Cochrane · systematic review · CD011006

Antidepressants for the treatment of depression in people with cancer

Vita, G, Compri, B, Matcham, F, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

Gynaecological, Neuro-oncology and Orphan Cancer3 versionsAMSTAR 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
9
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 9 · 100%Low 0 · 0%Moderate 0 · 0%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

Show all 3 versions

Antidepressants compared to placebo for people with cancer and depression

Population: adults with cancer and depression
3 questions
OutcomeEffectEvidenceStatus / GRADE
Efficacy as a continuous outcome
Antidepressants vs placebo
no estimate extracted7 studies · 511 participantsVery low
Downgraded: risk of bias, inconsistency
Efficacy as a dichotomous outcome
Antidepressants vs placebo
RR 0.74 [0.57, 0.96]7 studies · 662 participantsVery low
Downgraded: risk of bias, inconsistency
Dropouts due to any cause (acceptability)
Antidepressants vs placebo
RR 0.85 [0.52, 1.38]9 studies · 479 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency

Selective serotonin reuptake inhibitors (SSRIs) compared to tricyclic antidepressants (TCAs) for people with cancer and depression

Population: people with cancer and depression
3 questions
OutcomeEffectEvidenceStatus / GRADE
Efficacy as a continuous outcome
Selective serotonin reuptake inhibitors (SSRIs) vs tricyclic antidepressants (TCAs)
no estimate extracted3 studies · 237 participantsVery low
Downgraded: risk of bias, imprecision
Efficacy as a dichotomous outcome
Selective serotonin reuptake inhibitors (SSRIs) vs tricyclic antidepressants (TCAs)
RR 1.12 studies · 199 participantsVery low
Downgraded: risk of bias, imprecision
Dropouts due to any cause (acceptability)
Selective serotonin reuptake inhibitors (SSRIs) vs tricyclic antidepressants (TCAs)
RR 0.83 [0.53, 1.3]3 studies · 237 participantsVery low
Downgraded: risk of bias, imprecision

Mirtazapine compared to tricyclic antidepressants (TCA) for people with cancer and depression

Population: adults with cancer and depression
3 questions
OutcomeEffectEvidenceStatus / GRADE
Efficacy as a continuous outcome
Mirtazapine vs tricyclic antidepressants (TCA)
no estimate extracted1 study · 25 participantsVery low
Downgraded: risk of bias, imprecision
Efficacy as a dichotomous outcome
Mirtazapine vs tricyclic antidepressants (TCA)
RR 0.81 [0.6, 1.09]1 study · 33 participantsVery low
Downgraded: risk of bias, imprecision
Dropouts due to any cause (acceptability)
Mirtazapine vs tricyclic antidepressants (TCA)
RR 0.65 [0.2, 2.15]1 study · 33 participantsVery low
Downgraded: risk of bias, imprecision