Journal Article Annotations
2018, 1st Quarter
Annotations by Walter Luchsinger, MD, and Lydia Chwastiak, MD, MPH, FAPM
Type of study: Systematic review / meta-analysis
The finding: This systemic review and meta-analysis was done to report the effects of collaborative care on chronic medical conditions and co-morbid depressive or anxiety disorders with a primary focus on physical outcomes and illness burden. Twenty randomized controlled trials were included and results showed that best physical outcomes were found with hypertension and comorbid depression. Overall, depression outcomes were better for collaborative care than for care as usual.
Strength and weaknesses: This is the first study that reports on the effectiveness of collaborative care for comorbid depression and chronic medical conditions.
Weaknesses: Only studies in English and Dutch were included. In addition, did not search in the European and American trial register. Even though an extensive search was done it is possible that studies were missed. There is a small number of good quality studies for each medical condition. There is lack of research on physical outcomes in chronic medical conditions with comorbid anxiety disorders.
Relevance: This is the first study that reports on the effectiveness of collaborative care for comorbid depression and chronic medical conditions.