Treatment of depression in older adults beyond fluoxetine

Wagner, Gabriela Arantes

doi:10.1590/s0034-8910.2015049005835

Cited by 11 publications

(9 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“… 38 The estimated direct health cost in China attributed to physical inactivity in 2007 was US$3.5 billion, 43 whereas the cost of hospital admissions in Brazil in 2013 was estimated as US$0.73 billion by local studies. 47 The estimated direct healthcare cost attributed to physical inactivity was INT$3.1 billion for China and INT$1.6 billion for Brazil in 2013 by global analysis. 38 Inpatient cost and outpatient cost attributed to physical inactivity in 2000 was US$0.4 billion and US$0.9 billion, respectively, in China.…”

Section: Resultsmentioning

confidence: 99%

Economics of physical activity in low-income and middle- income countries: a systematic review

Ranasinghe¹,

Pokhrel²,

Anokye³

2021

BMJ Open

View full text Add to dashboard Cite

BackgroundPromotion of physical activity (PA) among populations is a global health investment. However, evidence on economic aspects of PA is sparse and scattered in low-income and middle-income countries (LMICs).ObjectiveThe objective of this study was to summarise the available evidence on economics of PA in LMICs, identify potential target variables for policy and report gaps in the existing economic evidence alongside research recommendations.Data sourcesA systematic review of the electronic databases (Scopus, Web of Science and SPORTDiscus) and grey literature.Study eligibility criteriaCost-of-illness studies, economic evaluations, interventions and descriptive studies on economic factors associated with PA using preset eligibility criteria.Study appraisal and synthesis of methodsScreening, study selection and quality appraisal based on standard checklists performed by two reviewers with consensus of a third reviewer. Descriptive synthesis of data was performed.ResultsThe majority of the studies were from upper-middle-income countries (n=16, 88.8%) and mainly from Brazil (n=9, 50%). Only one economic evaluation study was found. The focus of the reviewed literature spanned the economic burden of physical inactivity (n=4, 22%), relationship between PA and costs (n=6, 46%) and socioeconomic determinants of PA (n=7, 39%). The findings showed a considerable economic burden due to insufficient PA, with LMICs accounting for 75% of disability-adjusted life years (DALYs) globally due to insufficient PA. Socioeconomic correlates of PA were identified, and inverse relationship of PA with the cost of chronic diseases was established. Regular PA along with drug treatment as a treatment scheme for chronic diseases showed advantages with a cost–utility ratio of US$3.21/quality-adjusted life year (QALY) compared with the drug treatment-only group (US$3.92/QALY) by the only economic evaluation conducted in the LMIC, Brazil.LimitationsMeta-analysis was not performed due to heterogeneity of the studies.Conclusions and recommendationsEconomic evaluation studies for PA promotion interventions/strategies and local research from low-income countries are grossly inadequate. Setting economic research agenda in LMICs ought to be prioritised in those areas.PROSPERO registration numberCRD42018099856.

show abstract

Section: Resultsmentioning

confidence: 99%

Economics of physical activity in low-income and middle- income countries: a systematic review

Ranasinghe¹,

Pokhrel²,

Anokye³

2021

BMJ Open

View full text Add to dashboard Cite

show abstract

“…Caution advises the need for robust statistical testing, to decrease error and enhance reliability for the detection of a disease with marked increase in frequency, and estimates of ranking second as most prominent chronic non-communicable disease. 10 , 12 , 22 …”

Section: Discussionmentioning

confidence: 99%

“…A cautela advoga a necessidade de testagem estatística robusta, visando à diminuição do erro e ao aumento da confiabilidade, para detecção de uma doença com imponente aumento da frequência e projeções de se tornar a segunda mais proeminente doença crônica não transmissível. 10 , 12 , 22 …”

Section: Discussionunclassified

“… 9 - 11 Knowledge produced by research may serve as subsidy for evidence-based clinical management, and encourage innovations for the related care programs and policy guidelines. 9 , 12 …”

Section: Introductionmentioning

confidence: 99%

“… 9 - 11 O conhecimento produzido pelas pesquisas pode servir de subsídio para o enfretamento clínico baseado em evidências, e incentivar inovações para os programas assistências e diretrizes políticas afins. 9 , 12 …”

Section: Introductionunclassified

See 2 more Smart Citations

Indicators of depression in elderly and different screening methods

Matias

Fonseca

Gomes

et al. 2016

Einstein (São Paulo)

View full text Add to dashboard Cite

Objective To determine the prevalence of depressive symptoms among elderly and correlate the agreement between the screening methods used.Methods A cross-section study of 137 elderly attending the Programa Vivendo a Terceira Idade [Living for the Elderly Program]. Depressive symptoms were screened by the Patient Health Questionnaire-9 and the 15-item Geriatric Depression Scale, by Yesavage. Cohen´s kappa analyzed the degree of agreement of these scales.Results The prevalence of depressive symptoms screened by the Patient Health Questionnaire-9 was 62.8% and, by the Geriatric Depression Scale, 52.6%. The Spearman correlation between the results of scales obtained rho=0.387, p<0.000. The Kappa reliability coefficient was 0.41 and significance level of p<0.001. The screening methods showed sensitivity of 80% and specificity of 44%.Conclusion Both scales showed moderate agreement and were useful for detecting a relevant prevalence of the target outcome of depression among the elderly.

show abstract