Navigation Links
Errors in diagnosis of depression lead to over and under diagnosis in primary care
Date:7/29/2009

A meta-analysis of more than 50,000 patients has shown that general practitioners (GPs) have great difficulty separating those with and without depression, with substantial numbers of missed and misidentified.

GPs looking for depression make more misidentifications (false positives of depression) than the number of depressions they correctly spot following an initial consultation but accuracy could improved by re-assessment of people suspected of having depression.

These are the conclusions of an article published Online First and in an upcoming edition of The Lancet, written by Dr Alex Mitchell of University of Leicester together with Dr Amol Vaze, and Dr Sanajay Rao of Leicester Partnership Trust. The study pooled 41 trials from nine countries that used robust outcome standard of a semi-structured interview to assess depression. The researchers found that GPs were able to recognize about half of people who had clinical depression and correctly reassured 80% of healthy people.

Dr Alex Mitchell said "Imagine a typical GP who is trying to spot depression in a rural practice. He or she might see 100 people over five days. If all the people with depression came to see the GP at once, they would fill the surgery for at least half a day. However the hard pressed GP would actually only spot half of these cases and half would be missed. On four days the GP would see people with other complaints but he or she would mistakenly diagnose up to one in five as depressed, equivalent to almost one full day of contacts. In the worst case scenario false diagnoses could outnumber true diagnoses three to one."

Writing in the journal, the researchers said: "Our results should not be interpreted as a criticism of GPs for failing to diagnose depression but rather a call for better understanding of the problems that non-specialists face."

Dr Mitchell commented further that "research also suggests equivalent errors in the diagnosis of depression from allied health professionals and hospital specialists. Health professionals may be reluctant to give a label of depression, particularly in the medical notes. Further not all diagnostic errors are converted into therapeutic mistakes. Clinicians appear to treat those in whom they are most confident of the diagnosis and not those in whom a diagnosis is uncertain. Clinicians may also revise they diagnosis with subsequent assessments and we recommend that GPs give such people two appointments rather than one before coming to a decision, if the diagnosis is not initially clear."


'/>"/>

Contact: Dr Alex Mitchell,
Alex.Mitchell@leicspart.nhs.uk
01-162-256-218
University of Leicester
Source:Eurekalert

Related medicine news :

1. Following CMS Cuts to Reimbursement for Medical Errors, New Devices Aimed at Reducing Nosocomial Infections Emerge
2. Study finds air traffic control tracking method reduces errors in trauma management
3. Mayo study finds that team preop briefing improves communication, reduces errors
4. Mayo Study Finds That Team Preop Briefing Improves Communication, Reduces Errors
5. Side discrepancy errors in radiology reports rare but often clinically significant
6. U.S. Health Care System Fails to Protect Patients From Deadly Medical Errors
7. Medication Errors Could Be Cut: Experts
8. MedSolutions Joins Call for Increased Attention on Diagnostic Errors
9. Why Are Healthcare Information Manufacturers Free of All Liability When Their Products Can Result in Medical Errors?
10. Heart Hugger by General Cardiac Technology, Eases Pain of Medicares Decision to No Longer Cover Hospital Errors
11. Quantros Produces Video Detailing Enormous Problem of Preventable Medical Errors Plaguing The U.S. Healthcare System
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/24/2017)... ... 24, 2017 , ... Dr. Ronald E. Hawkins, vice president ... of Peter A. Bell, DO, MBA, HPF, FACOEP-dist., FACEP, as the new dean ... Dr. Bell comes to Liberty from the Ohio University Heritage College of Osteopathic ...
(Date:2/24/2017)... ... , ... With millions of Americans and people worldwide struggling ... are aware of our options and are empowered with strength and information throughout ... its newest edition of "Vision and Hearing" in USA Today, that will educate ...
(Date:2/24/2017)... (PRWEB) , ... February 24, 2017 , ... With ProGlass ... Cut Pro X . Users have total control over position, rotation, distortion, edge softness, ... all within Final Cut Pro X. , With ProGlass Prism users are given the ...
(Date:2/24/2017)... ... February 24, 2017 , ... The International Association of Eating Disorders Professionals (iaedp) ... You See” body image mannequin art competition. Selected from 15 submissions from around the ... revealed at the 31st annual iaedp Symposium, March 22 – 26 in Las Vegas. ...
(Date:2/24/2017)... Fair Lawn, NJ (PRWEB) , ... February 24, ... ... with robust marketing services, which specializes in thought leadership , media ... email marketing campaigns and services that will be powered through Act-On, an intuitive ...
Breaking Medicine News(10 mins):
(Date:2/27/2017)... Feb. 27, 2017  CTI BioPharma Corp. (CTI BioPharma) (NASDAQ ... Craig , M.D., Ph.D., as President and Chief Executive Officer ... 20, 2017. Dr. Craig succeeds Richard Love , interim ... company,s Board of Directors.  Dr. Craig has over 20 years ... the US and Europe . ...
(Date:2/27/2017)... N.J. and PETACH TIKVAH, Israel ... Therapeutics Inc. (NASDAQ: BCLI), a leading developer of adult ... appointments of June S. Almenoff , M.D., Ph.D., ... to its Board of Directors.  "Dr. ... executives whose appointments come at an exciting time for ...
(Date:2/27/2017)... , Feb 27, 2017 Period October – December ... Operating result amounted to SEK -16.4 (-6.4) million ... per share (-0.22) before and after dilution Cash flow from ... ... to SEK 0.4 (0.4) million Operating result amounted to SEK ...
Breaking Medicine Technology: