PMID- 24779526 OWN - NLM STAT- MEDLINE DCOM- 20150527 LR - 20220311 IS - 1814-1412 (Electronic) IS - 1562-2975 (Linking) VI - 15 IP - 7 DP - 2014 Sep TI - Long-acting injectable risperidone and oral antipsychotics in patients with schizophrenia: results from a prospective, 1-year, non-interventional study (InORS). PG - 534-45 LID - 10.3109/15622975.2014.902990 [doi] AB - OBJECTIVE: To explore differences in outcomes for patients with schizophrenia treated with risperidone long-acting treatment (RLAT) or oral antipsychotics (oAP). METHODS: The International Observational Registry on Schizophrenia (InORS) explored flexible doses of newly initiated RLAT and oAPs for adults with schizophrenia, exploring 6-month retrospective hospitalization data and 12-month prospective medication use, outcomes, and tolerability. Efficacy outcomes included hospitalizations, the Clinical Global Impression of Schizophrenia (CGI-SCH), and the Global Assessment of Functioning (GAF). Medication switch patterns were also analysed. RESULTS: Data were analysed from 1083 patients (561 RLAT, 522 oAP). At baseline, RLAT patients had higher symptom severity, greater functional impairment, and poorer compliance. Percentages of patients hospitalized were similar between groups, and median duration per hospitalization decreased after RLAT initiation and with oAP. The difference in duration of hospitalization between the retrospective and prospective period was significantly better with RLAT (P = 0.002). Mean CGI-SCH change from baseline was significantly better for RLAT vs. oAP patients for overall, positive, and negative symptom scores (P < 0.05). Mean functional improvement from baseline was significantly higher with RLAT vs. oAP (P < 0.001). CONCLUSIONS: Hospitalizations and symptomatic and functional outcomes were better with RLAT vs. oAP; frequent medication switches were associated with less favourable outcomes. FAU - Schreiner, Andreas AU - Schreiner A AD - Medical & Scientific Affairs EMEA , Janssen-Cilag GmbH, Neuss , Germany. FAU - Svensson, Anders AU - Svensson A FAU - Wapenaar, Robert AU - Wapenaar R FAU - Cherubin, Pierre AU - Cherubin P FAU - Princet, Patricia AU - Princet P FAU - Serazetdinova, Larisa AU - Serazetdinova L FAU - Zink, Mathias AU - Zink M LA - eng PT - Journal Article PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20140429 PL - England TA - World J Biol Psychiatry JT - The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry JID - 101120023 RN - 0 (Antipsychotic Agents) RN - 0 (Delayed-Action Preparations) RN - L6UH7ZF8HC (Risperidone) SB - IM MH - Administration, Oral MH - Adult MH - Antipsychotic Agents/*administration & dosage/adverse effects/*pharmacology MH - Delayed-Action Preparations MH - Female MH - Hospitalization/statistics & numerical data MH - Humans MH - Male MH - Middle Aged MH - Prospective Studies MH - Retrospective Studies MH - Risperidone/*administration & dosage/adverse effects/*pharmacology MH - Schizophrenia/*drug therapy MH - Treatment Outcome OTO - NOTNLM OT - long-acting risperidone OT - long-term treatment OT - observational OT - oral antipsychotics OT - schizophrenia EDAT- 2014/05/02 06:00 MHDA- 2015/05/28 06:00 CRDT- 2014/05/01 06:00 PHST- 2014/05/01 06:00 [entrez] PHST- 2014/05/02 06:00 [pubmed] PHST- 2015/05/28 06:00 [medline] AID - 10.3109/15622975.2014.902990 [doi] PST - ppublish SO - World J Biol Psychiatry. 2014 Sep;15(7):534-45. doi: 10.3109/15622975.2014.902990. Epub 2014 Apr 29.