Cochrane · systematic review · CD008012

Psychological and pharmacological interventions for depression in patients with coronary artery disease

Tully, PJ, Ang, SY, Lee, EJL, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

HeartAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
20
current version
GRADE rated
9
No studies
6
Included studies
NR
No studies 6 · 30%Ungraded 5 · 25%Very low 4 · 20%Low 4 · 20%Moderate 1 · 5%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Summary of findings table ‐ Psychological treatment compared to control for depression in patients with coronary artery disease

Population: health problem or population
5 questions
OutcomeEffectEvidenceStatus / GRADE
Depression symptoms ‐ short‐term
Summary of findings table ‐ Psychological treatment vs control
no estimate extracted10 studies · 1226 participantsLow
Downgraded: risk of bias, inconsistency
Depression remission ‐ short term
Summary of findings table ‐ Psychological treatment vs control
OR 2.02 [0.78, 5.19]3 studies · 862 participantsLow
Downgraded: imprecision, inconsistency
All‐cause mortality ‐ short‐term
Summary of findings table ‐ Psychological treatment vs control
OR 0.31 [0.05, 2.02]2 studies · 324 participantsVery low
Downgraded: risk of bias, imprecision
Cardiovascular mortality ‐ long‐term
Summary of findings table ‐ Psychological treatment vs control
OR 0.83 [0.62, 1.1]2 studies · 2720 participantsUngraded
Myocardial infarction ‐ short term (end of treatment) ‐ not reported
Summary of findings table ‐ Psychological treatment vs control
no estimate extractedNRNo studies

Summary of findings table ‐ Psychological treatment 1 compared to psychological treatment 2 for depression in patients with coronary artery disease

Population: health problem or population
5 questions
OutcomeEffectEvidenceStatus / GRADE
Depression symptoms ‐ short term (end of treatment)
Summary of findings table ‐ Psychological treatment 1 vs psychological treatment 2
no estimate extracted3 studies · 219 participantsUngraded
Depression remission ‐ short term (end of treatment)
Summary of findings table ‐ Psychological treatment 1 vs psychological treatment 2
OR 1.81 [0.73, 4.5]1 study · 83 participantsLow
Downgraded: imprecision
All‐cause mortality ‐ short term (end of treatment) ‐ not reported
Summary of findings table ‐ Psychological treatment 1 vs psychological treatment 2
no estimate extractedNRNo studies
Cardiovascular mortality ‐ short term (end of treatment) ‐ not reported
Summary of findings table ‐ Psychological treatment 1 vs psychological treatment 2
no estimate extractedNRNo studies
Myocardial infarction ‐ short term (end of treatment) ‐ not reported
Summary of findings table ‐ Psychological treatment 1 vs psychological treatment 2
no estimate extractedNRNo studies

Summary of findings table ‐ Pharmacological treatment compared to placebo for depression in patients with coronary artery disease

Population: health problem or population
5 questions
OutcomeEffectEvidenceStatus / GRADE
Depression symptoms ‐ short term
Summary of findings table ‐ Pharmacological treatment vs placebo
no estimate extracted8 studies · 750 participantsLow
Downgraded: risk of bias, inconsistency
Depression remission ‐ short term
Summary of findings table ‐ Pharmacological treatment vs placebo
OR 2.06 [1.47, 2.89]4 studies · 646 participantsModerate
Downgraded: risk of bias
All‐cause mortality ‐ short term
Summary of findings table ‐ Pharmacological treatment vs placebo
OR 0.38 [0.1, 1.47]2 studies · 437 participantsVery low
Downgraded: risk of bias, imprecision
Cardiovascular mortality ‐ short term (end of treatment) ‐ not reported
Summary of findings table ‐ Pharmacological treatment vs placebo
no estimate extractedNRNo studies
Myocardial infarction ‐ short term
Summary of findings table ‐ Pharmacological treatment vs placebo
OR 0.74 [0.26, 2.09]3 studies · 728 participantsVery low
Downgraded: risk of bias, imprecision

Summary of findings table ‐ Pharmacological treatment 1 compared to pharmacological treatment 2 for depression in patients with coronary artery disease

Population: health problem or population
5 questions
OutcomeEffectEvidenceStatus / GRADE
Depression symptoms ‐ short term (end of treatment)
Summary of findings table ‐ Pharmacological treatment 1 vs pharmacological treatment 2
no estimate extracted4 studies · 442 participantsUngraded
Depression remission ‐ short term (end of treatment)
Summary of findings table ‐ Pharmacological treatment 1 vs pharmacological treatment 2
no estimate extracted3 studies · 243 participantsUngraded
All‐cause mortality ‐ short term (end of treatment)
Summary of findings table ‐ Pharmacological treatment 1 vs pharmacological treatment 2
OR 2.72 [0.51, 14.49]1 study · 149 participantsVery low
Downgraded: risk of bias, imprecision
Cardiovascular mortality ‐ short term (end of treatment) ‐ not reported
Summary of findings table ‐ Pharmacological treatment 1 vs pharmacological treatment 2
no estimate extractedNRNo studies
Myocardial infarction ‐ short term (end of treatment)
Summary of findings table ‐ Pharmacological treatment 1 vs pharmacological treatment 2
no estimate extracted3 studies · 396 participantsUngraded