Evidence map›Paper›PMID 12479490›Full record

Trial reportHealth services research2002

The effects of primary care depression treatment on patients' clinical status and employment.

Michael Schoenbaum, Jürgen Unützer, Daniel McCaffrey, Naihua Duan, Cathy Sherbourne, Kenneth B Wells

Abstract readClinical TrialMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Health services research, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

53 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Interventions to improve return to work in depressed people.The Cochrane database of systematic reviews · 2020
    Pooled it
  2. Collaborative care for depression and anxiety problems.The Cochrane database of systematic reviews · 2012
    Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Michael SchoenbaumRAND, Arlington, VA 22202, USA.
Jürgen Unützer
Daniel McCaffrey
Naihua Duan
Cathy Sherbourne
Kenneth B Wells

Funding

RESEARCH CENTER ON MANAGED CARE FOR PSYCHIATRIC DISORDERP50MH054623 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WELLS, KENNETH B · 1995 to 2002
$3.0M
RESEARCH SCIENTIST AWARDK05MH001170 · NIMH · RAND CORPORATION · PI WELLS, KENNETH B · 1994 to 1998
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IMPROVING THE COST-EFFECTIVENESS OF CARE FOR DEPRESSIONR01HS008349 · AHRQ · RAND CORPORATION · PI WELLS, KENNETH B · 1995 to 2000
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AHRQ HHS R01 HS008349AHRQ HHS R01-HS08349NIMH NIH HHS MH01170-05NIMH NIH HHS P50 MH54623
6 · The paper itself

Abstract

objectiveTo evaluate the effects of depression treatment in primary care on patients' clinical status and employment, over six months. DATA SOURCES/STUDY

settingData are from a randomized controlled trial of quality improvement for depression that included 938 adults with depressive disorder in 46 managed primary care clinics in five states. STUDY

designObservational analysis of the effects of evidence-based depression care over six months on health outcomes and employment. Selection into treatment is accounted for using instrumental variables techniques, with randomized assignment to the quality improvement intervention as the identifying instrument. DATA COLLECTION/EXTRACTION

methodsPatient-reported clinical status, employment, health care use, and personal characteristics; health care use and costs from claims data. PRINCIPAL

findingsAt six months, patients with appropriate care, compared to those without it, had lower rates of depressive disorder (24 percent versus 70 percent), better mental health-related quality of life, and higher rates of employment (72 percent versus 53 percent), each p<.05.

conclusionsAppropriate treatment for depression provided in community-based primary care substantially improves clinical and quality of life outcomes and employment.

Indexed as

Quality Assurance, Health CareTreatment OutcomeDepressive DisorderEmploymentEvidence-Based MedicineHealth Services ResearchHealth StatusHumansManaged Care ProgramsPractice Patterns, Physicians'Primary Health CareQuality of LifeSickness Impact ProfileUnited States

Identifiers

PMID12479490
PMCPMC1464020

What OpenQuestion 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 OpenQuestion graph.