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A systematic literature review identifying associations between outcomes and quality of life (QoL) or healthcare resource utilization (HCRU) in schizophrenia
Authors:Nicola Germain  Steven Kymes  Elin Löf  Anna Jakubowska  Clément François  James Weatherall
Affiliation:1. Creativ-Ceutical, Paris, France;2. Lundbeck, Deerfield, IL, USA;3. Medical Affairs Psychiatry, Lundbeck A/S, Valby, Denmark;4. Creativ-Ceutical Poland sp.z.o.o., Kraków, Poland;5. HEOR Medical Affairs, Lundbeck A/S, Valby, Denmark
Abstract:Aims: There have been no systematic literature reviews (SLRs) evaluating the identified association between outcomes (e.g. clinical, functional, adherence, societal burden) and Quality-of-Life (QoL) or Healthcare Resource Utilization (HCRU) in schizophrenia. The objective of this study was to conduct a SLR of published data on the relationship between outcomes and QoL or HCRU.

Materials and methods: Electronic searches were conducted in Embase and Medline, for articles which reported on the association between outcomes and QoL or HCRU. Inclusion and exclusion criteria were applied to identify the most relevant articles and studies and extract their data. A summary table was developed to illustrate the strength of associations, based on p-values and correlations.

Results: One thousand and two abstracts were retrieved; five duplicates were excluded; 997 abstracts were screened and 95 references were retained for full-text screening. Thrirty-one references were included in the review. The most commonly used questionnaire, which also demonstrated the strongest associations (defined as a p?Limitations: This study included data from an 11-year period, and other instruments less frequently used may be further investigated.

Conclusions: The evidence suggests that the PANSS is the clinical outcome that currently provides the most frequent and systematic associations with HCRU and QoL endpoints in schizophrenia.
Keywords:Schizophrenia  systematic literature review  outcomes  quality-of-life  healthcare resource utilization  associations  functioning  relapse  remission
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