Cochrane · systematic review · CD012346

Pharmacological interventions for the treatment of depression in chronic obstructive pulmonary disease

Pollok, J, van Agteren, JEM, Carson‐Chahhoud, KV · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

Common Mental 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
12
No studies
2
Included studies
NR
No studies 2 · 14.3%Ungraded 0 · 0%Very low 12 · 85.7%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

Tricylic antidepressant compared to placebo for the treatment of depression in chronic obstructive pulmonary disease

Population: COPD with depression
7 questions
OutcomeEffectEvidenceStatus / GRADE
Change in depressive symptoms
Tricylic antidepressant vs placebo
no estimate extracted1 study · 30 participantsVery low
Downgraded: risk of bias
Adverse events (disease‐related: all physical symptoms);
Tricylic antidepressant vs placebo
no estimate extracted1 study · 30 participantsVery low
Downgraded: risk of bias
Change in quality of life
Tricylic antidepressant vs placebo
no estimate extracted1 study · 30 participantsVery low
Downgraded: risk of bias
Change in dyspnoea
Tricylic antidepressant vs placebo
no estimate extracted1 study · 30 participantsVery low
Downgraded: risk of bias, imprecision
Change in FEV1 (l)
Tricylic antidepressant vs placebo
no estimate extracted1 study · 30 participantsVery low
Downgraded: risk of bias
Change in exercise tolerance ‐ not reported
Tricylic antidepressant vs placebo
no estimate extracted1 study · 30 participantsVery low
Downgraded: risk of bias
Change in hospital utilisation ‐ not measured
Tricylic antidepressant vs placebo
no estimate extractedNRNo studies

Selective serotonin reuptake inhibitor compared to placebo for the treatment of depression in chronic obstructive pulmonary disease

Population: chronic obstructive pulmonary disease (COPD) with depression
7 questions
OutcomeEffectEvidenceStatus / GRADE
Mean difference in depressive symptoms (from baseline to end of
Selective serotonin reuptake inhibitor vs placebo
no estimate extracted2 studies · 148 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Adverse events (nausea, dizziness)
Selective serotonin reuptake inhibitor vs placebo
no estimate extracted3 studies · 171 participantsVery low
Downgraded: risk of bias, imprecision
Change in quality of life
Selective serotonin reuptake inhibitor vs placebo
no estimate extracted2 studies · 148 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Change in dyspnoea
Selective serotonin reuptake inhibitor vs placebo
no estimate extracted1 study · 23 participantsVery low
Downgraded: risk of bias, imprecision
Change in FEV1 (l)
Selective serotonin reuptake inhibitor vs placebo
no estimate extracted2 studies · 148 participantsVery low
Downgraded: risk of bias, imprecision
Change in exercise tolerance measured using a 6‐minute walk test;
Selective serotonin reuptake inhibitor vs placebo
no estimate extracted2 studies · 148 participantsVery low
Downgraded: risk of bias, imprecision
Change in hospital utilisation ‐ not measured
Selective serotonin reuptake inhibitor vs placebo
no estimate extractedNRNo studies