Development and implementation of guidelines for the management of depression: a systematic review.

Journal: Bulletin of the World Health Organization

Volume: 98

Issue: 10

Year of Publication: 2021

Affiliated Institutions:  Mood Disorders Psychopharmacology Unit, Toronto Western Hospital, University Health Network, Bathurst St MP-, Toronto, Ontario, Canada. Department of Psychiatry, Queen's University School of Medicine, Kingston, Canada. School of Psychology and Key Laboratory of Cognition and Personality, Southwest University, Chongqing, China. Dalla Lana School of Public Health, University of Toronto, Toronto, Canada. Bipolar Disorders Clinic, Douglas Mental Health University Institute, Montréal, Canada. Pontificia Universidad Católica de Chile, Santiago, Región Metropolitana, Chile. Department of Psychiatry II, Ulm University, Ulm, Germany. Psychiatric Research Unit, Psychiatric Centre North Zealand, Hilleroed, University Hospital of Copenhagen, Copenhagen, Denmark. Department of Public Health Solutions, National Institute for Health and Welfare, Helsinki, Finland. School of Clinical Medicine, The University of Queensland, Brisbane, Australia. Department of Psychiatry and Behavioral Sciences, University of Kansas Medical Center, Kansas, USA. WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Biomedicine and Movement Sciences, Verona, Italy. Global Alliance for Chronic Diseases, Wellcome Trust, London, England. Center for Genomics and Precision Medicine, University of Ibadan, Ibadan, Nigeria. Department of Mental Health, The University of Tokyo, Tokyo, Japan. Paik Institute for Clinical Research, Inje University, Busan, Republic of Korea. Department of Psychiatry, Chiang Mai University, Chiang Mai, Thailand. School of Public Health, Sun Yat-sen University, Guangdong, China. Teaching Unit of Psychiatry and Psychological Medicine, University of Valencia, Valencia, CIBERSAM, Spain. Department of Psychiatry, University of Groningen, Groningen, Netherlands. Department of Psychiatry, Gyeongsang National University Hospital, Jinju, Republic of Korea. Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands. Medical School, University of Valencia, Valencia, Spain. WHO European Office for the Prevention and Control of Noncommunicable Diseases, Division of Country Health Programme, Moscow, Russian Federation. Psychiatric and Neurological Hospital, Surgut, Russian Federation. Maori Indigenous Health Institute, University of Otago, Christchurch, New Zealand. The National Board of Health and Welfare, Stockholm, Sweden.

Abstract summary 

To evaluate the development and implementation of clinical practice guidelines for the management of depression globally.We conducted a systematic review of existing guidelines for the management of depression in adults with major depressive or bipolar disorder. For each identified guideline, we assessed compliance with measures of guideline development quality (such as transparency in guideline development processes and funding, multidisciplinary author group composition, systematic review of comparative efficacy research) and implementation (such as quality indicators). We compared guidelines from low- and middle-income countries with those from high-income countries.We identified 82 national and 13 international clinical practice guidelines from 83 countries in 27 languages. Guideline development processes and funding sources were explicitly specified in a smaller proportion of guidelines from low- and middle-income countries (8/29; 28%) relative to high-income countries (35/58; 60%). Fewer guidelines (2/29; 7%) from low- and middle-income countries, relative to high-income countries (22/58; 38%), were authored by a multidisciplinary development group. A systematic review of comparative effectiveness was conducted in 31% (9/29) of low- and middle-income country guidelines versus 71% (41/58) of high-income country guidelines. Only 10% (3/29) of low- and middle-income country and 19% (11/58) of high-income country guidelines described plans to assess quality indicators or recommendation adherence.Globally, guideline implementation is inadequately planned, reported and measured. Narrowing disparities in the development and implementation of guidelines in low- and middle-income countries is a priority. Future guidelines should present strategies to implement recommendations and measure feasibility, cost-effectiveness and impact on health outcomes.

Authors & Co-authors:  Lee Yena Y Brietzke Elisa E Cao Bing B Chen Yan Y Linnaranta Outi O Mansur Rodrigo B RB Cortes Paulina P Kösters Markus M Majeed Amna A Tamura Jocelyn K JK Lui Leanna M W LMW Vinberg Maj M Keinänen Jaakko J Kisely Steve S Naveed Sadiq S Barbui Corrado C Parker Gary G Owolabi Mayowa M Nishi Daisuke D Lee JungGoo J Srisurapanont Manit M Gill Hartej H Guo Lan L Balanzá-Martínez Vicent V Partonen Timo T Nolen Willem A WA Lee Jae-Hon JH Kim Ji Hwan JH Chavannes Niels H NH Ewais Tatjana T Atienza-Carbonell Beatriz B Silven Anna V AV Yasuma Naonori N Gil Artyom A Novikov Andrey A Lacey Cameron C Versluis Anke A von Malortie Sofia S Chan Lai Fong LF Waqas Ahmed A Purgato Marianna M Aardoom Jiska Joëlle JJ Ly-Uson Josefina T JT Sim Kang K Tuineag Maria M van der Kleij Rianne M J J RMJJ van Luenen Sanne S Suttajit Sirijit S Hajek Tomas T Lee Yu Wei YW Porter Richard J RJ Alsuwaidan Mohammad M Rosenblat Joshua D JD Ravindran Arun V AV Lam Raymond W RW McIntyre Roger S RS

Study Outcome 

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Statistics
Citations :  Vos T, Barber RM, Bell B, Bertozzi-Villa A, Biryukov S, Bolliger I, et al.; Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015. August 22;386(9995):743–800. 10.1016/S0140-6736(15)60692-4
Authors :  57
Identifiers
Doi : 10.2471/BLT.20.251405
SSN : 1564-0604
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Study Design
Cross Sectional Study
Study Approach
Systemic Review
Country of Study
Publication Country
Switzerland