Withdrawal of unnecessary antidepressant medication: a randomised controlled trial in primary care by Rhona Eveleigh, Esther Muskens, Peter Lucassen, Peter.

Slides:



Advertisements
Similar presentations
Effectiveness of a smartphone application to promote physical activity in primary care: the SMART MOVE randomised controlled trial by Liam G Glynn, Patrick.
Advertisements

Quantifying the risk of multiple myeloma from symptoms reported in primary care patients: a large case–control study using electronic records by Elizabeth.
Impact of a printed decision aid on patients’ intention to undergo prostate cancer screening: a multicentre, pragmatic randomised controlled trial in primary.
Clinical features of bladder cancer in primary care by Elizabeth A Shephard, Sally Stapley, Richard D Neal, Peter Rose, Fiona M Walter, and William T Hamilton.
by SJ Davis, A Lott, and E Besada
Clinical features of patients with non-metastatic lung cancer in primary care: a case-control study by Marcela Ewing, Peter Naredi, Chenyang Zhang, Lars.
Impact of a printed decision aid on patients’ intention to undergo prostate cancer screening: a multicentre, pragmatic randomised controlled trial in primary.
by Rosalind Adam, Maria Giatsi Clausen, Susan Hall, and Peter Murchie
Clinical features of patients with non-metastatic lung cancer in primary care: a case-control study by Marcela Ewing, Peter Naredi, Chenyang Zhang, Lars.
Motivational interviewing: a systematic review and meta-analysis
Long-term condition management in adults with intellectual disability in primary care: a systematic review by Peter Hanlon, Sara MacDonald, Karen Wood,
by Carol Sinnott, Sheena Mc Hugh, Maria B Boyce, and Colin P Bradley
GPs’ patterns of clinical assessment when faced with a patient suspected for spondyloarthritis: a prospective educational intervention study by Marloes.
by Ian S Shaw, Roland M Valori, André Charlett, and Cliodna AM McNulty
Challenges in measuring interprofessional–interorganisational collaboration with a questionnaire by Loes J Meijer, Esther de Groot, Maarten van Smeden,
Addison’s disease: identification and management in primary care
by SJ Davis, A Lott, and E Besada
Walking prescription of steps per day in patients with type 2 diabetes mellitus: a randomised trial in Nigerian general practice by Ayorinde F Fayehun,
Impact on hypertension control of a patient-held guideline: a randomised controlled trial by Brian McKinstry, Janet Hanley, David Heaney, Lucy McCloughan,
Volume ():bjgpdec kai-fl-oa-p
by Frank Röhricht, Ivan Zammit, and Nina Papadopoulos
Is integrated private-clinic based early child development care effective? A clustered randomised trial in Pakistan by Muhammad Amir Khan, Syeda Somyyah.
by Laureen Jacquet, Daisy M Gaunt, Kirsty Garfield, and Matthew J Ridd
by Frank Röhricht, Ivan Zammit, and Nina Papadopoulos
Effectiveness of a smartphone application to promote physical activity in primary care: the SMART MOVE randomised controlled trial by Liam G Glynn, Patrick.
Effectiveness of an integrated diabetes care package at primary healthcare facilities: a cluster randomised trial in Pakistan by Muhammad Amir Khan, John.
Trends in COPD prevalence and exacerbation rates in Dutch primary care
Effectiveness of nurse-delivered cardiovascular risk management in primary care: a randomised trial by Helene R Voogdt-Pruis, George HMI Beusmans, Anton.
Signs and symptoms for diagnosis of serious infections in children: a prospective study in primary careCommentary by Ann Van den Bruel, Bert Aertgeerts,
Epidemiology and impact of multimorbidity in primary care: a retrospective cohort study by Chris Salisbury, Leigh Johnson, Sarah Purdy, Jose M Valderas,
by Shamil Haroon, Peymane Adab, Carl Griffin, and Rachel Jordan
Patient involvement in diagnosing cancer in primary care: a systematic review of current interventions by Jane Heyhoe, Caroline Reynolds, Alice Dunning,
International primary care snapshots: Nigeria and Poland
Clinical features of bladder cancer in primary care
by Simon Gilbody, David Richards, and Michael Barkham
Challenges in measuring interprofessional–interorganisational collaboration with a questionnaire by Loes J Meijer, Esther de Groot, Maarten van Smeden,
Usual medical treatments or levonorgestrel-IUS for women with heavy menstrual bleeding: long-term randomised pragmatic trial in primary care by Joe Kai,
Withdrawal of unnecessary antidepressant medication: a randomised controlled trial in primary care by Rhona Eveleigh, Esther Muskens, Peter Lucassen, Peter.
Point-of-care C-reactive protein to assist in primary care management of children with suspected non-serious lower respiratory tract infection: a randomised.
Psychological treatment of depression in primary care: a meta-analysis
Effect of shared care on blood pressure in patients with chronic kidney disease: a cluster randomised controlled trial by Nynke D Scherpbier-de Haan, Gerald.
Clinical features of kidney cancer in primary care: a case-control study using primary care records by Elizabeth Shephard, Richard Neal, Peter Rose, Fiona.
by Renée M Wildeboer, Lucas van der Hoek, and Peter FM Verhaak
Acute infective conjunctivitis in primary care: who needs antibiotics
by Pauline Williams, Peter Murchie, and Christine Bond
Simplified sleep restriction for insomnia in general practice: a randomised controlled trial by Karen Falloon, C Raina Elley, Antonio Fernando, Arier C.
Supervised exercises for adults with acute lateral ankle sprain: a randomised controlled trial by Rogier M van Rijn, Anton G van Os, Gert-Jan Kleinrensink,
Ethnic differences in patients’ preferences for prostate cancer investigation: a vignette-based survey in primary care by Tanimola Martins, Obioha C Ukoumunne,
Expectations for consultations and antibiotics for respiratory tract infection in primary care: the RTI clinical iceberg by Cliodna AM McNulty, Tom Nichols,
Primary care in the Calais Jungle
Therapeutic alternatives for supporting GPs to deprescribe opioids: a cross-sectional survey by Ruth A White, Chris Hayes, Allison W Boyes, Simon Chiu,
Depth of the patient–doctor relationship and content of general practice consultations: cross-sectional study by Samuel William David Merriel, Christopher.
A consultation-level intervention to improve care of frequently attending patients: a cluster randomised controlled feasibility trial by Rebecca K Barnes,
Randomised controlled trial of a brief intervention targeting predominantly non-verbal communication in general practice consultations by Paul Little,
A computer template to enhance patient-centredness in multimorbidity reviews: a qualitative evaluation in primary care by Cindy Mann, Alison Shaw, Lesley.
by Sarah Walker, Chris Hyde, and William Hamilton
Long-term condition management in adults with intellectual disability in primary care: a systematic review by Peter Hanlon, Sara MacDonald, Karen Wood,
Barriers in providing primary care for immigrant patients with dementia: GPs’ perspectives by Rosa Vissenberg, Ozgul Uysal, Miriam Goudsmit, Jos van Campen,
BJGP Volume 55(518): September 1, 2005
Effectiveness of personalised support for self-management in primary care: a cluster randomised controlled trial by Nathalie Eikelenboom, Jan van Lieshout,
by Melanie J Calvert, Richard J McManus, and Nick Freemantle
Acupuncture for ‘frequent attenders’ with medically unexplained symptoms: a randomised controlled trial (CACTUS study)‏ by Charlotte Paterson, Rod S Taylor,
GPs' assessment of patients' readiness to change diet, activity and smoking by Marieke W Verheijden, J Carel Bakx, Ine (C)G Delemarre, Anne J Wanders,
by Kevin Moore, Elizabeth Cottrell, and Ruth Chambers
Patient flow and outcome in the overtreatment trial
A consultation-level intervention to improve care of frequently attending patients: a cluster randomised controlled feasibility trial by Rebecca K Barnes,
Quality-improvement strategies for the management of hypertension in chronic kidney disease in primary care: a systematic review by Hugh Gallagher, Simon.
Medication management strategy for older people with polypharmacy in general practice: a qualitative study on prescribing behaviour in primary care by.
Gut-directed hypnotherapy for irritable bowel syndrome: piloting a primary care-based randomised controlled trial by Lesley Roberts, Sue Wilson, Sukhdev.
Flow diagram of practices and participants
Presentation transcript:

Withdrawal of unnecessary antidepressant medication: a randomised controlled trial in primary care by Rhona Eveleigh, Esther Muskens, Peter Lucassen, Peter Verhaak, Jan Spijker, Chris van Weel, Richard Oude Voshaar, and Anne Speckens Br J Gen Pract Open Volume 1(4):bjgpopen17X101265 January 1, 2018 Copyright © The Authors 2017

Flow diagram of practices and participants Flow diagram of practices and participants.aPost-randomisation patients did not meet inclusion criteria (human error during inclusion process). bPatients who did not complete follow-up interview. cPatients excluded with unknown primary outcome (due to dual primary outcome, excluded cases are less than patients lost to follow-up; that is, antidepressant use known via GP prescription database). dIntervention group restricted to patients with the intention to comply to recommendation and patients excluded with unknown primary outcome. Flow diagram of practices and participants.aPost-randomisation patients did not meet inclusion criteria (human error during inclusion process). bPatients who did not complete follow-up interview. cPatients excluded with unknown primary outcome (due to dual primary outcome, excluded cases are less than patients lost to follow-up; that is, antidepressant use known via GP prescription database). dIntervention group restricted to patients with the intention to comply to recommendation and patients excluded with unknown primary outcome. Rhona Eveleigh et al. BJGP Open 2018;1:bjgpopen17X101265 Copyright © The Authors 2017

Patient flow and outcome in the overtreatment trial Patient flow and outcome in the overtreatment trial. In the intervention group 20/70 patients were lost to follow-up (12 in the group of patients with no intention to comply and 8 in the group with the intention to comply with the recommendation). In the control group 10/76 patients were lost to follow-up. AD = antidepressant. Patient flow and outcome in the overtreatment trial. In the intervention group 20/70 patients were lost to follow-up (12 in the group of patients with no intention to comply and 8 in the group with the intention to comply with the recommendation). In the control group 10/76 patients were lost to follow-up. AD = antidepressant. Rhona Eveleigh et al. BJGP Open 2018;1:bjgpopen17X101265 Copyright © The Authors 2017