Evidence map›Paper›PMID 34015950›Full record

ArticlePsychiatric services (Washington, D.C.)2021

Increased Depression Screening and Treatment Recommendations After Implementation of a Perinatal Collaborative Care Program.

Emily S Miller, William A Grobman, Jody D Ciolino, Katelyn Zumpf, Allie Sakowicz, Jacqueline Gollan, Katherine L Wisner

Abstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2021. 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
6.1field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Can Social Work Interventions Improve Perinatal Mental Health Outcomes? A Systematic Review.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Pooled it
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  17. Association between antepartum admission and postpartum depressive symptoms.American journal of obstetrics & gynecology MFM · 2024
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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.

Emily S MillerDepartment of Obstetrics and Gynecology (Miller, Grobman, Sakowicz), Department of Psychiatry and Behavioral Sciences (Miller, Gollan, Wisner), and Department of Preventive Medicine, Division of Biostatistics (Ciolino, Zumpf), all at Feinberg School of Medicine, Northwestern University, Chicago.
William A GrobmanDepartment of Obstetrics and Gynecology (Miller, Grobman, Sakowicz), Department of Psychiatry and Behavioral Sciences (Miller, Gollan, Wisner), and Department of Preventive Medicine, Division of Biostatistics (Ciolino, Zumpf), all at Feinberg School of Medicine, Northwestern University, Chicago.
Jody D CiolinoDepartment of Obstetrics and Gynecology (Miller, Grobman, Sakowicz), Department of Psychiatry and Behavioral Sciences (Miller, Gollan, Wisner), and Department of Preventive Medicine, Division of Biostatistics (Ciolino, Zumpf), all at Feinberg School of Medicine, Northwestern University, Chicago.
Katelyn ZumpfDepartment of Obstetrics and Gynecology (Miller, Grobman, Sakowicz), Department of Psychiatry and Behavioral Sciences (Miller, Gollan, Wisner), and Department of Preventive Medicine, Division of Biostatistics (Ciolino, Zumpf), all at Feinberg School of Medicine, Northwestern University, Chicago.
Allie SakowiczDepartment of Obstetrics and Gynecology (Miller, Grobman, Sakowicz), Department of Psychiatry and Behavioral Sciences (Miller, Gollan, Wisner), and Department of Preventive Medicine, Division of Biostatistics (Ciolino, Zumpf), all at Feinberg School of Medicine, Northwestern University, Chicago.
Jacqueline GollanDepartment of Obstetrics and Gynecology (Miller, Grobman, Sakowicz), Department of Psychiatry and Behavioral Sciences (Miller, Gollan, Wisner), and Department of Preventive Medicine, Division of Biostatistics (Ciolino, Zumpf), all at Feinberg School of Medicine, Northwestern University, Chicago.
Katherine L WisnerDepartment of Obstetrics and Gynecology (Miller, Grobman, Sakowicz), Department of Psychiatry and Behavioral Sciences (Miller, Gollan, Wisner), and Department of Preventive Medicine, Division of Biostatistics (Ciolino, Zumpf), all at Feinberg School of Medicine, Northwestern University, Chicago.

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
NCATS NIH HHS UL1 TR001422
6 · The paper itself

Abstract

objectiveThe study evaluated whether implementation of perinatal collaborative care is associated with improvements in screening and treatment recommendations for perinatal depression by obstetric clinicians.

methodsThis cohort study, conducted from January 2015 to January 2019, included all women who received prenatal care in five obstetric clinics and delivered at a single quaternary care hospital in Chicago. In January 2017, a perinatal collaborative care program (COMPASS) was implemented. Completion of depression screening and recommendations for treatment following a positive depression screen were compared before and after COMPASS implementation. Adjusted analyses included inverse probability weighting by using propensity scores to impose control over imbalance between exposure groups with respect to prespecified covariates.

resultsA total of 7,028 women were included in these analyses: 3,227 (46%) before and 3,801 (54%) after COMPASS implementation. Women who received obstetric care after implementation were significantly more likely than those who received care before implementation to receive antenatal screening for depression (81% versus 33%; adjusted odds ratio [aOR]=8.5, 95% confidence interval [CI]=7.6-9.5). After implementation, women with a positive antenatal screen for depression were more likely to receive a treatment recommendation (61% versus 44%; aOR=2.1, 95% CI=1.2-3.7). After implementation of perinatal collaborative care, combined psychotherapy and pharmacotherapy were more frequently recommended, compared with before implementation.

conclusionsImplementation of a perinatal collaborative care program was associated with improvements in perinatal depression screening and recommendations for treatment by obstetric clinicians.

Indexed as

Depression, PostpartumChildCohort StudiesDepressionFemaleHumansInfant, NewbornPerinatal CarePregnancyPrenatal CareCollaborative careperinatal depressionperinatal mental healthPregnancy and mental illness

Identifiers

PMID34015950
PMCPMC13071551
OpenAlexW3163481262

What OpenQuestion holds

Textmetadata
LicenceTDM
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.