Evidence map›Paper›PMID 42158993›Full record

SynthesisJournal of clinical nursing2026

Diagnostic Prediction Models for Depression in Patients With Breast Cancer: A Systematic Review.

Xiaosong Yu, Lin Zhang, Qianqian Wan, Shaolin Chen, Xiaohua Wang

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of clinical nursing, 2026. 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

5 authors.

Xiaosong YuDepartment of Nursing, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.ORCID https://orcid.org/0009-0007-7956-8991
Lin ZhangDepartment of Nursing, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.ORCID https://orcid.org/0009-0001-1308-1116
Qianqian WanSchool of Nursing, Zunyi Medical University, Zunyi, Guizhou, China.ORCID https://orcid.org/0009-0004-3509-098X
Shaolin ChenDepartment of Nursing, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.ORCID https://orcid.org/0000-0003-1827-7641
Xiaohua WangInformation Department, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.ORCID https://orcid.org/0000-0003-1367-6264

Funding

National Natural Science Foundation of China 61861047
6 · The paper itself

Abstract

aimTo systematically review the evidence on diagnostic prediction models for depression in patients with breast cancer.

designSystematic review. DATA SOURCES: Ten databases were searched from inception to 22 August 2025, with an updated search on 17 December 2025, to identify original studies developing and/or validating diagnostic prediction models for depression in patients with breast cancer.

methodsData were extracted using the Critical Appraisal and Data Extraction for Systematic Reviews of Prediction Modelling Studies (CHARMS) framework. Two reviewers independently assessed risk of bias and applicability of included studies using the Prediction Model Risk of Bias Assessment Tool (PROBAST).

resultsEleven studies were included. Reported area under the curve (AUC) values ranged from 0.784 to 0.890. All included studies were judged to be at high risk of bias, and seven raised high concerns regarding applicability. There was substantial heterogeneity in predictor selection across studies, with age, income level and family support being the most frequently reported predictors.

conclusionAlthough preliminary research on diagnostic prediction models for depression in patients with breast cancer has been undertaken, their methodological quality remains weak. Reporting of external validation and calibration assessment was limited. Current evidence is therefore insufficient to support their routine use in nursing practice. Future research should standardise model development and validation and strengthen the evaluation of model performance. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: This review suggests that existing diagnostic prediction models for depression in patients with breast cancer are not yet sufficiently robust for routine nursing use, but may provide a reference for future nursing screening research and the optimisation of related tools. IMPACT: This review synthesises the available evidence on diagnostic prediction models for depression in patients with breast cancer and provides a basis for future model development, validation and optimisation. REPORTING

methodThis review was reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and the Transparent Reporting of a Multivariable Prediction Model for Individual Prognosis or Diagnosis: Systematic Reviews and Meta-Analyses (TRIPOD-SRMA) checklist. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

Indexed as

Breast NeoplasmsDepressionFemaleHumansPrediction AlgorithmsPrediction Methods, Machinebreast cancerdepressiondiagnostic prediction modelsystematic review

Identifiers

PMID42158993
PMCPMC13432031

What OpenQuestion holds

Textmetadata
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.