Evidence map›Paper›PMID 35506291›Full record

ArticleDeutsches Arzteblatt international2022

The State of Care for Persons With a Diagnosis of Depression.

Jona T Stahmeyer, Caroline Märtens, Daniela Eidt-Koch, Kai G Kahl, Jan Zeidler, Sveja Eberhard

Abstract read
In one paragraph

Article in Deutsches Arzteblatt international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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

21 citing papers in PubMed.

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  19. Recommendations Seem Arbitrary.Deutsches Arzteblatt international · 2023
    Article
  20. In Reply.Deutsches Arzteblatt international · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Jona T StahmeyerAOK Niedersachsen, F1-Division of Politics, Research, and Public Relations, Hannover; Ostfalia University of Applied Sciences, Faculty of Health and Health Care Sciences, Wolfsburg; Hannover Medical School, Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover; Leibniz University Hannover, Center for Health Economics Research Hannover (CHERH), Institute of Health Economics (IHE), Hannover.
Caroline Märtens
Daniela Eidt-Koch
Kai G Kahl
Jan Zeidler
Sveja Eberhard

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDepression is one of the most common mental illnesses. There are well-known deficiencies in the care of patients with depression, particularly at the interfaces between health service areas or sectors. The aim of this study was to analyze the characteristics and state of care of persons with a diagnosis of depression.

methodsThe analysis was based on diagnosis and billing data obtained from a statutory health insurance carrier in Germany. Patients carrying a diagnosis of depression in 2018 (ICD-10 F32, F33, F34.1) were identified and studied with respect to their utilization of care services for depression. Sociodemographic characteristics and the degree of severity of depression were also taken into account.

resultsMore than 285 000 individuals with a diagnosis of depression were included in the analysis. Their mean age was 57.5 years, and 67.5% were female. About three-quarters had at least one comorbid mental disorder. Primary care physicians were involved in the treatment of depression for 82.8% of patients with severe depression; 41.1% of such patients had contact with a medical specialist, and 9.2% with a psychologist-psychotherapist. Antidepressants were prescribed for 60.3% of patients with severe depression, and 10.2% were receiving psychotherapeutic services in accordance with the psychotherapy directive.

conclusionOur findings point to existing deficiencies in the care of patients with depression, particularly in the establishment of the diagnosis and in the assessment of disease severity. These are essential matters for the initiation of guideline-oriented therapy and therefore deserve to be more strongly emphasized in continuing medical education.

Indexed as

DepressionDepressive DisorderAntidepressive AgentsFemaleGermanyHumansMaleMiddle AgedNational Health ProgramsPsychotherapyAntidepressive Agents

Identifiers

PMID35506291
PMCPMC9639222

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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.