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Cited by 601

The DOI matches its Crossref record; 47 of the 47 references it cites were found in a registry or an index.

Clozapine v. first- and second-generation antipsychotics in treatment-refractory schizophrenia: systematic review and meta-analysis

Open access
Siskind, Dan, McCartney, Lara, Goldschlager, Romi, Kisely, Steve·2016·British Journal of Psychiatry

Abstract

Background: Although clozapine is the ‘gold standard’ for treatment-refractory schizophrenia, meta-analyses of clozapine for this condition are lacking. Aims: We conducted a systematic review and meta-analysis of clozapine treatment for people with treatment-refractory schizophrenia. Method: We searched the Cochrane Schizophrenia Group's trial register, PubMed and EMBASE and hand-searched key papers for randomised controlled trials of clozapine for treatment-refractory schizophrenia. Results: Twenty-one papers with 25 comparisons were included. The number needed to treat was 9. Clozapine was superior for positive symptoms in both the short and long term. In the short term only clozapine was superior for total and negative symptoms, with higher response rates. Both funding source and dosage affected results. Higher baseline psychosis scores predicted better outcomes for clozapine in a meta-regression. Conclusions: Clozapine is superior for treatment-refractory disorder but if there is no response by 6 months medications with lower adverse reactions should be considered.

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Metadata

Authors
Siskind, D., McCartney, L., Goldschlager, R., & Kisely, S.
Venue
British Journal of Psychiatry
Published
2016-11
Volume
209
Issue
5
Pages
385-392
ISSN
  • 0007-1250 (ISSN-L)
  • 1472-1465
OpenAlex
W2461169273
Cited by
601
References
47
FWCI
8.95
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Clozapine v. first- and second-generation antipsychotics in treatment-refractory schizophrenia: systematic review and meta-analysis. https://app.cochat.ai/papers/10.1192/bjp.bp.115.177261
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Siskind, D., McCartney, L., Goldschlager, R., & Kisely, S. (2016). Clozapine v. first- and second-generation antipsychotics in treatment-refractory schizophrenia: systematic review and meta-analysis. British Journal of Psychiatry. https://doi.org/10.1192/bjp.bp.115.177261

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.