Table 14Summary evidence profile for collaborative care versus standard care (acute-phase efficacy data)

Self-ratedClinician-ratedDSM criteriaFollow-up
Non-responseRR 0.83
(0.75 to 0.92)
(49.7% versus 59.9%)
RR 0.86
(0.69 to 1.06)
(44.2% versus 48.7%)
Not reportedNot reported
QualityHighModerate
Number of studies; participantsK = 7; n = 1820K = 2; n = 1264
Forest plot numberService c-care 03.01Service c-care 03.01
Non-remissionRR 0.91
(0.86 to 0.97)
(70% versus 76%)
RR 0.98
(0.88 to 1.09)
(56.4% versus 57.5%)
RR 0.85
(0.70 to 1.04)
(29.5% versus 29.3%)
RR 1.05
(0.9 to 1.21)
(49.1% versus 47.2%)
QualityHighHighHighModerate
Number of studies; participantsK = 3; n = 1480K = 1; n = 962K = 6; n = 1173K = 1; n = 863
Forest plot numberService c-care 03.02Service c-care 03.02Service c-care 03.02Service c-care 03.03
Mean depression scores at endpointSMD −0.16 (−0.25 to −0.06)SMD −0.05 (−0.64 to 0.53)Not reported3–4 months
SMD −0.36 (−0.63 to −0.09)
QualityHighHighHigh
Number of studies; participantsK = 11; n = 1876K = 1; n = 45K = 3; n = 214
Forest plot numberService c-care 03.05Service c-care 03.05Service c-care 03.06
Mean depression change scores at endpointNot reportedSMD −0.02 (−0.15 to 0.11)Not reportedNot reported
QualityModerate
Number of studies; participantsK = 1; n = 958
Forest plot numberService c-care 03.07

From: 5, CASE IDENTIFICATION AND SERVICE DELIVERY

Cover of Depression
Depression: The Treatment and Management of Depression in Adults (Updated Edition).
NICE Clinical Guidelines, No. 90.
National Collaborating Centre for Mental Health (UK).
Leicester (UK): British Psychological Society; 2010.
Copyright © The British Psychological Society & The Royal College of Psychiatrists, 2010.

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