Journal of general internal medicine
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Randomized Controlled Trial Multicenter Study Clinical Trial
Cost-effectiveness of a primary care depression intervention.
To determine the incremental cost-effectiveness of a quality improvement depression intervention (enhanced care) in primary care settings relative to usual care. ⋯ This quality improvement depression intervention was cost-effective relative to usual care compared to cost-effectiveness ratios for common primary care interventions and commonly cited cost-effectiveness ratio thresholds for intervention implementation.
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To determine the sociodemographic and service delivery correlates of depression underdiagnosis in HIV. ⋯ Our results suggest that providers should be more attentive to diagnosing comorbid depression in HIV-infected patients.
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To examine age-specific gender differences and trends over time in the management of patients with acute myocardial infarction (AMI). ⋯ Our data suggest that women and men with AMI are treated differently with respect to use of diagnostic and revascularization procedures. However, gender differences in the use of these diagnostic and interventional approaches have narrowed over time.
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Factors associated with impaired functioning in patients with lower extremity peripheral arterial disease (PAD) are not fully understood. The purpose of this study was to determine the relationship between depressive symptoms and objective measures of lower extremity functioning in persons with PAD. ⋯ Among men and women with PAD, the prevalence of a clinically significant number of depressive symptoms is high. Greater numbers of depressive symptoms are associated with greater impairment in lower extremity functioning. Further study is needed to determine whether identifying and treating depressive symptoms in PAD is associated with improved lower extremity functioning.