Evidence map›Paper›PMID 37616079›Full record

ArticlePsychological services2023

Depression care quality among patients with solid tumor cancers detected to have depression in Veterans Health Administration primary care clinics.

Claire E O'Hanlon, Anne M Walling, Michael McClean, Karen Chu, Charlotta Lindvall, Martin Lee, Susan E Stockdale, Lucinda B Leung

Abstract read
In one paragraph

Article in Psychological services, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Claire E O'HanlonVeterans Affairs Center for the Study of Healthcare Innovation, Implementation and Policy.ORCID 0000-0001-6398-5845
Anne M WallingVeterans Affairs Center for the Study of Healthcare Innovation, Implementation and Policy.
Michael McCleanVeterans Affairs Center for the Study of Healthcare Innovation, Implementation and Policy.
Karen ChuVeterans Affairs Center for the Study of Healthcare Innovation, Implementation and Policy.
Charlotta LindvallDepartment of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute.
Martin LeeVeterans Affairs Center for the Study of Healthcare Innovation, Implementation and Policy.
Susan E StockdaleVeterans Affairs Center for the Study of Healthcare Innovation, Implementation and Policy.
Lucinda B LeungVeterans Affairs Center for the Study of Healthcare Innovation, Implementation and Policy.

Funding

Improving Depression Management in Primary CareIK2HX002867 · VA · VA GREATER LOS ANGELES HEALTHCARE SYSTEM · PI LEUNG, LUCINDA B · 2020 to 2025
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HSRD VA IK2 HX002867
6 · The paper itself

Abstract

Patients with cancer, especially advanced cancer, experience depression at high rates. We aimed to evaluate the quality of depression care received by patients with solid tumor cancer and advanced solid tumor cancer in Veterans Affairs (VA) primary care clinics. This is a retrospective cohort study of patients seen in 82 VA primary care clinics who newly screened positive for depression on the Patient Health Questionnaire (PHQ-2). Outcomes included timely follow-up within 84 or 180 days (3+ mental health specialty, 3+ psychotherapy, or 3+ primary care visits with depression diagnosis codes) and minimum treatment within 1 year (60+ days antidepressants prescribed, 4+ mental health specialty visits, or 3+ psychotherapy visits). 608,042 individuals were seen in VA primary care clinics during this period; 49,839 patients (8.2%) had solid tumor cancer and 9,278 (1.5%) had advanced or poor-prognosis solid tumor cancer. For 686 observations of patients with cancer and new depression, rates of appropriate follow-up were 22.3% within 84 days and 38.2% within 180 days. For 73 observations of patients with advanced or poor-prognosis cancer and new depression, rates of appropriate follow-up were 21.9% within 84 days and 34.3% within 180 days. Rates of minimum treatment within 1 year were 68.4% and 64.4% for patients with cancer and patients with advanced or poor-prognosis cancer, respectively. Quality of timely depression management is low in patients with solid tumor cancers. Even in health systems with well-integrated mental health services, care gaps remain for patients with cancer and depression. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Indexed as

DepressionNeoplasmsHumansPrimary Health CareQuality of Health CareRetrospective StudiesVeterans Health

Identifiers

PMID37616079
PMCPMC10843783

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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.