Feasible Evidence-Based Strategies to Manage Depression in Primary Care
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According to the World Health Organization, major depressive disorder (MDD) is a leading cause of disability-adjusted life years worldwide. However, recent evidence suggests depression remains undertreated in primary care settings. Measurement-based care (MBC) is an evidence-based strategy that can feasibly assist primary care physicians in managing patients with MDD. Utilizing health information technology tools, such as computer decision support software, can improve adherence to evidence-based treatment guidelines and MBC at the point of care.
KeywordsDepression Primary care Evidence-based guidelines Measurement-based care Clinical assessments Clinical decision support systems Electronic health records Barriers to implementation Residual symptoms Patient-centered outcomes Suicidal ideation Suicide-related behavior Medication side effect Medication adherence Treatment Remission Computer decision support systems
Dr Kurian has received research funding from National Institute of Mental Health (NIMH), Feinstein Institute for Medical Research, and Agency for Healthcare Research and Quality (AHRQ), and research support from Targacept, Pfizer, Johnson & Johnson, Evotec, Rexahn, Naurex, and Forest Pharmaceuticals.
Mr Grannemann reported no potential conflicts of interest relevant to this article.
Madhukar H. Trivedi is or has been an advisor/consultant to, or on the Speakers’ Bureaus for: Abbott Laboratories, Inc., Abdi Ibrahim, Akzo (Organon Pharmaceuticals Inc.), Alkermes, AstraZeneca, Axon Advisors, Bristol-Myers Squibb Company, Cephalon, Inc., Eli Lilly & Company, Evotec, Fabre Kramer Pharmaceuticals, Inc., Forest Pharmaceuticals, GlaxoSmithKline, Janssen Pharmaceutica Products, LP, Johnson & Johnson PRD, Libby, Lundbeck, Meade Johnson, MedAvante, Medtronic, Naurex, Neuronetics, Otsuka Pharmaceuticals, Pamlab, Parke-Davis Pharmaceuticals, Inc., Pfizer Inc., PgxHealth, Rexahn Pharmaceuticals, Sepracor, SHIRE Development, Sierra, SK Life and Science, Takeda, Tal Medical/Puretech Venture, Transcept, VantagePoint, and Wyeth-Ayerst Laboratories. In addition, he has received research support from: Agency for Healthcare Research and Quality (AHRQ), Corcept Therapeutics, Inc., Cyberonics, Inc., Merck, National Alliance for Research in Schizophrenia and Depression, National Institute of Mental Health, National Institute on Drug Abuse, Novartis, Pharmacia & Upjohn, Predix Pharmaceuticals (Epix), Solvay Pharmaceuticals, Inc., Targacept, and Valient.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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