Evidence map›Paper›PMID 33177758›Full record

SynthesisBulletin of the World Health Organization2020

Development and implementation of guidelines for the management of depression: a systematic review.

Yena Lee, Elisa Brietzke, Bing Cao, Yan Chen, Outi Linnaranta, Rodrigo B Mansur, Paulina Cortes, Markus Kösters, Amna Majeed, Jocelyn K Tamura and 47 more

Abstract readSystematic Review
In one paragraph

Synthesis in Bulletin of the World Health Organization, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

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

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Study on subtyping and Traditional Chinese Medicine treatment of depression based on machine learning and text mining.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Consensus quality indicators for monitoring multiple sclerosis.The Lancet regional health. Europe · 2024
    Review
  10. Review
  11. Article
  12. Treatment-resistant depression: definition, prevalence, detection, management, and investigational interventions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2023
    Article
  13. Does the Ranking Matter? A Retrospective Cohort Study Investigating the Impact of theCanadian journal of psychiatry. Revue canadienne de psychiatrie · 2023
    Article
  14. Article
  15. Article
  16. Senior Residents' Perceived Competence in Evidence-Based Treatments for Major Depressive Disorder.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2022
    Article
  17. Article
  18. The clinical characterization of the adult patient with bipolar disorder aimed at personalization of management.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2022
    Article
  19. Article
  20. 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

57 authors.

Yena LeeMood Disorders Psychopharmacology Unit, Toronto Western Hospital, University Health Network, 399 Bathurst St 9MP-325, Toronto, Ontario, Canada.
Elisa BrietzkeDepartment of Psychiatry, Queen's University School of Medicine, Kingston, Canada.
Bing CaoSchool of Psychology and Key Laboratory of Cognition and Personality, Southwest University, Chongqing, China.
Yan ChenDalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Outi LinnarantaBipolar Disorders Clinic, Douglas Mental Health University Institute, Montréal, Canada.
Rodrigo B MansurMood Disorders Psychopharmacology Unit, Toronto Western Hospital, University Health Network, 399 Bathurst St 9MP-325, Toronto, Ontario, Canada.
Paulina CortesPontificia Universidad Católica de Chile, Santiago, Región Metropolitana, Chile.
Markus KöstersDepartment of Psychiatry II, Ulm University, Ulm, Germany.
Amna MajeedMood Disorders Psychopharmacology Unit, Toronto Western Hospital, University Health Network, 399 Bathurst St 9MP-325, Toronto, Ontario, Canada.
Jocelyn K TamuraMood Disorders Psychopharmacology Unit, Toronto Western Hospital, University Health Network, 399 Bathurst St 9MP-325, Toronto, Ontario, Canada.
Leanna M W LuiMood Disorders Psychopharmacology Unit, Toronto Western Hospital, University Health Network, 399 Bathurst St 9MP-325, Toronto, Ontario, Canada.
Maj VinbergPsychiatric Research Unit, Psychiatric Centre North Zealand, Hilleroed, University Hospital of Copenhagen, Copenhagen, Denmark.
Jaakko KeinänenDepartment of Public Health Solutions, National Institute for Health and Welfare, Helsinki, Finland.
Steve KiselySchool of Clinical Medicine, The University of Queensland, Brisbane, Australia.
Sadiq NaveedDepartment of Psychiatry and Behavioral Sciences, University of Kansas Medical Center, Kansas, USA.
Corrado BarbuiWHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Biomedicine and Movement Sciences, Verona, Italy.
Gary ParkerGlobal Alliance for Chronic Diseases, Wellcome Trust, London, England.
Mayowa OwolabiCenter for Genomics and Precision Medicine, University of Ibadan, Ibadan, Nigeria.
Daisuke NishiDepartment of Mental Health, The University of Tokyo, Tokyo, Japan.
JungGoo LeePaik Institute for Clinical Research, Inje University, Busan, Republic of Korea.
Manit SrisurapanontDepartment of Psychiatry, Chiang Mai University, Chiang Mai, Thailand.
Hartej GillMood Disorders Psychopharmacology Unit, Toronto Western Hospital, University Health Network, 399 Bathurst St 9MP-325, Toronto, Ontario, Canada.
Lan GuoSchool of Public Health, Sun Yat-sen University, Guangdong, China.
Vicent Balanzá-MartínezTeaching Unit of Psychiatry and Psychological Medicine, University of Valencia, Valencia, CIBERSAM, Spain.
Timo PartonenDepartment of Public Health Solutions, National Institute for Health and Welfare, Helsinki, Finland.
Willem A NolenDepartment of Psychiatry, University of Groningen, Groningen, Netherlands.
Jae-Hon LeeDepartment of Psychiatry, Gyeongsang National University Hospital, Jinju, Republic of Korea.
Ji Hwan KimPaik Institute for Clinical Research, Inje University, Busan, Republic of Korea.
Niels H ChavannesDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands.
Tatjana EwaisSchool of Clinical Medicine, The University of Queensland, Brisbane, Australia.
Beatriz Atienza-CarbonellMedical School, University of Valencia, Valencia, Spain.
Anna V SilvenDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands.
Naonori YasumaDepartment of Mental Health, The University of Tokyo, Tokyo, Japan.
Artyom GilWHO European Office for the Prevention and Control of Noncommunicable Diseases, Division of Country Health Programme, Moscow, Russian Federation.
Andrey NovikovPsychiatric and Neurological Hospital, Surgut, Russian Federation.
Cameron LaceyMaori Indigenous Health Institute, University of Otago, Christchurch, New Zealand.
Anke VersluisDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands.
Sofia von MalortieThe National Board of Health and Welfare, Stockholm, Sweden.
Lai Fong ChanMood Disorders Psychopharmacology Unit, Toronto Western Hospital, University Health Network, 399 Bathurst St 9MP-325, Toronto, Ontario, Canada.
Ahmed WaqasMood Disorders Psychopharmacology Unit, Toronto Western Hospital, University Health Network, 399 Bathurst St 9MP-325, Toronto, Ontario, Canada.
Marianna PurgatoWHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Biomedicine and Movement Sciences, Verona, Italy.
Jiska Joëlle AardoomDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands.
Josefina T Ly-UsonMood Disorders Psychopharmacology Unit, Toronto Western Hospital, University Health Network, 399 Bathurst St 9MP-325, Toronto, Ontario, Canada.
Kang SimMood Disorders Psychopharmacology Unit, Toronto Western Hospital, University Health Network, 399 Bathurst St 9MP-325, Toronto, Ontario, Canada.
Maria TuineagMood Disorders Psychopharmacology Unit, Toronto Western Hospital, University Health Network, 399 Bathurst St 9MP-325, Toronto, Ontario, Canada.
Rianne M J J van der KleijDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands.
Sanne van LuenenDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands.
Sirijit SuttajitDepartment of Psychiatry, Chiang Mai University, Chiang Mai, Thailand.
Tomas HajekMood Disorders Psychopharmacology Unit, Toronto Western Hospital, University Health Network, 399 Bathurst St 9MP-325, Toronto, Ontario, Canada.
Yu Wei LeeMood Disorders Psychopharmacology Unit, Toronto Western Hospital, University Health Network, 399 Bathurst St 9MP-325, Toronto, Ontario, Canada.
Richard J PorterMood Disorders Psychopharmacology Unit, Toronto Western Hospital, University Health Network, 399 Bathurst St 9MP-325, Toronto, Ontario, Canada.
Mohammad AlsuwaidanMood Disorders Psychopharmacology Unit, Toronto Western Hospital, University Health Network, 399 Bathurst St 9MP-325, Toronto, Ontario, Canada.
Joshua D RosenblatMood Disorders Psychopharmacology Unit, Toronto Western Hospital, University Health Network, 399 Bathurst St 9MP-325, Toronto, Ontario, Canada.
Arun V RavindranMood Disorders Psychopharmacology Unit, Toronto Western Hospital, University Health Network, 399 Bathurst St 9MP-325, Toronto, Ontario, Canada.
Raymond W LamMood Disorders Psychopharmacology Unit, Toronto Western Hospital, University Health Network, 399 Bathurst St 9MP-325, Toronto, Ontario, Canada.
Roger S McIntyreMood Disorders Psychopharmacology Unit, Toronto Western Hospital, University Health Network, 399 Bathurst St 9MP-325, Toronto, Ontario, Canada.
Global Alliance for Chronic Diseases (GACD) Mental Health Guidelines Working Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the development and implementation of clinical practice guidelines for the management of depression globally.

methodsWe conducted a systematic review of existing guidelines for the management of depression in adults with major depressive or bipolar disorder. For each identified guideline, we assessed compliance with measures of guideline development quality (such as transparency in guideline development processes and funding, multidisciplinary author group composition, systematic review of comparative efficacy research) and implementation (such as quality indicators). We compared guidelines from low- and middle-income countries with those from high-income countries.

findingsWe identified 82 national and 13 international clinical practice guidelines from 83 countries in 27 languages. Guideline development processes and funding sources were explicitly specified in a smaller proportion of guidelines from low- and middle-income countries (8/29; 28%) relative to high-income countries (35/58; 60%). Fewer guidelines (2/29; 7%) from low- and middle-income countries, relative to high-income countries (22/58; 38%), were authored by a multidisciplinary development group. A systematic review of comparative effectiveness was conducted in 31% (9/29) of low- and middle-income country guidelines versus 71% (41/58) of high-income country guidelines. Only 10% (3/29) of low- and middle-income country and 19% (11/58) of high-income country guidelines described plans to assess quality indicators or recommendation adherence.

conclusionGlobally, guideline implementation is inadequately planned, reported and measured. Narrowing disparities in the development and implementation of guidelines in low- and middle-income countries is a priority. Future guidelines should present strategies to implement recommendations and measure feasibility, cost-effectiveness and impact on health outcomes.

Indexed as

DepressionMajor Depressive DisorderAdultHumans

Identifiers

PMID33177758
PMCPMC7652558

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.