Trial reportJournal of general internal medicine2003
Cost-effectiveness of a primary care depression intervention.
Trial report in Journal of general internal medicine, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 5 of them syntheses that pooled 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.
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.
Who cites it
28 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- The Effectiveness of Patient-Centred Medical Home-Based Models of Care versus Standard Primary Care in Chronic Disease Management: A Systematic Review and Meta-Analysis of Randomised and Non-Randomised Controlled Trials.International journal of environmental research and public health · 2020Pooled it
- The estimation of utility weights in cost-utility analysis for mental disorders: a systematic review.PharmacoEconomics · 2013Pooled it
- Collaborative care for depression and anxiety problems.The Cochrane database of systematic reviews · 2012Pooled it
- Does GP training in depression care affect patient outcome? - A systematic review and meta-analysis.BMC health services research · 2012Pooled it
- Do productivity costs matter?: the impact of including productivity costs on the incremental costs of interventions targeted at depressive disorders.PharmacoEconomics · 2011Pooled it
- A Comparison of Collaborative Care Outcomes in Two Health Care Systems: VA Clinics and Federally Qualified Health Centers.Psychiatric services (Washington, D.C.) · 2018Trial
- Cost-Effectiveness of Collaborative Care for Depression in HIV Clinics.Journal of acquired immune deficiency syndromes (1999) · 2015Trial
- Cost-effectiveness of on-site versus off-site collaborative care for depression in rural FQHCs.Psychiatric services (Washington, D.C.) · 2015Trial
- Cost-effectiveness of a community-integrated home-based depression intervention in older African Americans.Journal of the American Geriatrics Society · 2014Trial
- Community-partnered evaluation of depression services for clients of community-based agencies in under-resourced communities in Los Angeles.Journal of general internal medicine · 2013Trial
- The Indiana Cancer Pain and Depression (INCPAD) trial Design of a telecare management intervention for cancer-related symptoms and baseline characteristics of study participants.General hospital psychiatryTrial
- Cost-effectiveness of enhancing primary care depression management on an ongoing basis.Annals of family medicineTrial
- Monetary Valuation of a Quality-Adjusted Life Year (QALY) for Depressive Disorders Among Patients and Non-Patient Respondents: A Matched Willingness to Pay Study.Clinical psychology in Europe · 2021Article
- Resource allocation for depression management in general practice: A simple data-based filter model.PloS one · 2021Article
- Integrated Care: A Disruptive Innovation for Extending Psychiatric Expertise to Primary Care Practices.Mayo Clinic proceedings. Innovations, quality & outcomes · 2018Review
- The cost-effectiveness of depression treatment for co-occurring disorders: a clinical trial.Journal of substance abuse treatment · 2014Article
- [Cost effectiveness of a health insurance based case management programme for patients with affective disorders].Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2014Article
- Integrating mental health services into a general hospital in Puerto Rico.Journal of clinical psychology in medical settings · 2013Review
- Testing the McSad depression specific classification system in patients with somatic conditions: validity and performance.Health and quality of life outcomes · 2013Article
- Proportion of depression and its determinants among type 2 diabetes mellitus patients in various tertiary care hospitals in Mangalore city of South India.Indian journal of endocrinology and metabolism · 2013Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveTo determine the incremental cost-effectiveness of a quality improvement depression intervention (enhanced care) in primary care settings relative to usual care.
designFollowing stratification, we randomized 12 primary care practices to enhanced or usual care conditions and followed patients for 12 months.
settingPrimary care practices located in 10 states across the United States. PATIENTS/
participantsTwo hundred eleven patients beginning a new treatment episode for major depression.
interventionsTraining the primary care team to assess, educate, and monitor depressed patients during the acute and continuation stages of their depression treatment episode over 1 year. MEASUREMENTS AND MAIN
resultsCost-effectiveness was measured by calculating incremental (enhanced minus usual care) costs and quality-adjusted life years (QALYs) derived from SF-36 data. The mean incremental cost-effectiveness ratio in the main analysis was US dollars 15463 per QALY. The mean incremental cost-effectiveness ratios for the sensitivity analyses ranged from US dollars 11341 (using geographic block variables to control for pre-intervention service utilization) to US dollars 19976 (increasing the cost estimates by 50%) per QALY.
conclusionsThis quality improvement depression intervention was cost-effective relative to usual care compared to cost-effectiveness ratios for common primary care interventions and commonly cited cost-effectiveness ratio thresholds for intervention implementation.
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Registered trials
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.