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Letters |6 May 2003

Screening for Depression in Adults

James C. Coyne, PhD; Steven C. Palmer, PhD; Patricia A. Sullivan, PhD

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Author, Article, and Disclosure Information
  • University of Pennsylvania Cancer Center; Philadelphia, PA 19104 (Coyne, Palmer, Sullivan)
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TO THE EDITOR:
Pignone and colleagues' call for routine screening of general medical patients for depression (1) contrasts with past conclusions that the strength of evidence is insufficient for such a recommendation. The discrepancy is explained by both a shift in the question being addressed and the kind of evidence considered. Rather than evaluating screening in routine care, Pignone and colleagues examined whether routine screening combined with enhanced routine care improves outcomes. Fully 84% of the weight of evidence in their key meta-analysis is carried by three studies. Two (2, 3) yielded null results, so the positive effect is entirely...
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Coyne JC, Palmer SC, Sullivan PA. Screening for Depression in Adults. Ann Intern Med. 2003;138:767. doi: 10.7326/0003-4819-138-9-200305060-00017

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Published: Ann Intern Med. 2003;138(9):767.

DOI: 10.7326/0003-4819-138-9-200305060-00017

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2003 American College of Physicians
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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