ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2009
How could depression guidelines be made more relevant and applicable to primary care? A quantitative and qualitative review of national guidelines.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Systematic Review of Clinical Practice Guidelines for Failed Antidepressant Treatment Response in Major Depressive Disorder, Dysthymia, and Subthreshold Depression in Adults.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2017Pooled it
- Managing depression in primary care: A meta-synthesis of qualitative and quantitative research from the UK to identify barriers and facilitators.BMC family practice · 2011Pooled it
- PsyScan e-tool to support diagnosis and management of psychological problems in general practice: a randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Trial
- Patient experiences with depression care in general practice: a qualitative questionnaire study.Scandinavian journal of primary health care · 2022Article
- National suicide management guidelines with family as an interv'ention and suicide mortality rates: a systematic review protocol.BMJ open · 2020Article
- Quality of prescribing predicts hospitalisation in octogenarians: life and living in advanced age: a cohort study in New Zealand (LiLACS NZ).BMC geriatrics · 2019Article
- German general practitioners' self-reported management of patients with chronic depression.BMC psychiatry · 2017Article
- Developing a Clinician Friendly Tool to Identify Useful Clinical Practice Guidelines: G-TRUST.Annals of family medicine · 2017Article
- Understanding the body-mind in primary care.Medicine, health care, and philosophy · 2016Article
- Primary care evidence in clinical guidelines: a mixed methods study of practitioners' views.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Article
- Incorporating the patient perspective: a critical review of clinical practice guidelines for implantable cardioverter defibrillator therapy.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2013Review
- An evaluation of web-based clinical practice guidelines for managing problems associated with cannabis use.Journal of medical Internet research · 2012Article
- An end to depression in primary care?The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Article
- Diverse voices, simple desires: a conceptual design for primary care to respond to depression and related disorders.Family practice · 2010Article
- Recognition of depression in people of different cultures: a qualitative study.BMC family practice · 2009Article
- Getting a grip on guidelines: how to make them more relevant for practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany guidelines have been developed in the area of depression but there has been no systematic assessment of their relevance to general practice.
aimTo assess national guidelines on general practice management of depression using two complementary approaches to identify specific ways in which guidance could be made more relevant and applicable to the nature of general practice and the patients who seek help in this context. DESIGN OF STUDY: Review of national guidelines.
settingSeven English speaking countries: UK, US, Australia, New Zealand, Ireland, Canada, and Singapore.
methodSeven guidelines were independently reviewed quantitatively using the Appraisal of Guidelines for Research and Evaluation (AGREE) scores and qualitatively using thematic coding.
resultsThe quantitative assessment highlights that most of the guidelines fail to meet the criteria on rigour of development, applicability, and editorial independence. The qualitative assessment shows that the majority of guidelines do not address associated risk factors sufficiently and the dilemma of diagnostic uncertainty flows over into management recommendations. Management strategies for depression (antidepressants and psychological strategies) are supported by all of the guidelines, with several listing drugs before psychological therapies; there is limited attention paid to the different types of psychological therapies. Moreover, the guidelines in the main fail to acknowledge individual patient circumstances, in particular the influence on response to treatment of social issues such as adverse life events or social support.
conclusionAssessments of current national guidelines on depression management in general practice suggest significant limitations in their relevance to general practice.
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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.