Abstract: |
Evaluation of: Fann JR, Fan MY, Unützer J: Improving primary care for older adults with cancer and depression. J. Gen. Intern. Med. 24(Suppl. 2), S417-S424 (2009). Depression is a prevalent psychological disorder in older cancer patients; however, it is often underdiagnosed and is frequently undertreated. There are few studies that have empirically tested treatment options for older adults with cancer. This article reviews the encouraging results of a secondary analysis by Fann et al. of the effectiveness of the Improving Mood-Promoting Access to Collaborative Treatment (IMPACT) stepped care management program for depression in older cancer patients. Those older patients who received the intervention were approximately twice as likely as usual care subjects to experience a depression treatment response at 12 months, with higher remission rates at 6 and 12 months. Fann et al. should be commended for providing some quality evidence for an effective model for treating depression in older cancer patients in primary care clinics. In this article, we discuss some methodological issues that may help to guide future research in this area. © 2010 Future Medicine Ltd. |