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Research

Effectiveness of paroxetine in the treatment of acute major depression in adults: a systematic re-examination of published and unpublished data from randomized trials

Corrado Barbui, Toshiaki A. Furukawa and Andrea Cipriani
CMAJ January 29, 2008 178 (3) 296-305; DOI: https://doi.org/10.1503/cmaj.070693
Corrado Barbui MD
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Toshiaki A. Furukawa MD
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Andrea Cipriani MD
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    Figure 1: Selection of randomized placebo-controlled trials for systematic review of effectiveness of paroxetine in the treatment of major depression in adults.

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    Figure 2: Random effects meta-analysis of the effect of paroxetine versus placebo on the proportion of patients who discontinued treatment for any reason. n = number of patients leaving the study for any reason, N = total number of patients, RR = relative risk, CI = confidence interval. Study designations are defined in online Appendix 2 (www.cmaj.ca/cgi/content/full/178/3/296/DC2).

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    Figure 3: Random effects meta-analysis of the effect of paroxetine versus placebo on the proportion of patients who showed less than 50% improvement in measures of depression. n = number of patients who did not experience an improvement of at least 50% on depression measure, N = total number of patients, RR = relative risk, CI = confidence interval. Study designations are defined in online Appendix 2 (www.cmaj.ca/cgi/content/full/178/3/296/DC2).

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    Figure 4: Random effects meta-analysis of the effect of paroxetine versus placebo on standardized depression outcomes. SD = standard deviation, SMD = standardized mean difference, CI = confidence interval. Study designations are defined in online Appendix 2 (www.cmaj.ca/cgi/content/full/178/3/296/DC2).

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    Figure 5: Random effects meta-analysis of the effect of paroxetine versus placebo on the proportion of patients who reported any adverse effects. n = number of patients who reported any adverse effect, N = total number of patients, RR = relative risk, CI = confidence interval. Study designations are defined in online Appendix 2 (www.cmaj.ca/cgi/content/full/178/3/296/DC2).

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    Figure 6: Random effects meta-analysis of the effect of paroxetine versus placebo on the proportion of patients who reported suicidal tendencies (as indicated by the coding system of the US Food and Drug Administration19). n = number of patients who reported suicidal tendencies, N = total number of patients, RR = relative risk, CI = confidence interval. Study designations are defined in online Appendix 2 (www.cmaj.ca/cgi/content/full/178/3/296/DC2).

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Canadian Medical Association Journal: 178 (3)
CMAJ
Vol. 178, Issue 3
29 Jan 2008
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Effectiveness of paroxetine in the treatment of acute major depression in adults: a systematic re-examination of published and unpublished data from randomized trials
Corrado Barbui, Toshiaki A. Furukawa, Andrea Cipriani
CMAJ Jan 2008, 178 (3) 296-305; DOI: 10.1503/cmaj.070693

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Effectiveness of paroxetine in the treatment of acute major depression in adults: a systematic re-examination of published and unpublished data from randomized trials
Corrado Barbui, Toshiaki A. Furukawa, Andrea Cipriani
CMAJ Jan 2008, 178 (3) 296-305; DOI: 10.1503/cmaj.070693
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  • EMA must improve the quality of its clinical trial reports
  • Making the best use of available evidence: the case of new generation antidepressants: A response to: Are all antidepressants equal?
  • Selective serotonin reuptake inhibitors and risk of suicide: a systematic review of observational studies
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