Evidence map›Paper›PMID 26219991›Full record

ArticleFamily practice2016

Identification and treatment of depression of older adults in primary care: findings from the São Paulo Ageing and Health Study.

Marcia Scazufca, Paulo Menezes, Karen Tabb, Rachel Kester, Wulf Rössler, Hsiang Huang

Abstract readComparative Study

In one paragraph

Article in Family practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it

0cells of the map it votes in

6citing papers in PubMed

–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

6 citing papers in PubMed.

Is type of depressive symptoms associated with patient-perceived need for professional psychological care in depressed individuals with diabetes?PloS one · 2019
Trial
A collaborative care psychosocial intervention to improve late life depression in socioeconomically deprived areas of Guarulhos, Brazil: the PROACTIVE cluster randomised controlled trial protocol.Trials · 2020
Article
Investigating Software Requirements for Systems Supporting Task-Shifted Interventions: Usability Study.Journal of medical Internet research · 2019
Article
Pilot study of a two-arm non-randomized controlled cluster trial of a psychosocial intervention to improve late life depression in socioeconomically deprived areas of São Paulo, Brazil (PROACTIVE): feasibility study of a psychosocial intervention for late life depression in São Paulo.BMC public health · 2019
Article
Psychiatric and Medical Comorbidity in the Primary Care Geriatric Patient-An Update.Current psychiatry reports · 2016
Review
Developing a Collaborative Care Training Program in a Psychiatry Residency.Psychosomatics
Review

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

6 authors.

Marcia ScazufcaLaboratory of Psychopathology and Psychiatric Therapeutics (LIM-23), Faculty of Medicine, Institute of Psychiatry, University of São Paulo, São Paulo, Brazil.

Paulo MenezesDepartment of Preventive Medicine, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.

Karen TabbSchool of Social Work, University of Illinois, Urbana-Champaign, Champaign, IL, USA.

Rachel KesterDepartment of Psychiatry, Cambridge Health Alliance, Harvard Medical School, Cambridge, MA, USA and.

Wulf RösslerDepartment of Psychiatry, University of Zurich, Zurich, Switzerland.

Hsiang HuangLaboratory of Psychopathology and Psychiatric Therapeutics (LIM-23), Faculty of Medicine, Institute of Psychiatry, University of São Paulo, São Paulo, Brazil, Department of Psychiatry, Cambridge Health Alliance, Harvard Medical School, Cambridge, MA, USA and hhuang@cha.harvard.edu.

Funding

Wellcome Trust GR066133MA

6 · The paper itself

Abstract

backgroundDepression, diabetes and hypertension are major contributors to the global burden of disease; however, the majority of research on depression and co-morbid conditions originates in high-income countries.

objectiveThis study examines the depression identification rate and compares treatment rates of depression with those of diabetes and hypertension among elderly individuals served in primary care through the Family Health Program (FHP) in São Paulo, Brazil.

methodA total of 1558 São Paulo Ageing and Health Study participants (low-income adults ≥65 years old living in São Paulo) registered in the FHP were included for analysis. Chart review was performed for participants with an International Classification of Diseases, 10th edition (ICD-10) depression diagnosis (from survey interview) to verify if depression was recorded for these individuals. Depression, diabetes and hypertension treatment were assessed based on clinical assessments and medication checks.

resultsSeventy-three participants (4.8%) had ICD-10 depression, 344 (23.2%) had confirmed diabetes and 1207 (79.3%) had confirmed hypertension. The proportion of those identified with depression by medical chart review (n = 63 for individuals whose chart could be found) was 4.8% (n = 3). Nine individuals (12.3%) with ICD-10 depression were treated. Rates of diabetes and hypertension treatment were 72.4% and 77.4%, respectively.

conclusionLevels of treatment of depression in older adults receiving care in the FHP is very low compared to treatment rates of diabetes and hypertension. Collaborative care effectiveness trials for the treatment of depression in the FHP are needed to improve the quality of depression care for this population.

Indexed as

AgedAged, 80 and overAgingBrazilDepressionDiabetes MellitusFemaleHumansHypertensionInternational Classification of DiseasesMalePovertyPrimary Health CareAgedBrazildepressiondepressive disorderpatient-centered careprimary health care.

Identifiers

PMID26219991

DOI10.1093/fampra/cmv062

PMCPMC4931814

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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.