Evidence map›Paper›PMID 37650342›Full record

ArticlePsychological medicine2023

Development of a model to predict antidepressant treatment response for depression among Veterans.

Victor Puac-Polanco, Hannah N Ziobrowski, Eric L Ross, Howard Liu, Brett Turner, Ruifeng Cui, Lucinda B Leung, Robert M Bossarte, Corey Bryant, Jutta Joormann and 12 more

Open access · greenAbstract read
In one paragraph

Article in Psychological medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 13% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Toward personalized care for insomnia in the US Army: a machine learning model to predict response to cognitive behavioral therapy for insomnia.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  7. Review
  8. Toward personalized care for insomnia in the US Army: development of a machine-learning model to predict response to pharmacotherapy.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023
    Article
  9. Article
  10. Article
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

22 authors at 12 institutions in 3 countries.

Victor Puac-PolancoDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Hannah N ZiobrowskiDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Eric L RossDepartment of Psychiatry, McLean Hospital, Belmont, MA, USA.
Howard LiuDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Brett TurnerDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Ruifeng CuiDepartment of Veterans Affairs, VISN 4 Mental Illness Research, Education and Clinical Center, VA Pittsburgh Health Care System, Pittsburgh, PA, USA.
Lucinda B LeungCenter for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Robert M BossarteCenter of Excellence for Suicide Prevention, Canandaigua VA Medical Center, Canandaigua, NY, USA.
Corey BryantCenter for Clinical Management Research, VA Ann Arbor, Ann Arbor, MI, USA.
Jutta JoormannDepartment of Psychology, Yale University, New Haven, CT, USA.
Andrew A NierenbergDepartment of Psychiatry, Harvard Medical School, Boston, MA, USA.
David W OslinVISN 4 Mental Illness Research, Education, and Clinical Center, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Wilfred R PigeonCenter of Excellence for Suicide Prevention, Canandaigua VA Medical Center, Canandaigua, NY, USA.
Edward P PostCenter for Clinical Management Research, VA Ann Arbor, Ann Arbor, MI, USA.
Nur Hani ZainalDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Alan M ZaslavskyDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Jose R ZubizarretaDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Alex LuedtkeDepartment of Statistics, University of Washington, Seattle, WA, USA.
Chris J KennedyDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Andrea CiprianiDepartment of Psychiatry, University of Oxford, Oxford, UK.
Toshiaki A FurukawaDepartment of Health Promotion and Human Behavior, School of Public Health, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Ronald C KesslerDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-4831-2305
Harvard University · USKyoto University · JPPhiladelphia VA Medical Center · USUniversity of California, Los Angeles · USUniversity of Michigan · USUniversity of Oxford · GBUniversity of Pittsburgh · USUniversity of Rochester Medical Center · USUniversity of Washington · USVA Center for Clinical Management Research · USWest Virginia University · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Leveraging EHR data to evaluate key treatment decisions to prevent suicide-related behaviorsR01MH121478 · NIMH · HARVARD MEDICAL SCHOOL · PI KESSLER, RONALD C · 2020 to 2023
$3.1M
Improving Depression Management in Primary CareIK2HX002867 · VA · VA GREATER LOS ANGELES HEALTHCARE SYSTEM · PI LEUNG, LUCINDA B · 2020 to 2025
–
HSRD VA IK2 HX002867NCATS NIH HHS UL1 TR001863NIMH NIH HHS R01 MH121478
6 · The paper itself

Abstract

backgroundOnly a limited number of patients with major depressive disorder (MDD) respond to a first course of antidepressant medication (ADM). We investigated the feasibility of creating a baseline model to determine which of these would be among patients beginning ADM treatment in the US Veterans Health Administration (VHA).

methodsA 2018-2020 national sample of

resultsIn total, 35.7% of patients responded to treatment. The prediction model had an area under the ROC curve (s.e.) of 0.66 (0.04) in the test sample. A strong gradient in probability (s.e.) of treatment response was found across three subsamples of the test sample using training sample thresholds for high [45.6% (5.5)], intermediate [34.5% (7.6)], and low [11.1% (4.9)] probabilities of response. Baseline symptom severity, comorbidity, treatment characteristics (expectations, history, and aspects of current treatment), and protective/resilience factors were the most important predictors.

conclusionsAlthough these results are promising, parallel models to predict response to alternative treatments based on data collected before initiating treatment would be needed for such models to help guide treatment selection.

Indexed as

Major Depressive DisorderVeteransAntidepressive AgentsDepressionHumansMachine LearningAntidepressive AgentsAntidepressant medicationclinical decision supportdepressionmachine learningtreatment responseVeterans Health Administration

Identifiers

PMID37650342
PMCPMC10519376
OpenAlexW4285593499

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.