Applicability of somatic monitoring instructions in clinical practice guidelines on antipsychotic drug use
Background Clinical practice guidelines (CPGs) recommend the monitoring of somatic parameters in patients treated with antipsychotic drugs in order to detect adverse effects. The objective of this study was to assess, in adult and (frail) elderly populations, the consistency and applicability of the...
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description | Background Clinical practice guidelines (CPGs) recommend the monitoring of somatic parameters in patients treated with antipsychotic drugs in order to detect adverse effects. The objective of this study was to assess, in adult and (frail) elderly populations, the consistency and applicability of the somatic monitoring instructions recommended by established CPGs prior to and during antipsychotic drug use. Methods A search for national and international CPGs was performed by querying the electronic database PubMed and Google. Somatic monitoring instructions were assessed for adult and (frail) elderly populations separately. The applicability of somatic monitoring instructions was assessed using the Systematic Information for Monitoring (SIM) score. Somatic monitoring instructions were considered applicable when a minimum SIM score of 3 was reached. Results In total, 16 CPGs were included, with a total of 231 somatic monitoring instructions (mean: 14; range: 0-47). Of the somatic monitoring instructions, 87% were considered applicable, although critical values and how to respond to aberrant values were only present in 28 and 52% of the available instructions respectively. Only 1 CPG presented an instruction specifically for (frail) elderly populations. Conclusions We emphasize the need for a guideline with somatic monitoring instructions based on the SIM definition for both adult and (frail) elderly populations using antipsychotic drugs. In addition, CPGs should state that clear agreements should be made regarding who is responsible for interventions and somatic monitoring prior to and during antipsychotic drug use. |
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J. L. ; Olde Hengel, Erien ; Risselada, Arne J. ; van Roon, Eric N. ; Mulder, Hans</creator><creatorcontrib>Brouwer, Jurriaan M. J. L. ; Olde Hengel, Erien ; Risselada, Arne J. ; van Roon, Eric N. ; Mulder, Hans</creatorcontrib><description>Background Clinical practice guidelines (CPGs) recommend the monitoring of somatic parameters in patients treated with antipsychotic drugs in order to detect adverse effects. The objective of this study was to assess, in adult and (frail) elderly populations, the consistency and applicability of the somatic monitoring instructions recommended by established CPGs prior to and during antipsychotic drug use. Methods A search for national and international CPGs was performed by querying the electronic database PubMed and Google. Somatic monitoring instructions were assessed for adult and (frail) elderly populations separately. The applicability of somatic monitoring instructions was assessed using the Systematic Information for Monitoring (SIM) score. Somatic monitoring instructions were considered applicable when a minimum SIM score of 3 was reached. Results In total, 16 CPGs were included, with a total of 231 somatic monitoring instructions (mean: 14; range: 0-47). Of the somatic monitoring instructions, 87% were considered applicable, although critical values and how to respond to aberrant values were only present in 28 and 52% of the available instructions respectively. Only 1 CPG presented an instruction specifically for (frail) elderly populations. Conclusions We emphasize the need for a guideline with somatic monitoring instructions based on the SIM definition for both adult and (frail) elderly populations using antipsychotic drugs. In addition, CPGs should state that clear agreements should be made regarding who is responsible for interventions and somatic monitoring prior to and during antipsychotic drug use.</description><identifier>ISSN: 1471-244X</identifier><identifier>EISSN: 1471-244X</identifier><identifier>DOI: 10.1186/s12888-021-03162-w</identifier><identifier>PMID: 33845804</identifier><language>eng</language><publisher>LONDON: Springer Nature</publisher><subject>Aged ; Antipsychotic ; Antipsychotic Agents - therapeutic use ; Antipsychotic drugs ; Antipsychotics ; Applicability ; Bipolar disorder ; Clinical medicine ; Clinical practice guidelines ; Databases, Factual ; Dementia ; Dosage and administration ; Drug use ; Drug utilization ; Dutch language ; Frailty ; Humans ; Life Sciences & Biomedicine ; Mental disorders ; Monitoring ; Patients ; Practice guidelines (Medicine) ; Psychiatry ; Psychotropic drugs ; Schizophrenia ; Science & Technology ; SIM ; Somatic</subject><ispartof>BMC psychiatry, 2021-04, Vol.21 (1), p.189-8, Article 189</ispartof><rights>COPYRIGHT 2021 BioMed Central Ltd.</rights><rights>2021. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>6</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000639446400001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c563t-3b0933d168d8b1d998b07f0846911129338632e1be034fee13cab6b079ae45f43</citedby><cites>FETCH-LOGICAL-c563t-3b0933d168d8b1d998b07f0846911129338632e1be034fee13cab6b079ae45f43</cites><orcidid>0000-0002-9302-716X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8042861/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8042861/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,729,782,786,866,887,2104,2116,27931,27932,39264,39265,53798,53800</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33845804$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brouwer, Jurriaan M. J. L.</creatorcontrib><creatorcontrib>Olde Hengel, Erien</creatorcontrib><creatorcontrib>Risselada, Arne J.</creatorcontrib><creatorcontrib>van Roon, Eric N.</creatorcontrib><creatorcontrib>Mulder, Hans</creatorcontrib><title>Applicability of somatic monitoring instructions in clinical practice guidelines on antipsychotic drug use</title><title>BMC psychiatry</title><addtitle>BMC PSYCHIATRY</addtitle><addtitle>BMC Psychiatry</addtitle><description>Background Clinical practice guidelines (CPGs) recommend the monitoring of somatic parameters in patients treated with antipsychotic drugs in order to detect adverse effects. The objective of this study was to assess, in adult and (frail) elderly populations, the consistency and applicability of the somatic monitoring instructions recommended by established CPGs prior to and during antipsychotic drug use. Methods A search for national and international CPGs was performed by querying the electronic database PubMed and Google. Somatic monitoring instructions were assessed for adult and (frail) elderly populations separately. The applicability of somatic monitoring instructions was assessed using the Systematic Information for Monitoring (SIM) score. Somatic monitoring instructions were considered applicable when a minimum SIM score of 3 was reached. Results In total, 16 CPGs were included, with a total of 231 somatic monitoring instructions (mean: 14; range: 0-47). Of the somatic monitoring instructions, 87% were considered applicable, although critical values and how to respond to aberrant values were only present in 28 and 52% of the available instructions respectively. Only 1 CPG presented an instruction specifically for (frail) elderly populations. Conclusions We emphasize the need for a guideline with somatic monitoring instructions based on the SIM definition for both adult and (frail) elderly populations using antipsychotic drugs. In addition, CPGs should state that clear agreements should be made regarding who is responsible for interventions and somatic monitoring prior to and during antipsychotic drug use.</description><subject>Aged</subject><subject>Antipsychotic</subject><subject>Antipsychotic Agents - therapeutic use</subject><subject>Antipsychotic drugs</subject><subject>Antipsychotics</subject><subject>Applicability</subject><subject>Bipolar disorder</subject><subject>Clinical medicine</subject><subject>Clinical practice guidelines</subject><subject>Databases, Factual</subject><subject>Dementia</subject><subject>Dosage and administration</subject><subject>Drug use</subject><subject>Drug utilization</subject><subject>Dutch language</subject><subject>Frailty</subject><subject>Humans</subject><subject>Life Sciences & Biomedicine</subject><subject>Mental disorders</subject><subject>Monitoring</subject><subject>Patients</subject><subject>Practice guidelines (Medicine)</subject><subject>Psychiatry</subject><subject>Psychotropic drugs</subject><subject>Schizophrenia</subject><subject>Science & Technology</subject><subject>SIM</subject><subject>Somatic</subject><issn>1471-244X</issn><issn>1471-244X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>GIZIO</sourceid><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNkk-L1TAUxYsozjj6BVxIwY0gHXOTNE03wuPhn4EBNwruQpKmnTzapCapj_ftTeeNzxlxIV00ufmdc5PLKYqXgC4BOHsXAXPOK4ShQgQYrvaPinOgDVSY0u-P763Pimcx7hCChtfwtDgjhNOaI3pe7DbzPFotlR1tOpS-L6OfZLK6nLyzyQfrhtK6mMKik_Uu5k2pR-uyZiznIHNVm3JYbGdy1cTSu1K6ZOd40Dd-NerCMpRLNM-LJ70co3lx978ovn388HX7ubr-8ulqu7mudM1IqohCLSEdMN5xBV3bcoWaHnHKWgDA-Ywzgg0ogwjtjQGSb88y00pD656Si-Lq6Nt5uRNzsJMMB-GlFbcFHwYhQ77YaITRqG2IAiwpogorxRGwRrUMkb6tdZe93h-95kVNptPGpSDHB6YPT5y9EYP_KfJwMWeQDd7cGQT_YzExiclGbcZROuOXKHANmNDctMno67_QnV-Cy6NaKcopYZj9oQaZH2Bd73NfvZqKDWNQs9x1pS7_QeWvM5PV3pne5voDAT4KdPAxBtOf3ghIrGkTx7SJnDZxmzaxz6JX96dzkvyOVwbeHoG9Ub6P2hqnzQlDCDHSUspoXqF1Vvz_6a1Ncg3k1i8ukV9EBvEe</recordid><startdate>20210412</startdate><enddate>20210412</enddate><creator>Brouwer, Jurriaan M. 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L.</creator><creator>Olde Hengel, Erien</creator><creator>Risselada, Arne J.</creator><creator>van Roon, Eric N.</creator><creator>Mulder, Hans</creator><general>Springer Nature</general><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>17B</scope><scope>BLEPL</scope><scope>DTL</scope><scope>DVR</scope><scope>EGQ</scope><scope>GIZIO</scope><scope>HGBXW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-9302-716X</orcidid></search><sort><creationdate>20210412</creationdate><title>Applicability of somatic monitoring instructions in clinical practice guidelines on antipsychotic drug use</title><author>Brouwer, Jurriaan M. 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L. ; Olde Hengel, Erien ; Risselada, Arne J. ; van Roon, Eric N. ; Mulder, Hans</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c563t-3b0933d168d8b1d998b07f0846911129338632e1be034fee13cab6b079ae45f43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Antipsychotic</topic><topic>Antipsychotic Agents - therapeutic use</topic><topic>Antipsychotic drugs</topic><topic>Antipsychotics</topic><topic>Applicability</topic><topic>Bipolar disorder</topic><topic>Clinical medicine</topic><topic>Clinical practice guidelines</topic><topic>Databases, Factual</topic><topic>Dementia</topic><topic>Dosage and administration</topic><topic>Drug use</topic><topic>Drug utilization</topic><topic>Dutch language</topic><topic>Frailty</topic><topic>Humans</topic><topic>Life Sciences & Biomedicine</topic><topic>Mental disorders</topic><topic>Monitoring</topic><topic>Patients</topic><topic>Practice guidelines (Medicine)</topic><topic>Psychiatry</topic><topic>Psychotropic drugs</topic><topic>Schizophrenia</topic><topic>Science & Technology</topic><topic>SIM</topic><topic>Somatic</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brouwer, Jurriaan M. 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J. L.</au><au>Olde Hengel, Erien</au><au>Risselada, Arne J.</au><au>van Roon, Eric N.</au><au>Mulder, Hans</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Applicability of somatic monitoring instructions in clinical practice guidelines on antipsychotic drug use</atitle><jtitle>BMC psychiatry</jtitle><stitle>BMC PSYCHIATRY</stitle><addtitle>BMC Psychiatry</addtitle><date>2021-04-12</date><risdate>2021</risdate><volume>21</volume><issue>1</issue><spage>189</spage><epage>8</epage><pages>189-8</pages><artnum>189</artnum><issn>1471-244X</issn><eissn>1471-244X</eissn><abstract>Background Clinical practice guidelines (CPGs) recommend the monitoring of somatic parameters in patients treated with antipsychotic drugs in order to detect adverse effects. The objective of this study was to assess, in adult and (frail) elderly populations, the consistency and applicability of the somatic monitoring instructions recommended by established CPGs prior to and during antipsychotic drug use. Methods A search for national and international CPGs was performed by querying the electronic database PubMed and Google. Somatic monitoring instructions were assessed for adult and (frail) elderly populations separately. The applicability of somatic monitoring instructions was assessed using the Systematic Information for Monitoring (SIM) score. Somatic monitoring instructions were considered applicable when a minimum SIM score of 3 was reached. Results In total, 16 CPGs were included, with a total of 231 somatic monitoring instructions (mean: 14; range: 0-47). Of the somatic monitoring instructions, 87% were considered applicable, although critical values and how to respond to aberrant values were only present in 28 and 52% of the available instructions respectively. Only 1 CPG presented an instruction specifically for (frail) elderly populations. Conclusions We emphasize the need for a guideline with somatic monitoring instructions based on the SIM definition for both adult and (frail) elderly populations using antipsychotic drugs. In addition, CPGs should state that clear agreements should be made regarding who is responsible for interventions and somatic monitoring prior to and during antipsychotic drug use.</abstract><cop>LONDON</cop><pub>Springer Nature</pub><pmid>33845804</pmid><doi>10.1186/s12888-021-03162-w</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-9302-716X</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Aged Antipsychotic Antipsychotic Agents - therapeutic use Antipsychotic drugs Antipsychotics Applicability Bipolar disorder Clinical medicine Clinical practice guidelines Databases, Factual Dementia Dosage and administration Drug use Drug utilization Dutch language Frailty Humans Life Sciences & Biomedicine Mental disorders Monitoring Patients Practice guidelines (Medicine) Psychiatry Psychotropic drugs Schizophrenia Science & Technology SIM Somatic |
title | Applicability of somatic monitoring instructions in clinical practice guidelines on antipsychotic drug use |
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