Evidence map›Paper›PMID 18808208›Full record

SynthesisDrugs & aging2008

Use of antidepressants in late-life depression.

Tarek K Rajji, Benoit H Mulsant, Francis E Lotrich, Cynthia Lokker, Charles F Reynolds

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Drugs & aging, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

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

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

  1. Pooled it
  2. Trial
  3. Late-life depression: issues for the general practitioner.International journal of general medicine · 2018
    Review
  4. Directions for Effectiveness Research to Improve Health Services for Late-Life Depression in the United States.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2016
    Review
  5. Review
  6. [Pharmacotherapy of depression in the elderly].Zeitschrift fur Gerontologie und Geriatrie · 2013
    Article
  7. Contemporary concepts in the pharmacotherapy of depression in older people.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC · 2012
    Article
  8. Article
  9. Pharmacotherapy for late-life depression.The Journal of clinical psychiatry · 2011
    Article
  10. Review
  11. Psychotropic drug use among older people in general practice: discrepancies between opinion and practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010
    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.

Tarek K RajjiDepartment of Psychiatry, University of Toronto, Geriatric Mental Health Program, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Benoit H Mulsant
Francis E Lotrich
Cynthia Lokker
Charles F Reynolds

Funding

Research Network Development Core (pages 329-374)P30MH071944 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REYNOLDS, CHARLES F. · 2005 to 2009
$6.7M
Complex Trials for Severe Geriatric Mood DisordersK24MH069430 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MULSANT, BENOIT H · 2004 to 2008
$601k
NIMH NIH HHS K24 MH069430NIMH NIH HHS P30 MH71944
6 · The paper itself

Abstract

Late-life depression (LLD) is a common and typically recurrent illness that is often unrecognized and under-treated. It is associated with significant co-morbidities and poor health outcomes. Antidepressants are typically used as a first-line treatment for LLD. We performed a systematic review of the English literature (1996 to August 2007) and present results relevant to the efficacy of antidepressants in acute and maintenance pharmacotherapy of LLD, the predictors of LLD treatment outcomes and pharmacological strategies for non-remission. There is a consensus in the literature that the goal of treatment should be remission. Although antidepressants can be categorized into several classes based on their putative mechanisms of action, there is no consistent evidence that antidepressants from different classes are associated with different rates of remission of LLD. After achieving remission, the evidence supports a beneficial role of maintenance pharmacotherapy in reducing the rate of recurrence of LLD for at least 2 years. There are reports of a number of possible augmentation and switching strategies that can be used when LLD remission is not attained. However, none of these various strategies has been studied rigorously in patients with LLD as yet. Overall, the current literature is adequate for guiding acute and maintenance pharmacotherapy of LLD but further research is urgently needed to guide clinical strategies in non-remission.

Indexed as

AgedAge FactorsAntidepressive AgentsDepressive DisorderHumansMiddle AgedModels, TheoreticalTreatment OutcomeAntidepressive Agents

Identifiers

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.