Evidence map›Paper›PMID 15353006›Full record

SynthesisBMC family practice2004

Is remission of depressive symptoms in primary care a realistic goal? A meta-analysis.

Marliese Y Dawson, Erin E Michalak, Paul Waraich, J Ellen Anderson, Raymond W Lam

Registry-linked trialAbstract readMeta-Analysis
In one paragraph

Synthesis in BMC family practice, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01635218 (Efficacy of Individualized Homeopathic Treatment for Moderate to Severe Depression in Peri- and Postmenopausal Women), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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.

NCT01635218 phase2completednot on this mapstarted 2012, after this paper: background citation

Efficacy of Individualized Homeopathic Treatment for Moderate to Severe Depression in Peri- and Postmenopausal Women: a Randomized Placebo-controlled, Double-blind, Double-dummy, Study Protocol

TypeinterventionalSponsorHospital Juarez de MexicoRan2012 to 2014Enrolled133ConditionsModerate Depression, Menopausal and Postmenopausal DisordersArmsIndividualized homeopathic treatment, Fluoxetine, Placebo
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Predictors of Remission in Acute and Continuation Treatment of Depressive Disorders.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2021
    Article
  8. Article
  9. Article
  10. Geriatric depression in primary care.The Psychiatric clinics of North America · 2011
    Review
  11. Article
  12. Article
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

5 authors.

Marliese Y DawsonDivision of Clinical Neuroscience, Department of Psychiatry, University of British Columbia, 2255 Wesbrook Mall, Vancouver, BC, Canada V6T 2A1. mdawson@interchange.ubc.ca
Erin E Michalak
Paul Waraich
J Ellen Anderson
Raymond W Lam

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA primary goal of acute treatment for depression is clinical remission of symptoms. Most meta-analyses of remission rates involve randomized controlled trials (RCTs) using patients from psychiatric settings, but most depressed patients are treated in primary care. The goal of this study was to determine remission rates obtained in RCTs of treatment interventions for Major Depressive Disorder (MDD) conducted in primary care settings.

methodsPotentially relevant studies were identified using computerized and manual search strategies up to May 2003. Criteria for inclusion included published RCTs with a clear definition of remission using established outcome measures.

resultsA total of 13 studies (N = 3202 patients) meeting inclusion criteria were identified. Overall remission rates for active interventions ranged between 50% and 67%, compared to 32% for pill placebo conditions and 35% for usual care conditions.

conclusionsRemission rates in primary care studies of depression are at least as high as for those in psychiatric settings. It is a realistic goal for family physicians to target remission of symptoms as an optimal outcome for treatment of depression.

Indexed as

Mental Health ServicesPrimary Health CareAntidepressive AgentsHumansMajor Depressive DisorderRandomized Controlled Trials as TopicRemission InductionAntidepressive Agents

Identifiers

PMID15353006
PMCPMC518964

What OpenQuestion holds

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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.