Evidence map›Paper›PMID 35461074›Full record

ArticleJournal of psychosomatic research2022

Depression and cardiovascular risk in primary care patients.

Stephanie A Hooker, Patrick J O'Connor, JoAnn M Sperl-Hillen, A Lauren Crain, Kris Ohnsorg, Sheryl Kane, Rebecca Rossom

Open access · greenAbstract read
In one paragraph

Article in Journal of psychosomatic research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 21 citations in OpenAlex.

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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 at 1 institution in 1 country.

Stephanie A HookerHealthPartners Institute, Research and Evaluation Division, Minneapolis, MN, United States of America. Electronic address: stephanie.a.hooker@healthpartners.com.
Patrick J O'ConnorHealthPartners Institute, Research and Evaluation Division, Minneapolis, MN, United States of America. Electronic address: Patrick.j.oconnor@healthpartners.com.
JoAnn M Sperl-HillenHealthPartners Institute, Research and Evaluation Division, Minneapolis, MN, United States of America. Electronic address: joann.m.sperlhillen@healthpartners.com.
A Lauren CrainHealthPartners Institute, Research and Evaluation Division, Minneapolis, MN, United States of America. Electronic address: lauren.a.crain@healthpartners.com.
Kris OhnsorgHealthPartners Institute, Research and Evaluation Division, Minneapolis, MN, United States of America. Electronic address: kris.a.ohnsorg@healthpartners.com.
Sheryl KaneHealthPartners Institute, Research and Evaluation Division, Minneapolis, MN, United States of America. Electronic address: sheryl.m.kane@healthpartners.com.
Rebecca RossomHealthPartners Institute, Research and Evaluation Division, Minneapolis, MN, United States of America. Electronic address: rebecca.c.rossom@healthpartners.com.
HealthPartners · US

Funding

SSRI's and SuicidalityU19MH092201 · NIMH · KAISER FOUNDATION RESEARCH INSTITUTE · PI SIMON, GREGORY E. · 2010 to 2018
$19.5M
NIMH NIH HHS U19 MH092201
6 · The paper itself

Abstract

objectiveThis study assessed the relationship of both depression diagnosis and clinically significant depressive symptoms with individual cardiovascular risk factors and estimated total cardiovascular risk in primary care patients.

methodsThis study used a cross-sectional and retrospective design. Patients who had a primary care encounter between January 2016 and September 2018 and completed depression screening (PHQ-9) during the year prior to their appointment (N = 70,980) were included in this study. Data examining estimated total cardiovascular risk, specific cardiovascular risk factors, and relevant clinical diagnoses (including depression diagnosis) were extracted from the electronic health record. Patients were categorized into three groups: no depression (PHQ-9 < 10 and no depression diagnosis), controlled depression (PHQ-9 < 10 with previous depression diagnosis), and current depression (PHQ-9 ≥ 10). Groups were compared on estimated total risk and specific cardiovascular risk factors (e.g., body mass index [BMI], smoking status, lipids, blood pressure, and glucose).

resultsIn adjusted analyses, patients with current depression (n = 18,267) demonstrated significantly higher 10-year and 30-year cardiovascular risk compared to patients with controlled depression (n = 33,383; 10-year: b = 0.59 [95% CI = 0.44,0.74]; 30-year: OR = 1.32 [95% CI = 1.26,1.39]) and patients without depression (n = 19,330; 10-year: b = 0.55 [95% CI = 0.37,0.73]; 30-year: OR = 1.56 [95% CI = 1.48,1.65]). Except for low-density lipoprotein (LDL), patients with current depression had the greatest cardiovascular risk across specific risk factors.

conclusionsIndividuals who had a depression diagnosis and clinically significant depressive symptoms had the greatest cardiovascular risk. Pathways to prevent cardiovascular disease in those with depression might focus on treating depressive symptoms as well as specific uncontrolled cardiovascular risk factors.

Indexed as

Cardiovascular DiseasesCross-Sectional StudiesDepressionHeart Disease Risk FactorsHumansPrimary Health CareRetrospective StudiesRisk FactorsCardiovascular disease preventionCardiovascular riskDepressionPrimary care

Identifiers

PMID35461074
PMCPMC9237849
OpenAlexW4224304987

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.