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Risk Calculators in Bipolar Disorder: A Systematic Review
Introduction: Early recognition of bipolar disorder improves the prognosis and decreases the burden of the disease. However, there is a significant delay in diagnosis. Multiple risk factors for bipolar disorder have been identified and a population at high-risk for the disorder has been more precise...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7465101/ https://www.ncbi.nlm.nih.gov/pubmed/32781733 http://dx.doi.org/10.3390/brainsci10080525 |
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author | Silva Ribeiro, Joana Pereira, Daniela Salagre, Estela Coroa, Manuel Santos Oliveira, Pedro Santos, Vítor Madeira, Nuno Grande, Iria Vieta, Eduard |
author_facet | Silva Ribeiro, Joana Pereira, Daniela Salagre, Estela Coroa, Manuel Santos Oliveira, Pedro Santos, Vítor Madeira, Nuno Grande, Iria Vieta, Eduard |
author_sort | Silva Ribeiro, Joana |
collection | PubMed |
description | Introduction: Early recognition of bipolar disorder improves the prognosis and decreases the burden of the disease. However, there is a significant delay in diagnosis. Multiple risk factors for bipolar disorder have been identified and a population at high-risk for the disorder has been more precisely defined. These advances have allowed the development of risk calculators to predict individual risk of conversion to bipolar disorder. This review aims to identify the risk calculators for bipolar disorder and assess their clinical applicability. Methods: A systematic review of original studies on the development of risk calculators in bipolar disorder was performed. The studies’ quality was evaluated with the Newcastle-Ottawa Quality Assessment Form for Cohort Studies and according to recommendations of the Transparent Reporting of a multivariable prediction model for Individual Prognosis or Diagnosis Initiative. Results: Three studies met the inclusion criteria; one developed a risk calculator of conversion from major depressive episode to bipolar disorder; one of conversion to new-onset bipolar spectrum disorders in offspring of parents with bipolar disorder; and the last one of conversion in youths with bipolar disorder not-otherwise-specified. Conclusions: The calculators reviewed in this article present good discrimination power for bipolar disorder, although future replication and validation of the models is needed. |
format | Online Article Text |
id | pubmed-7465101 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-74651012020-09-04 Risk Calculators in Bipolar Disorder: A Systematic Review Silva Ribeiro, Joana Pereira, Daniela Salagre, Estela Coroa, Manuel Santos Oliveira, Pedro Santos, Vítor Madeira, Nuno Grande, Iria Vieta, Eduard Brain Sci Review Introduction: Early recognition of bipolar disorder improves the prognosis and decreases the burden of the disease. However, there is a significant delay in diagnosis. Multiple risk factors for bipolar disorder have been identified and a population at high-risk for the disorder has been more precisely defined. These advances have allowed the development of risk calculators to predict individual risk of conversion to bipolar disorder. This review aims to identify the risk calculators for bipolar disorder and assess their clinical applicability. Methods: A systematic review of original studies on the development of risk calculators in bipolar disorder was performed. The studies’ quality was evaluated with the Newcastle-Ottawa Quality Assessment Form for Cohort Studies and according to recommendations of the Transparent Reporting of a multivariable prediction model for Individual Prognosis or Diagnosis Initiative. Results: Three studies met the inclusion criteria; one developed a risk calculator of conversion from major depressive episode to bipolar disorder; one of conversion to new-onset bipolar spectrum disorders in offspring of parents with bipolar disorder; and the last one of conversion in youths with bipolar disorder not-otherwise-specified. Conclusions: The calculators reviewed in this article present good discrimination power for bipolar disorder, although future replication and validation of the models is needed. MDPI 2020-08-06 /pmc/articles/PMC7465101/ /pubmed/32781733 http://dx.doi.org/10.3390/brainsci10080525 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Silva Ribeiro, Joana Pereira, Daniela Salagre, Estela Coroa, Manuel Santos Oliveira, Pedro Santos, Vítor Madeira, Nuno Grande, Iria Vieta, Eduard Risk Calculators in Bipolar Disorder: A Systematic Review |
title | Risk Calculators in Bipolar Disorder: A Systematic Review |
title_full | Risk Calculators in Bipolar Disorder: A Systematic Review |
title_fullStr | Risk Calculators in Bipolar Disorder: A Systematic Review |
title_full_unstemmed | Risk Calculators in Bipolar Disorder: A Systematic Review |
title_short | Risk Calculators in Bipolar Disorder: A Systematic Review |
title_sort | risk calculators in bipolar disorder: a systematic review |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7465101/ https://www.ncbi.nlm.nih.gov/pubmed/32781733 http://dx.doi.org/10.3390/brainsci10080525 |
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