The diagnosis of depression and its treatment in Canadian primary care practices: an epidemiological study

Wong, Sabrina T.; Manca, Donna; Barber, David; Morkem, Rachael; Khan, Shahriar; Kotecha, Jyoti; Williamson, Tyler; Birtwhistle, Richard; Patten, Scott B.

doi:10.9778/cmajo.20140052

Cited by 31 publications

(27 citation statements)

References 20 publications

(20 reference statements)

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“…2,4,6 The prevalence of comorbid depression was higher than the reported general lifetime prevalence of depression among Canadians aged 65 years and older (11%-20%). 18 Our results are comparable to past work not completed in primary care, whereby depression is reported in up to 50% of patients with Parkinson disease. [11][12][13] The sex difference in the prevalence of depression in our study is lower than in the Canadian population.…”

Section: Discussionsupporting

confidence: 88%

“…18 We did not find women with Parkinson disease to have a statistically significant difference in the number or type of prescribed medications for depression compared with men. This result is somewhat surprising given the prevalence of depression diagnosis and use of primary care appear to be higher in women.…”

Section: Discussioncontrasting

confidence: 56%

“…This result is somewhat surprising given the prevalence of depression diagnosis and use of primary care appear to be higher in women. [16][17][18] The reasons for the lack of sex differences require more research. The most frequently prescribed type of antidepressant, SSRIs, is comparable to past American Veteran Affairs studies involving patients with Parkinson disease and depression.…”

Section: Discussionmentioning

confidence: 99%

“…14,15 In addition, depression treatment in the general population shows a high prescribing average (68.0%) of SSRIs in Canadian primary care practices. 18 Possible explanations for this high frequency might be the current general prescription trends and lower adverse effect profile compared with other antidepressants. 15 …”

Section: Discussionmentioning

confidence: 99%

“…Appendix 1 (available at www.cmajopen.ca/content/4/3/E417/suppl/ DC1) shows the types of medications for depression commonly used in primary care. 18 Benzodiazepines and related hypnosedatives were added because these can be prescribed for treating symptoms of depression, including insomnia and agitation. 26 We used the World Health Organization's Ana-tomic Therapeutic Chemical index and RxFiles' comparison chart to create the list of common benzodiazepines and related hypno sedatives.…”

Section: Key Variablesmentioning

confidence: 99%

See 4 more Smart Citations

Using Canadian Primary Care Sentinel Surveillance Network data to examine depression in patients with a diagnosis of Parkinson disease: a retrospective cohort study

et al. 2016

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Section: Discussionsupporting

confidence: 88%

Section: Discussioncontrasting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Key Variablesmentioning

confidence: 99%

See 3 more Smart Citations

Using Canadian Primary Care Sentinel Surveillance Network data to examine depression in patients with a diagnosis of Parkinson disease: a retrospective cohort study

et al. 2016

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‘Big data’ in mental health research: current status and emerging possibilities

Stewart

Davis

2016

Soc Psychiatry Psychiatr Epidemiol

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Purpose‘Big data’ are accumulating in a multitude of domains and offer novel opportunities for research. The role of these resources in mental health investigations remains relatively unexplored, although a number of datasets are in use and supporting a range of projects. We sought to review big data resources and their use in mental health research to characterise applications to date and consider directions for innovation in future.MethodsA narrative review.Results Clear disparities were evident in geographic regions covered and in the disorders and interventions receiving most attention.Discussion We discuss the strengths and weaknesses of the use of different types of data and the challenges of big data in general. Current research output from big data is still predominantly determined by the information and resources available and there is a need to reverse the situation so that big data platforms are more driven by the needs of clinical services and service users.

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Primary Care Electronic Health Data: Good to the Last Byte

Birtwhistle¹

2018

Health Efficiency

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The diagnosis of depression and its treatment in Canadian primary care practices: an epidemiological study

Cited by 31 publications

References 20 publications

Using Canadian Primary Care Sentinel Surveillance Network data to examine depression in patients with a diagnosis of Parkinson disease: a retrospective cohort study

Using Canadian Primary Care Sentinel Surveillance Network data to examine depression in patients with a diagnosis of Parkinson disease: a retrospective cohort study

‘Big data’ in mental health research: current status and emerging possibilities

Primary Care Electronic Health Data: Good to the Last Byte

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