Understanding the journey of patients with depression in Brazil: A systematic review
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/214057 |
Resumo: | Despite having an organized mental health law and policy, a majority of patients with depression remain underreported and undertreated in Brazil. The study aimed to quantitatively map and identify the deficiencies in patient journey touchpoints in terms of awareness, screening, diagnosis, treatment, adherence, and control for depression in Brazil using a semi-systematic approach highlighting the knowledge gaps in the existing literature. A structured search of Embase, MEDLINE, and BIOSIS databases was conducted to identify the relevant studies published in English, Portuguese, and Spanish from 2006 to 2021. An unstructured search was also conducted on Google or government websites with no restrictions. To address the data gaps, anecdotal data were also considered. Weighted or simple means were calculated for the pooled data. Of 3175 articles retrieved, 10 articles met the inclusion criteria. Synthesized evidence indicates that the pooled prevalence of depression in Brazil ranged from 4.1% to 21.8%; 42.4% of patients had awareness of depression, 37.5% underwent screening, 18.7% had a diagnosis, and 54.4% received treatment. No data on adherence and control were available. The study findings highlight the need for more research to accurately estimate the common patient journey touchpoints for depression to achieve better clinical outcomes in Brazil. |
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Understanding the journey of patients with depression in Brazil: A systematic reviewAwarenessBrazilDepressionPatient journey Despite having an organized mental health law and policy, a majority of patients with depression remain underreported and undertreated in Brazil. The study aimed to quantitatively map and identify the deficiencies in patient journey touchpoints in terms of awareness, screening, diagnosis, treatment, adherence, and control for depression in Brazil using a semi-systematic approach highlighting the knowledge gaps in the existing literature. A structured search of Embase, MEDLINE, and BIOSIS databases was conducted to identify the relevant studies published in English, Portuguese, and Spanish from 2006 to 2021. An unstructured search was also conducted on Google or government websites with no restrictions. To address the data gaps, anecdotal data were also considered. Weighted or simple means were calculated for the pooled data. Of 3175 articles retrieved, 10 articles met the inclusion criteria. Synthesized evidence indicates that the pooled prevalence of depression in Brazil ranged from 4.1% to 21.8%; 42.4% of patients had awareness of depression, 37.5% underwent screening, 18.7% had a diagnosis, and 54.4% received treatment. No data on adherence and control were available. The study findings highlight the need for more research to accurately estimate the common patient journey touchpoints for depression to achieve better clinical outcomes in Brazil. Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2023-04-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/21405710.1016/j.clinsp.2023.100192Clinics; Vol. 78 (2023); 100192Clinics; v. 78 (2023); 100192Clinics; Vol. 78 (2023); 1001921980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/214057/196288Copyright (c) 2023 Clinicsinfo:eu-repo/semantics/openAccessMeleiro, AlexandrinaTeng, Chei TungDemetrio, Frederico NavasBatista, Vivian CardosoVieira, Luiz FernandoElorza, Paola Marina2023-07-06T13:05:35Zoai:revistas.usp.br:article/214057Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2023-07-06T13:05:35Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Understanding the journey of patients with depression in Brazil: A systematic review |
title |
Understanding the journey of patients with depression in Brazil: A systematic review |
spellingShingle |
Understanding the journey of patients with depression in Brazil: A systematic review Meleiro, Alexandrina Awareness Brazil Depression Patient journey |
title_short |
Understanding the journey of patients with depression in Brazil: A systematic review |
title_full |
Understanding the journey of patients with depression in Brazil: A systematic review |
title_fullStr |
Understanding the journey of patients with depression in Brazil: A systematic review |
title_full_unstemmed |
Understanding the journey of patients with depression in Brazil: A systematic review |
title_sort |
Understanding the journey of patients with depression in Brazil: A systematic review |
author |
Meleiro, Alexandrina |
author_facet |
Meleiro, Alexandrina Teng, Chei Tung Demetrio, Frederico Navas Batista, Vivian Cardoso Vieira, Luiz Fernando Elorza, Paola Marina |
author_role |
author |
author2 |
Teng, Chei Tung Demetrio, Frederico Navas Batista, Vivian Cardoso Vieira, Luiz Fernando Elorza, Paola Marina |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Meleiro, Alexandrina Teng, Chei Tung Demetrio, Frederico Navas Batista, Vivian Cardoso Vieira, Luiz Fernando Elorza, Paola Marina |
dc.subject.por.fl_str_mv |
Awareness Brazil Depression Patient journey |
topic |
Awareness Brazil Depression Patient journey |
description |
Despite having an organized mental health law and policy, a majority of patients with depression remain underreported and undertreated in Brazil. The study aimed to quantitatively map and identify the deficiencies in patient journey touchpoints in terms of awareness, screening, diagnosis, treatment, adherence, and control for depression in Brazil using a semi-systematic approach highlighting the knowledge gaps in the existing literature. A structured search of Embase, MEDLINE, and BIOSIS databases was conducted to identify the relevant studies published in English, Portuguese, and Spanish from 2006 to 2021. An unstructured search was also conducted on Google or government websites with no restrictions. To address the data gaps, anecdotal data were also considered. Weighted or simple means were calculated for the pooled data. Of 3175 articles retrieved, 10 articles met the inclusion criteria. Synthesized evidence indicates that the pooled prevalence of depression in Brazil ranged from 4.1% to 21.8%; 42.4% of patients had awareness of depression, 37.5% underwent screening, 18.7% had a diagnosis, and 54.4% received treatment. No data on adherence and control were available. The study findings highlight the need for more research to accurately estimate the common patient journey touchpoints for depression to achieve better clinical outcomes in Brazil. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-04-07 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/214057 10.1016/j.clinsp.2023.100192 |
url |
https://www.revistas.usp.br/clinics/article/view/214057 |
identifier_str_mv |
10.1016/j.clinsp.2023.100192 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/214057/196288 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Clinics info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Clinics |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 78 (2023); 100192 Clinics; v. 78 (2023); 100192 Clinics; Vol. 78 (2023); 100192 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222767439675392 |