Evidence map›Paper›PMID 28718325›Full record

SynthesisCanadian journal of psychiatry. Revue canadienne de psychiatrie2017

Collaborative Care for Psychiatric Disorders in Older Adults: A Systematic Review.

Pallavi Dham, Sarah Colman, Karen Saperson, Carrie McAiney, Lillian Lourenco, Nick Kates, Tarek K Rajji

Abstract readSystematic Review
In one paragraph

Synthesis in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Article
  7. Collaborative Mental Health Care in Canada: Challenges, Opportunities and New Directions.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2023
    Article
  8. Review
  9. Article
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  11. Article
  12. Review
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  16. Article
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  18. Article
  19. Development of memory clinics in the Netherlands over the last 20 years.International journal of geriatric psychiatry · 2019
    Article
  20. Are We Ready for Mental Health Aging?Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2017
    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

7 authors.

Pallavi Dham1 Division of Geriatric Psychiatry, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Sarah Colman1 Division of Geriatric Psychiatry, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Karen Saperson3 Department of Psychiatry & Behavioral Neurosciences, Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Carrie McAiney3 Department of Psychiatry & Behavioral Neurosciences, Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Lillian Lourenco1 Division of Geriatric Psychiatry, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Nick Kates3 Department of Psychiatry & Behavioral Neurosciences, Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Tarek K Rajji1 Division of Geriatric Psychiatry, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the mode of implementation, clinical outcomes, cost-effectiveness, and the factors influencing uptake and sustainability of collaborative care for psychiatric disorders in older adults.

designSystematic review.

settingPrimary care, home health care, seniors' residence, medical inpatient and outpatient.

participantsStudies with a mean sample age of 60 years and older.

interventionCollaborative care for psychiatric disorders.

methodsPubMed, MEDLINE, Embase, and Cochrane databases were searched up until October 2016. Individual randomized controlled trials and cohort, case-control, and health service evaluation studies were selected, and relevant data were extracted for qualitative synthesis.

resultsOf the 552 records identified, 53 records (from 29 studies) were included. Very few studies evaluated psychiatric disorders other than depression. The mode of implementation differed based on the setting, with beneficial use of telemedicine. Clinical outcomes for depression were significantly better compared with usual care across settings. In depression, there is some evidence for cost-effectiveness. There is limited evidence for improved dementia care and outcomes using collaborative care. There is a lack of evidence for benefit in disorders other than depression or in settings such as home health care and general acute inpatients. Attitudes and skill of primary care staff, availability of resources, and organizational support are some of the factors influencing uptake and implementation.

conclusionsCollaborative care for depressive disorders is feasible and beneficial among older adults in diverse settings. There is a paucity of studies on collaborative care in conditions other than depression or in settings other than primary care, indicating the need for further evaluation.

Indexed as

AgingCost-Benefit AnalysisIntersectoral CollaborationOutcome and Process Assessment, Health CareAgedAged, 80 and overHumansMental DisordersMiddle Agedclinical outcomescollaborative careolder adultspsychiatric disorders

Identifiers

PMID28718325
PMCPMC5697628

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.