Cost-Utility of 2 Maintenance Treatments for Older Adults With Depression Who Responded to a Course of Electroconvulsive Therapy: Results From a Decision Analytic Model

From: Canadian Journal of Psychiatry | Date: June 1, 2005| Author: Mehringer, Ann M; Mozurkewich, Ellen; Razik, Gihan N; Aziz, Mohamed | Copyright information

Objective: The prevalence of major depressive disorder (MDD) in community-dwelling elderly populations is 1% to 3%. After initial treatment of the acute phase of depression, only about 25% to 30% of elderly patients remain well after 1 to 3 years of follow-up. Previous studies suggested that patients who received maintenance electroconvulsive therapy (MECT) demonstrated lower relapse rates, a better subjective sense of well-being, and lower health care costs at 12-month follow-up. This study ...

Related newspaper, magazine, and journal articles from HighBeam Research

Treatment of depression in hospitalized elderly patients.(Tips from Other Journals)
American Family Physician ; Given the strong relationship between physical illness and depression in older adults, medical hospitalization provides an opportunity to diagnose and treat elderly patients with depression. Nearly 40 percent of medically ill elderly patients who are hospitalized experience some form of depression,
Prevalence and recognition of depression in elderly patients.(Tips from Other Journals)
American Family Physician ; Depression is the most common psychiatric disorder in the elderly population. The prevalence is from 8 to 10 percent in geriatric medical outpatients. Primary care physicians accurately recognize less than one half of patients with depression, resulting in potentially decreased function and
Promoting autonomy in elderly patients. (On The Job).
Radiologic Technology ; Prior to the 20th century, only the healthiest individuals lived past 50 years of age. But with improved treatment of illness and injuries, the number of individuals living beyond 65 years of age is increasing dramatically each year. While in 1986 there were twice as many children as people ages 65
Elderly Patients in Surgical Workloads: A Population-Based Analysis
The American Surgeon ; Elderly (80+ year old) individuals are the fastest-growing segment of the U.S. population. The objective of this study was to use population-based data to examine trends in the number of elderly undergoing major general, vascular, and cardiothoracic surgical procedures. California inpatient data
Symptom scale proves superior in finding depression, in elderly patients.(Geriatric Medicine)
Family Practice News ; SAN DIEGO -- A multisymptom scale identified elderly primary care patients with depression and anxiety symptoms who were missed by the standard 15-item Geriatric Depression Scale, results from a large pilot study have found. The finding suggests that elderly patients may respond better to
Mania in elderly patients. (Tips from Other Journals )
American Family Physician ; The incidence of first admission for mania increases with increasing age. However, little is known about the meaning and importance of mania in the elderly. Shulman and colleagues retrospectively studied 50 elderly patients with a manic episode who were consecutively admitted to a private
Depressive symptoms often overlooked in elderly patients.(Brief Article)
Internal Medicine News ; ORLANDO -- Depression in elderly patients is easily missed by primary care physicians, according to a new study. Primary care physicians sometimes don't have time to screen for depression, and patients don't put it out on the table, said Dr. Irene Mangani, who presented her findings in a poster at
Clue in to suicide risk among elderly patients.(Geriatric Psychiatry)
Clinical Psychiatry News ; ... Bureau California Suicide Mortality (per 100,000 population) Age (in years) 55-64 13.3 65-74 12.6 75-84 17.6 [greater than or equal to]85 23.0 Note: Based on 2004 data. Source: Dr. Arbore ELSEVIER GLOBAL MEDICAL NEWS Note: Table made from bar graph.
Inappropriate Medications for Elderly Patients
Mayo Clinic Proceedings ; The use of medications is common in elderly persons, and this population has the highest risk of medication-related problems. Elderly persons are more susceptible to the effects of various medications for a number of reasons. It is well known that polypharmacy is one of the most serious problems in
Watch for suicide risk factors in elderly patients: depression, social isolation.(Clinical Rounds)
OB GYN News ; CHICAGO -- Primary care physicians may be the only ones to see the red flags associated with suicide in elderly patients, because most elderly suicide victims never come to the attention of psychiatrists. Primary care physicians should be highly alert to signs of depression and increasing social