The Cumulative Effect of Antipsychotic Usage on Mortality in Schizophrenia: A Nationwide Population-based Cohort Study in Korea
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초록
Objective: To investigate the cumulative effect of antipsychotics at different dosages on mortality in patients with schizophrenia. Methods: We analyzed data from the Korean National Health Insurance System−National Sample Cohort covering the 2002−2013 period. We used Cox regression analysis to calculate hazard ratios for mortality risks according to cumulative antipsychotic exposure levels (low, moderate, and high). Results: Our analyses revealed no significant association between antipsychotic exposure and mortality (either all-cause or cause-specific) in patients with schizophrenia. Conclusion: Our results imply that the excess mortality of patients with schizophrenia is attributable to factors other than antipsychotic usage.
Abstract
Objective: To investigate the cumulative effect of antipsychotics at different dosages on mortality in patients with schizophrenia. Methods: We analyzed data from the Korean National Health Insurance System−National Sample Cohort covering the 2002−2013 period. We used Cox regression analysis to calculate hazard ratios for mortality risks according to cumulative antipsychotic exposure levels (low, moderate, and high). Results: Our analyses revealed no significant association between antipsychotic exposure and mortality (either all-cause or cause-specific) in patients with schizophrenia. Conclusion: Our results imply that the excess mortality of patients with schizophrenia is attributable to factors other than antipsychotic usage.
참고문헌 (25)
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders: DSM-5" (2013), American Psychiatric Association
- Simeone JC, "An evaluation of variation in published estimates of schizophrenia prevalence from 1990-2013 : a systematic literature review", BMC Psychiatry, 15, pp.193~ (2015)
- Chong HY, "Global economic burden of schizophrenia : a systematic review", Neuropsychiatr Dis Treat, 12, pp.357~373 (2016)
- He H, "Trends in the incidence and DALYs of schizophrenia at the global, regional and national levels : results from the Global Burden of Disease Study 2017", Epidemiol Psychiatr Sci, 29, pp.e91~ (2020)
- De Hert M, "Cardiovascular disease and diabetes in people with severe mental illness position statement from the European Psychiatric Association(EPA), supported by the European Association for the Study of Diabetes(EASD)and the European Society of Cardiology(ESC)", Eur Psychiatry, 24, pp.412~424 (2009)
- Olfson M, "Premature mortality among adults with schizophrenia in the United States", JAMA Psychiatry, 72, pp.1172~1181 (2015)
- Ko YS, "Higher mortality and years of potential life lost of suicide in patients with schizophrenia", Psychiatry Res, 270, pp.531~537 (2018)
- Galletly CA, "Premature death in schizophrenia : bridging the gap", Lancet Psychiatry, 4, pp.263~265 (2017)
- Weinmann S, "Influence of antipsychotics on mortality in schizophrenia : systematic review", Schizophr Res, 113, pp.1~11 (2009)
- Crump C, "Comorbidities and mortality in persons with schizophrenia : a Swedish national cohort study", Am J Psychiatry, 170, pp.324~333 (2013)
- Cullen BA, "Guideline-concordant antipsychotic use and mortality in schizophrenia", Schizophr Bull, 39, pp.1159~1168 (2013)
- Baandrup L, "Antipsychotic polypharmacy and risk of death from natural causes in patients with schizophrenia : a population-based nested case-control study", J Clin Psychiatry, 71, pp.103~108 (2010)
- Tiihonen J, "A nationwide cohort study of oral and depot antipsychotics after first hospitalization for schizophrenia", Am J Psychiatry, 168, pp.603~609 (2011)
- Tiihonen J, "11-year follow-up of mortality in patients with schizophrenia : a population-based cohort study(FIN11study)", Lancet, 374, pp.620~627 (2009)
- Tiihonen J, "Mortality and cumulative exposure to antipsychotics, antidepressants, and benzodiazepines in patients with schizophrenia : an observational follow-up study", Am J Psychiatry, 173, pp.600~606 (2016)
- Torniainen M, "Antipsychotic treatment and mortality in schizophrenia", Schizophr Bull, 41, pp.656~663 (2015)
- Sundararajan V, "New ICD-10 version of the Charlson comorbidity index predicted in-hospital mortality", J Clin Epidemiol, 57, pp.1288~1294 (2004)
- Taipale H, "20-year follow-up study of physical morbidity and mortality in relationship to antipsychotic treatment in a nationwide cohort of 62, 250 patients with schizophrenia(FIN20)", World Psychiatry, 19, pp.61~68 (2020)
- Vermeulen JM, "Clozapine and long-term mortality risk in patients with schizophrenia: a systematic review and meta-analysis of studies lasting 1.1-12.5 years", Schizophr Bull, 45, pp.315~329 (2019)
- Taipale H, "Antipsychotics and mortality in a nationwide cohort of 29, 823 patients with schizophrenia", Schizophr Res, 197, pp.274~280 (2018)
- Huang CY, "Comparison of long-acting injectable antipsychotics with oral antipsychotics and suicide and all-cause mortality in patients with newly diagnosed schizophrenia", JAMA Netw Open, 4, pp.e218810~ (2021)
- Lahti M, "Cardiovascular morbidity, mortality and pharmacotherapy in patients with schizophrenia", Psychol Med, 42, pp.2275~2285 (2012)
- Laursen TM, "Excess early mortality in schizophrenia", Annu Rev Clin Psychol, 10, pp.425~448 (2014)
- Oh J, "Decreased cardiovascular death in schizophrenia patients treated with antipsychotics : a Korean national cohort study", Schizophr Res, 228, pp.417~424 (2021)
- Brown S, "Causes of the excess mortality of schizophrenia", Br J Psychiatry, 177, pp.212~217 (2000)
