Article

Practice guidelines promote depression screening in cardiac
rehabilitation (CR). The objectives of this study were to review (1) CR program
compliance with depression screening recommendations, and (2) the evidence
evaluating whether screening for depression is related to improved outcomes in
patients eligible for CR. METHODS: A limited literature search was conducted on
key resource databases (MEDLINE, EMBASE, CINAHL, Cochrane Library, Evidence-Based
Medicine Reviews, SCOPUS, and the University of York Centre for Reviews and
Dissemination). A focused Internet search was also conducted with a concentrated
gray literature search for evidence reports. Inclusion criteria included English
language documents published between January 1, 2002, and August 1, 2013.
RESULTS: Five studies were included in this review. Three studies were found in
regard to the first objective and reported varying program compliance rates with
depression screening recommendations, ranging from 29.0% to 68.4%. Two studies
examined whether depression screening led to improved outcomes in CR-eligible
patients. Both studies found that, among patients who recalled being screened,
there was no significant difference in depressive symptom scores at followup as
compared with patients who were not screened (P > .05). CONCLUSIONS:
Approximately one-third to two-thirds of CR programs routinely screen for
depression. There are no randomized controlled trials testing the effects of
screening on any outcomes. Although some observational studies suggest that
screening alone may not improve patient outcomes, more randomized controlled
research is needed to address this issue.

Langue : ANGLAIS

Tiré à part : OUI