Evidence map›Paper›PMID 19918088›Full record

Trial reportJAMA2009

Telephone-delivered collaborative care for treating post-CABG depression: a randomized controlled trial.

Bruce L Rollman, Bea Herbeck Belnap, Michelle S LeMenager, Sati Mazumdar, Patricia R Houck, Peter J Counihan, Wishwa N Kapoor, Herbert C Schulberg, Charles F Reynolds

Registry-linked trialOpen access · greenAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in JAMA, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00091962 (Treatment of Depression Following Bypass Surgery), which is not on this map. Cited by 134 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
134citing papers in PubMed, 17 pooled it
19.9field-weighted citation impact, top 1% of its field
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.

NCT00091962 nacompletednot on this map

Treatment of Depression Following Bypass Surgery

TypeinterventionalSponsorUniversity of PittsburghRan2003 to 2009Enrolled453ConditionsCardiovascular Diseases, Coronary Disease, Heart Diseases, DepressionArmsPsychoeducation, Treatment recommendations, Pharmacotherapy, Usual Care
3 · Its place in the literature

Who cites it

134 citing papers in PubMed, 17 syntheses or guidelines pooled it, 344 citations in OpenAlex.

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  9. Collaborative Care for Psychiatric Disorders in Older Adults: A Systematic Review.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2017
    Pooled it
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  14. What is the use? Application of the short form (SF) questionnaires for the evaluation of treatment effects.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2013
    Pooled it
  15. Guideline
  16. Collaborative care for depression and anxiety problems.The Cochrane database of systematic reviews · 2012
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  18. Trial
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74 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 3 countries.

Bruce L RollmanDivision of General Internal Medicine, Center for Research on Health Care, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA. rollmanbl@upmc.edu
Bea Herbeck Belnap
Michelle S LeMenager
Sati Mazumdar
Patricia R Houck
Peter J Counihan
Wishwa N Kapoor
Herbert C Schulberg
Charles F Reynolds
University of Pittsburgh · USUPMC McKeesport · USAmerican Medical Association · USBristol-Myers Squibb (Germany) · DEUniversity of Pittsburgh Medical Center · US

Funding

Research Network Development Core (pages 329-374)P30MH071944 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REYNOLDS, CHARLES F. · 2005 to 2009
$6.7M
Treatment of Depression Following Bypass SurgeryR01HL070000 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ROLLMAN, BRUCE LAWRENCE · 2003 to 2007
$5.4M
NHLBI NIH HHS R01 HL070000NHLBI NIH HHS R01 HL70000NIMH NIH HHS P30 MH071944NIMH NIH HHS P30 MH71944
6 · The paper itself

Abstract

contextDepressive symptoms commonly follow coronary artery bypass graft (CABG) surgery and are associated with less positive clinical outcomes.

objectiveTo test the effectiveness of telephone-delivered collaborative care for post-CABG depression vs usual physician care. DESIGN, SETTING, AND

participantsSingle-blind effectiveness trial at 7 university-based and community hospitals in or near Pittsburgh, Pennsylvania. Participants were 302 post-CABG patients with depression (150, intervention; 152, usual care) and a comparison group of 151 randomly sampled post-CABG patients without depression recruited between March 2004 and September 2007 and observed as outpatients until June 2008.

interventionEight months of telephone-delivered collaborative care provided by nurses working with patients' primary care physicians and supervised by a psychiatrist and primary care physician from this study.

main outcome measuresMental health-related quality of life (HRQL) measured by the Short Form-36 Mental Component Summary (SF-36 MCS) at 8-month follow-up; secondary outcome measures included assessment of mood symptoms (Hamilton Rating Scale for Depression [HRS-D]), physical HRQL (SF-36 PCS), and functional status (Duke Activity Status Index [DASI]); and hospital readmissions.

resultsThe intervention patients reported greater improvements in mental HRQL (all P < or = .02) (SF-36 MCS: Delta, 3.2 points; 95% confidence interval [CI], 0.5-6.0), physical functioning (DASI: Delta, 4.6 points; 95% CI, 1.9-7.3), and mood symptoms (HRS-D: Delta, 3.1 points; 95% CI, 1.3-4.9); and were more likely to report a 50% or greater decline in HRS-D score from baseline (50.0% vs 29.6%; number needed to treat, 4.9 [95% CI, 3.2-10.4]) than usual care patients (P < .001). Men with depression were particularly likely to benefit from the intervention (SF-36 MCS: Delta, 5.7 points; 95% CI, 2.2-9.2; P = .001). However, the mean HRQL and physical functioning of intervention patients did not reach that of the nondepressed comparison group.

conclusionCompared with usual care, telephone-delivered collaborative care for treatment of post-CABG depression resulted in improved HRQL, physical functioning, and mood symptoms at 8-month follow-up.

trial registrationclinicaltrials.gov Identifier: NCT00091962.

Indexed as

Patient Care TeamTelemedicineTelephoneAgedAntidepressive AgentsContinuity of Patient CareCoronary Artery BypassDepressionDepressive DisorderFemaleHealth Status IndicatorsHumansMaleMiddle AgedOutcome and Process Assessment, Health CarePatient Education as TopicAntidepressive Agents

Identifiers

PMID19918088
PMCPMC3010227
OpenAlexW2018228451

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.