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Is care really shared? A systematic review of collaborative care (shared care) interventions for adult cancer patients with depression
BACKGROUND: Collaborative care involves active engagement of primary care and hospital physicians in shared care of patients beyond usual discharge summaries. This enhances community-based care and reduces dependence on specialists and hospitals. The model, successfully implemented in chronic care m...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376792/ https://www.ncbi.nlm.nih.gov/pubmed/30764822 http://dx.doi.org/10.1186/s12913-019-3946-z |
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author | Shaw, Joanne Sethi, Suvena Vaccaro, Lisa Beatty, Lisa Kirsten, Laura Kissane, David Kelly, Brian Mitchell, Geoff Sherman, Kerry Turner, Jane |
author_facet | Shaw, Joanne Sethi, Suvena Vaccaro, Lisa Beatty, Lisa Kirsten, Laura Kissane, David Kelly, Brian Mitchell, Geoff Sherman, Kerry Turner, Jane |
author_sort | Shaw, Joanne |
collection | PubMed |
description | BACKGROUND: Collaborative care involves active engagement of primary care and hospital physicians in shared care of patients beyond usual discharge summaries. This enhances community-based care and reduces dependence on specialists and hospitals. The model, successfully implemented in chronic care management, may have utility for treatment of depression in cancer. The aim of this systematic review was to identify components, delivery and roles and responsibilities within collaborative interventions for depression in the context of cancer. METHODS: Medline, PsycINFO, CINAHL, Embase, Cochrane Library and Central Register for Controlled Trials databases were searched to identify studies of randomised controlled trials comparing a treatment intervention that met the definition of collaborative model of depression care with usual care or other control condition. Studies of adult cancer patients with major depression or a non-bipolar depressive disorder published in English between 2005 and January 2018 were included. Cochrane checklist for risk of bias was completed (Study Prospero registration: CRD42018086515). RESULTS: Of 8 studies identified, none adhered to the definition of ‘collaborative care’. Interventions delivered were multi-disciplinary, with care co-ordinated by nurses (n = 5) or social workers (n = 2) under the direction of psychiatrists (n = 7). Care was primarily delivered in cancer centres (n = 5). Care co-ordinators advised primary care physicians (GPs) of medication changes (n = 3) but few studies (n = 2) actively involved GPs in medication prescribing and management. CONCLUSIONS: This review highlighted joint participation of GPs and specialist care physicians in collaborative care depression management is promoted but not achieved in cancer care. Current models reflect hospital-based multi-disciplinary models of care. PROTOCOL REGISTRATION: The protocol for this systematic review has been registered with PROSPERO. The registration number is CRD42018086515. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-019-3946-z) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6376792 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-63767922019-02-27 Is care really shared? A systematic review of collaborative care (shared care) interventions for adult cancer patients with depression Shaw, Joanne Sethi, Suvena Vaccaro, Lisa Beatty, Lisa Kirsten, Laura Kissane, David Kelly, Brian Mitchell, Geoff Sherman, Kerry Turner, Jane BMC Health Serv Res Research Article BACKGROUND: Collaborative care involves active engagement of primary care and hospital physicians in shared care of patients beyond usual discharge summaries. This enhances community-based care and reduces dependence on specialists and hospitals. The model, successfully implemented in chronic care management, may have utility for treatment of depression in cancer. The aim of this systematic review was to identify components, delivery and roles and responsibilities within collaborative interventions for depression in the context of cancer. METHODS: Medline, PsycINFO, CINAHL, Embase, Cochrane Library and Central Register for Controlled Trials databases were searched to identify studies of randomised controlled trials comparing a treatment intervention that met the definition of collaborative model of depression care with usual care or other control condition. Studies of adult cancer patients with major depression or a non-bipolar depressive disorder published in English between 2005 and January 2018 were included. Cochrane checklist for risk of bias was completed (Study Prospero registration: CRD42018086515). RESULTS: Of 8 studies identified, none adhered to the definition of ‘collaborative care’. Interventions delivered were multi-disciplinary, with care co-ordinated by nurses (n = 5) or social workers (n = 2) under the direction of psychiatrists (n = 7). Care was primarily delivered in cancer centres (n = 5). Care co-ordinators advised primary care physicians (GPs) of medication changes (n = 3) but few studies (n = 2) actively involved GPs in medication prescribing and management. CONCLUSIONS: This review highlighted joint participation of GPs and specialist care physicians in collaborative care depression management is promoted but not achieved in cancer care. Current models reflect hospital-based multi-disciplinary models of care. PROTOCOL REGISTRATION: The protocol for this systematic review has been registered with PROSPERO. The registration number is CRD42018086515. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-019-3946-z) contains supplementary material, which is available to authorized users. BioMed Central 2019-02-14 /pmc/articles/PMC6376792/ /pubmed/30764822 http://dx.doi.org/10.1186/s12913-019-3946-z Text en © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Shaw, Joanne Sethi, Suvena Vaccaro, Lisa Beatty, Lisa Kirsten, Laura Kissane, David Kelly, Brian Mitchell, Geoff Sherman, Kerry Turner, Jane Is care really shared? A systematic review of collaborative care (shared care) interventions for adult cancer patients with depression |
title | Is care really shared? A systematic review of collaborative care (shared care) interventions for adult cancer patients with depression |
title_full | Is care really shared? A systematic review of collaborative care (shared care) interventions for adult cancer patients with depression |
title_fullStr | Is care really shared? A systematic review of collaborative care (shared care) interventions for adult cancer patients with depression |
title_full_unstemmed | Is care really shared? A systematic review of collaborative care (shared care) interventions for adult cancer patients with depression |
title_short | Is care really shared? A systematic review of collaborative care (shared care) interventions for adult cancer patients with depression |
title_sort | is care really shared? a systematic review of collaborative care (shared care) interventions for adult cancer patients with depression |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376792/ https://www.ncbi.nlm.nih.gov/pubmed/30764822 http://dx.doi.org/10.1186/s12913-019-3946-z |
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