenggang Sun"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0076651.t001", "stats"=>{"downloads"=>0, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Efficacy_and_acceptability_of_the_5_antidepressants_/812869", "title"=>"Efficacy and acceptability of the 5 antidepressants.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-10-02 02:00:53"}
  • {"files"=>["https://ndownloader.figshare.com/files/1222204"], "description"=>"<p>Limitations of this meta-analysis.</p>", "links"=>[], "tags"=>[], "article_id"=>812868, "categories"=>["Biological Sciences"], "users"=>["Jinling Liu", "Jiangchuan Dong", "Lei Wang", "Ying Su", "Peng Yan", "Shenggang Sun"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0076651.t002", "stats"=>{"downloads"=>1, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Limitations_of_this_meta_analysis_/812868", "title"=>"Limitations of this meta-analysis.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-10-02 02:00:53"}
  • {"files"=>["https://ndownloader.figshare.com/files/1222201"], "description"=>"<p>Net meta-analysis: convergence of the model, totresdev, deviance.</p>", "links"=>[], "tags"=>["convergence"], "article_id"=>812865, "categories"=>["Biological Sciences"], "users"=>["Jinling Liu", "Jiangchuan Dong", "Lei Wang", "Ying Su", "Peng Yan", "Shenggang Sun"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0076651.g005", "stats"=>{"downloads"=>1, "page_views"=>20, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Net_meta_analysis_convergence_of_the_model_totresdev_deviance_/812865", "title"=>"Net meta-analysis: convergence of the model, totresdev, deviance.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-10-02 02:00:53"}
  • {"files"=>["https://ndownloader.figshare.com/files/1222199"], "description"=>"<p>Efficacy: direct comparisons between each pair of antidepressant treatment.</p>", "links"=>[], "tags"=>["comparisons", "antidepressant"], "article_id"=>812863, "categories"=>["Biological Sciences"], "users"=>["Jinling Liu", "Jiangchuan Dong", "Lei Wang", "Ying Su", "Peng Yan", "Shenggang Sun"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0076651.g003", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Efficacy_direct_comparisons_between_each_pair_of_antidepressant_treatment_/812863", "title"=>"Efficacy: direct comparisons between each pair of antidepressant treatment.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-10-02 02:00:53"}

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Relative Metric

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