Cochrane · systematic review · CD008381

Psychological and pharmacological interventions for depression in patients with diabetes mellitus and depression

Baumeister, H, Hutter, N, Bengel, J · Cochrane Database of Systematic Reviews · 2012 · Cochrane Library

Metabolic and Endocrine DisordersAMSTAR 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
14
current version
GRADE rated
9
No studies
5
Included studies
NR
No studies 5 · 35.7%Ungraded 0 · 0%Very low 0 · 0%Low 7 · 50%Moderate 2 · 14.3%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

Psychological interventions for depression in patients with diabetes mellitus

Population: adults with diabetes mellitus and depression
7 questions
OutcomeEffectEvidenceStatus / GRADE
Depression remission
OR 2.88 [1.58, 5.25]4 studies · 647 participantsModerate
Downgraded: inconsistency
Diabetes complications
no estimate extractedNRNo studies
Death from any cause
no estimate extractedNRNo studies
Health‐related quality of life
no estimate extracted4 studies · 784 participantsLow
Downgraded: imprecision, inconsistency
Medication adherence/adverse effects
no estimate extracted1 study · 291 participantsLow
Downgraded: imprecision, inconsistency
Glycaemic control (HbA1c) [%]
no estimate extracted4 studies · 441 participantsLow
Downgraded: imprecision, inconsistency
Healthcare costs [annual costs and effects]
no estimate extracted1 study · 208 participantsLow
Downgraded: imprecision, inconsistency

Pharmacological interventions for depression in patients with diabetes mellitus

Population: adults with diabetes mellitus and depression
7 questions
OutcomeEffectEvidenceStatus / GRADE
Depression remission
OR 2.5 [1.21, 5.15]3 studies · 136 participantsLow
Downgraded: imprecision
Diabetes complications
no estimate extractedNRNo studies
Death from any cause
no estimate extractedNRNo studies
Health‐related quality of life
no estimate extracted3 studies · 153 participantsLow
Downgraded: risk of bias, imprecision
Medication adherence/adverse effects
no estimate extracted1 study · 28 participantsLow
Downgraded: risk of bias, imprecision
Metabolic control (HbA1c) [%]
no estimate extracted5 studies · 238 participantsModerate
Downgraded: risk of bias, imprecision
Healthcare costs
no estimate extractedNRNo studies