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Invited commentary on … NICE v. SIGN on psychosis and schizophrenia

  • Mark Taylor (a1) and Udayanga Perera (a2)

Summary

How contemporaneous guidelines interpret similar data is interesting but not relevant here. Conflicts of interest are important and various. Two clinically important recommendations in the National Institute for Health and Care Excellence (NICE) guideline CG178 deserve re-visiting.

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Copyright

Corresponding author

Mark Taylor, Royal Edinburgh Hospital, Edinburgh EH10 5HF, UK. Email: marktaylor2@nhs.net

Footnotes

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See pp. 316–319, this issue.

Declaration of interest

M.T. was co-chair of SIGN 131, and has received hospitality or fees from Lundbeck, Janssen, Roche, and Otsuka in the past 3 years.

Footnotes

References

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1 National Collaborating Centre for Mental Health. Psychosis and Schizophrenia in Adults: The NICE Guideline on Treatment and Management (Updated Edition) (Clinical Guideline CG178). National Institute for Health and Care Excellence, 2014.
2 Scottish Intercollegiate Guidelines Network. Management of Schizophrenia (SIGN 131). SIGN, 2013.
3 Taylor, M, Perera, U. NICE CG178 Psychosis and Schizophrenia in Adults: Treatment and Management – an evidence-based guideline? Br J Psychiatry 2015; 206: 357–9.
4 Kendall, T, Whittington, CJ, Kuipers, E, Johnson, S, Birchwood, MJ, Marshall, M, et al. NICE v. SIGN on psychosis and schizophrenia: same roots, similar guidelines, different interpretations. Br J Psychiatry 2016; 208: 316–9.
5 National Institute for Clinical Excellence. Schizophrenia: Core Interventions in the Treatment and Management of Schizophrenia in Primary and Secondary Care (Clinical Guideline CG82). NICE, 2009.
6 Maj, M. Non-financial conflicts of interests in psychiatric research and practice. Br J Psychiatry 2008; 193: 91–2.
7 Dragioti, E, Dimoliatis, I, Evangelou, E. Disclosure of researcher allegiance in meta-analysis and randomised controlled trials of psychotherapy: a systematic appraisal. BMJ Open 2015; 5: e007206.
8 NICE Triennial Review Team. Report of the Triennial Review of the National Institute for Health and Care Excellence: 63–5. Department of Health, 2015.
9 Coghill, D. Are NICE guidelines losing their impartiality (letter)? Br J Psychiatry 2015; 207: 271.
10 Van Os, J, Murray, RM. Can we identify and treat ‘schizophrenia light’ to prevent true psychotic illness? BMJ 2013; 346: f304.
11 Hor, K, Taylor, M. Suicide and schizophrenia: a systematic review of rates and risk factors. J Psychopharmacol 2010; 24 (4 suppl): 8190.
12 Turner, DT, van der Gaag, M, Karyotaki, E, Cuijpers, P. Psychological interventions for psychosis: a meta-analysis of comparative outcome studies. Am J Psychiatry 2014; 171: 523–38.
13 Open Science Collaboration. Estimating the reproducibility of psychological science. Science 2015; 349: 6251.

Invited commentary on … NICE v. SIGN on psychosis and schizophrenia

  • Mark Taylor (a1) and Udayanga Perera (a2)

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Invited commentary on … NICE v. SIGN on psychosis and schizophrenia

  • Mark Taylor (a1) and Udayanga Perera (a2)
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