Evidence map›Paper›PMID 32701597›Full record

ReviewCurrent opinion in nephrology and hypertension2020

Pharmacologic and psychological interventions for depression treatment in patients with kidney disease.

L Parker Gregg, S Susan Hedayati

Open access · greenAbstract readReview
In one paragraph

Review in Current opinion in nephrology and hypertension, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
7.9field-weighted citation impact, top 2% 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.

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

31 citing papers in PubMed, 72 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Mental health and kidney disease.Nature reviews. Nephrology · 2026
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Severe Mental Illness in CKD: Why it Matters.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. High rates of psychological distress, mental health diagnoses and suicide attempts in people with chronic kidney disease in Ireland.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023
    Article
  17. [Long-term physical and psychological consequences of chronic kidney disease].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2022
    Review
  18. Article
  19. Article
  20. 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

2 authors at 1 institution in 1 country.

L Parker GreggDivision of Nephrology, Department of Medicine, University of Texas Southwestern Medical Center.
S Susan HedayatiDivision of Nephrology, Department of Medicine, University of Texas Southwestern Medical Center.
The University of Texas Southwestern Medical Center · US

Funding

UT Southwestern O'Brien Kidney Research Core CenterP30DK079328 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI MOE, ORSON W · 2007 to 2021
$16.9M
Mechanisms for Behavior Change and Maintenance of Treatment for CKD Comorbid DepressionR01DK124379 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI HEDAYATI, SUSAN · 2020 to 2024
$3.8M
Randomized trial of sertraline treatment of depression in Chronic Kidney DiseaseR01DK085512 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI HEDAYATI, SUSAN · 2011 to 2015
$1.8M
Randomized trial of sertraline treatment of depression in Chronic Kidney DiseaseI01CX000217 · VA · VA NORTH TEXAS HEALTH CARE SYSTEM · PI HEDAYATI, SUSAN · 2009 to 2012
–
CSRD VA I01 CX000217NIDDK NIH HHS P30 DK079328NIDDK NIH HHS R01 DK085512NIDDK NIH HHS R01 DK124379
6 · The paper itself

Abstract

purpose of reviewIt remains controversial whether existing therapies, including pharmacologic and psychological interventions, are effective for treatment of depression in patients with chronic kidney disease (CKD) and end-stage kidney disease. RECENT

findingsMost studies of depression treatment were underpowered or uncontrolled. The CKD Antidepressant Sertraline Trial showed no benefit of a serotonin-selective reuptake inhibitor (SSRI), sertraline, over double-blind matched placebo for the treatment of depressive symptoms in patients with nondialysis CKD. A Trial of Sertraline vs. Cognitive Behavioral Therapy (CBT) for End-stage Renal Disease Patients with Depression showed improvement in depressive symptoms from baseline in both groups and a marginal benefit of sertraline over CBT that was of unclear clinical significance, given the lack of an active control group. SSRIs are associated with poor tolerability in clinical trials and serious adverse outcomes in large retrospective studies. SUMMARY: Although the data do not support unlimited use of SSRIs in patients with CKD or end-stage kidney disease, it is reasonable to initiate a cautious trial of sertraline while closely monitoring for depressive symptom improvement and adverse effects. CBT is a low-risk, possibly effective intervention to treat major depressive disorder in patients with kidney disease who have access to such treatments.

Indexed as

Antidepressive AgentsCognitive Behavioral TherapyHumansKidney Failure, ChronicMajor Depressive DisorderRenal Insufficiency, ChronicSelective Serotonin Reuptake InhibitorsSertralineAntidepressive AgentsSelective Serotonin Reuptake InhibitorsSertraline

Identifiers

PMID32701597
PMCPMC7735461
OpenAlexW3044306660

What OpenQuestion holds

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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.