Evidence map›Paper›PMID 28449132›Full record

SynthesisSchizophrenia bulletin2018

Sex and Diffusion Tensor Imaging of White Matter in Schizophrenia: A Systematic Review Plus Meta-analysis of the Corpus Callosum.

Saba Shahab, Laura Stefanik, George Foussias, Meng-Chuan Lai, Kelly K Anderson, Aristotle N Voineskos

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Schizophrenia bulletin, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Sex differences in the developing brain: insights from multimodal neuroimaging.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2019
    Review
  13. Article
  14. An Update on Promising Biomarkers in Schizophrenia.Focus (American Psychiatric Publishing) · 2018
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 3 countries.

Saba ShahabInstitute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Laura StefanikInstitute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
George FoussiasInstitute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Meng-Chuan LaiInstitute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Kelly K AndersonCentre for Addiction and Mental Health and Slaight Family Centre for Youth in Transition, Toronto, ON, Canada.
Aristotle N VoineskosInstitute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Centre for Addiction and Mental Health · CAWestern University · CA

Funding

1/3 - Social Processes Initiative in Neurobiology of the Schizophrenia(s)R01MH102324 · NIMH · CENTRE FOR ADDICTION AND MENTAL HEALTH · PI VOINESKOS, ARISTOTLE NICHOLAS · 2014 to 2018
$1.4M
Effects of Maintenance Treatment with Olanzapine vs. Placebo on Brain StructureR01MH099167 · NIMH · CENTRE FOR ADDICTION AND MENTAL HEALTH · PI VOINESKOS, ARISTOTLE NICHOLAS · 2013 to 2017
$1.4M
CIHRNIMH NIH HHS R01 MH099167NIMH NIH HHS R01 MH102324
6 · The paper itself

Abstract

Sex is considered an understudied variable in health research. Schizophrenia is a brain disorder with known sex differences in epidemiology and clinical presentation. We systematically reviewed the literature for sex-based differences of diffusion properties of white matter tracts in schizophrenia. We then conducted a meta-analysis examining sex-based differences in the genu and splenium of the corpus callosum in schizophrenia. Medline and Embase were searched to identify relevant papers. Studies fulfilling the following criteria were included: (1) included individuals with a diagnosis of schizophrenia, (2) included a control group of healthy individuals, (3) included both sexes in the patient and the control groups, (4) used diffusion tensor imaging, and (5) involved analyzing metrics of white matter microstructural integrity. Fractional anisotropy (FA) was used as the measure of interest in the meta-analysis. Of 730 studies reviewed, 75 met the inclusion criteria. Most showed no effect of sex, however, those that did found either that females have lower FA than males, or that the effect of disease in females is larger than that in males. The findings of the meta-analysis in the corpus callosum supported this result. There is a recognized need for studies on schizophrenia with a sufficient sample of female patients. Lack of power undermines the ability to detect sex-based differences. Understanding the sex-specific impact of illness on neural circuits may help inform development of new treatments, and improvement of existing interventions.

Indexed as

Sex FactorsAdolescentAdultAgedCorpus CallosumDiffusion Tensor ImagingFemaleHumansMaleMiddle AgedSchizophreniaWhite MatterYoung Adultcorpus callosumfractional anisotropygendergenusexspleniumwhite matter tracts

Identifiers

PMID28449132
PMCPMC5767963
OpenAlexW2608872009

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.