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Cost-effectiveness of collaborative care for the treatment of major depressive disorder in primary care. A systematic review
BACKGROUND: The effectiveness of collaborative care for patients with major depressive disorder in primary care has been established. Assessing its cost-effectiveness is important for deciding on implementation. This review therefore evaluates the cost-effectiveness of collaborative care for major d...
Autores principales: | , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2010
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2826303/ https://www.ncbi.nlm.nih.gov/pubmed/20082727 http://dx.doi.org/10.1186/1472-6963-10-19 |
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author | van Steenbergen-Weijenburg, Kirsten M van der Feltz-Cornelis, Christina M Horn, Eva K van Marwijk, Harm WJ Beekman, Aartjan TF Rutten, Frans FH Hakkaart-van Roijen, Leona |
author_facet | van Steenbergen-Weijenburg, Kirsten M van der Feltz-Cornelis, Christina M Horn, Eva K van Marwijk, Harm WJ Beekman, Aartjan TF Rutten, Frans FH Hakkaart-van Roijen, Leona |
author_sort | van Steenbergen-Weijenburg, Kirsten M |
collection | PubMed |
description | BACKGROUND: The effectiveness of collaborative care for patients with major depressive disorder in primary care has been established. Assessing its cost-effectiveness is important for deciding on implementation. This review therefore evaluates the cost-effectiveness of collaborative care for major depressive disorder in primary care. METHODS: A systematic search on economic evaluations of collaborative care was conducted in Pubmed and PsychInfo. Quality of the studies was measured with the Cochrane checklist and the CHEC-list for economic evaluations. Cost-effectiveness and costs per depression-free days were reported. RESULTS: 8 studies were found, involving 4868 patients. The quality of the cost effectiveness studies, according to the CHEC-list, could be improved. Generally, the studies did not include all relevant costs and did not perform sensitivity analysis. Only 4 out of 8 studies reported cost per QALY, 6 out of 8 reported costs per depression-free days. The highest costs per QALY reported were $49,500, the highest costs per depression-free day were $24. CONCLUSIONS: Although studies did not fulfil all criteria of the CHEC-list, collaborative care is a promising intervention and it may be cost-effective. However, to conclude on the cost-effectiveness, depression research should follow economic guidelines to improve the quality of the economic evaluations. |
format | Text |
id | pubmed-2826303 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-28263032010-02-23 Cost-effectiveness of collaborative care for the treatment of major depressive disorder in primary care. A systematic review van Steenbergen-Weijenburg, Kirsten M van der Feltz-Cornelis, Christina M Horn, Eva K van Marwijk, Harm WJ Beekman, Aartjan TF Rutten, Frans FH Hakkaart-van Roijen, Leona BMC Health Serv Res Research article BACKGROUND: The effectiveness of collaborative care for patients with major depressive disorder in primary care has been established. Assessing its cost-effectiveness is important for deciding on implementation. This review therefore evaluates the cost-effectiveness of collaborative care for major depressive disorder in primary care. METHODS: A systematic search on economic evaluations of collaborative care was conducted in Pubmed and PsychInfo. Quality of the studies was measured with the Cochrane checklist and the CHEC-list for economic evaluations. Cost-effectiveness and costs per depression-free days were reported. RESULTS: 8 studies were found, involving 4868 patients. The quality of the cost effectiveness studies, according to the CHEC-list, could be improved. Generally, the studies did not include all relevant costs and did not perform sensitivity analysis. Only 4 out of 8 studies reported cost per QALY, 6 out of 8 reported costs per depression-free days. The highest costs per QALY reported were $49,500, the highest costs per depression-free day were $24. CONCLUSIONS: Although studies did not fulfil all criteria of the CHEC-list, collaborative care is a promising intervention and it may be cost-effective. However, to conclude on the cost-effectiveness, depression research should follow economic guidelines to improve the quality of the economic evaluations. BioMed Central 2010-01-19 /pmc/articles/PMC2826303/ /pubmed/20082727 http://dx.doi.org/10.1186/1472-6963-10-19 Text en Copyright ©2010 van Steenbergen-Weijenburg et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research article van Steenbergen-Weijenburg, Kirsten M van der Feltz-Cornelis, Christina M Horn, Eva K van Marwijk, Harm WJ Beekman, Aartjan TF Rutten, Frans FH Hakkaart-van Roijen, Leona Cost-effectiveness of collaborative care for the treatment of major depressive disorder in primary care. A systematic review |
title | Cost-effectiveness of collaborative care for the treatment of major depressive disorder in primary care. A systematic review |
title_full | Cost-effectiveness of collaborative care for the treatment of major depressive disorder in primary care. A systematic review |
title_fullStr | Cost-effectiveness of collaborative care for the treatment of major depressive disorder in primary care. A systematic review |
title_full_unstemmed | Cost-effectiveness of collaborative care for the treatment of major depressive disorder in primary care. A systematic review |
title_short | Cost-effectiveness of collaborative care for the treatment of major depressive disorder in primary care. A systematic review |
title_sort | cost-effectiveness of collaborative care for the treatment of major depressive disorder in primary care. a systematic review |
topic | Research article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2826303/ https://www.ncbi.nlm.nih.gov/pubmed/20082727 http://dx.doi.org/10.1186/1472-6963-10-19 |
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