AHRQ-Funded Study Helps Providers Screen for and Treat Depression in Patients With Acute Coronary Syndrome

Issue #592
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
November 21, 2017

AHRQ Stats: Highest Hospital Readmission Rates by Payer

Thirty-day all-cause hospital readmission rates in 2014 were highest among patients covered by Medicare (17 percent), followed by those with Medicaid (14 percent), no insurance (12 percent) and private insurance (9 percent). (Source: AHRQ, Healthcare Cost and Utilization Project Statistical Brief #230: A Comparison of All-Cause 7-Day and 30-Day Readmissions, 2014.)

Today's Headlines:

AHRQ-Funded Study Helps Providers Screen for and Treat Depression in Patients With Acute Coronary Syndrome

A new AHRQ analysis helps providers know how to screen for depression in patients who have suffered an acute coronary syndrome (ACS) event. Patients who have suffered an ACS event, including a heart attack or any event where the blood supplied to the heart muscle is suddenly blocked, are more likely to suffer from depression. As described in an article published in the journal Annals of Internal Medicine, study authors evaluated the accuracy of depression screenings of patients within three months of experiencing an ACS event. They found several depression screening tools used by providers were effective at identifying depression symptoms, and that strategies integrating psychiatric treatment into cardiology and primary care settings improved depression symptoms. In addition, the researchers concluded that a combination of cognitive behavioral therapy and antidepressant medication improved depression symptoms, mental health-related function and overall life satisfaction. Access the article as well as the AHRQ-funded comparative effectiveness review that served as the basis for the article.

Electronic Health Record Triggers Can Identify Patients in Need of Follow-Up

Triggers developed and tested in electronic health records effectively identified delayed follow-up evaluations in patients with suspected colorectal and hepatocellular cancers, according to an AHRQ-funded study. The triggers are based on algorithms that use data from laboratory testing, diagnosis, procedure and referral codes to determine patients at a higher risk for developing these cancers. Researchers reported that the algorithm accurately predicted delayed follow-up in 56 percent of colorectal cancer patients and 82 percent hepatocellular cancer patients. The approach offers a more efficient method to identify delayed diagnostic evaluation of gastrointestinal cancers, researchers concluded. Access the abstract of the article, published in Clinical Gastroenterology and Hepatology.

Highlights From AHRQ's Patient Safety Network

AHRQ's Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include:

Review additional new publications in PSNet's current issue or access recent cases and commentaries in AHRQ's WebM&M (Morbidity and Mortality Rounds on the Web).

AHRQ Views Blog Post—AHRQ 2.0: The Importance of Data-Informed Insights

A new AHRQ Views blog post from Director Gopal Khanna, M.B.A., describes the first of four pillars that support his vision to transform the agency into a leader in health services research in the digital age. The new post outlines the director's vision to develop an online platform that provides data-informed insights and elevates the impact of AHRQ's well-known data resources, such as the Healthcare Cost and Utilization Project, the Medical Expenditure Panel Survey and National Healthcare Quality & Disparities Report.

Analysis Finds Inconsistent Use of Health Literacy Techniques Among Clinicians

A new AHRQ study found that most health care providers did not always adopt "health literacy universal precautions," such as checking that their instructions were clear enough for patients to understand. The study, published in Health Literacy Research and Practice, analyzed AHRQ Medical Expenditure Panel Survey data to analyze the extent to which providers were adopting precautions such as clear instructions, "teach back" methods and help with filling out forms. People who were older, less educated or members of racial or ethnic minority groups were more likely to be asked to confirm their understanding or be offered help with forms. Access the article

Application Deadline Approaching for Learning Health Systems Training Grants

Jan. 30 is the deadline for organizations to apply for grants aimed at training clinicians and research scientists to work in learning health systems. Grantees will prepare newly trained scientists for independent research careers with the ultimate goal to improving quality of care and patient outcomes. The initiative is co-sponsored by AHRQ and the Patient-Centered Outcomes Research Institute. Access more information about the grant opportunity as well as a recent AHRQ Views blog post about the initiative.

AHRQ in the Professional Literature

The potential cost-effectiveness of HIV vaccines: a systematic review. Adamson B, Dimitrov D, Devine B, et al. Pharmacoeconom Open 2017 Mar;1(1):1-12. Epub 2017 Jan 30. Access the abstract on PubMed®.

Evaluating the role of payment policy in driving vertical integration in the oncology market. Alpert A, Hsi H, Jacobson M. Health Aff 2017 Apr 1;36(4):680-88. Access the abstract on PubMed®.

Feasibility of behavioral weight loss treatment enhanced with peer support and mobile health technology for individuals with serious mental illness. Aschbrenner KA, Naslund JA, Shevenell M, et al. Psychiatr Q 2016 Sep;87(3):401-15. Access the abstract on PubMed®.
 
Evaluating the initiation of novel oral anticoagulants in Medicare beneficiaries. Baik SH, Hernandez I, Zhang Y. J Manag Care Spec Pharm 2016 Mar;22(3):281-92. Access the abstract on PubMed®.

Revascularization in patients with multivessel coronary artery disease and severe left ventricular systolic dysfunction: everolimus-eluting stents versus coronary artery bypass graft surgery. Bangalore S, Guo Y, Samadashvili Z, et al. Circulation 2016 May 31;133(22):2132-40. Epub 2016 May 5. Access the abstract on PubMed®.

Developing recommendations for evidence-based clinical preventive services for diverse populations: methods of the U.S. Preventive Services Task Force. Bibbins-Domingo K, Whitlock E, Wolff T, et al. Ann Intern Med 2017 Apr 18;166(8):565-71. Epub 2017 Mar 7. Access the abstract on PubMed®.

Association of HbA1c with hospitalization and mortality among patients with heart failure and diabetes. Blecker S, Park H, Katz SD. BMC Cardiovasc Disord 2016 May 20;16:99. Access the abstract on PubMed®.

Incidence and in-hospital mortality of acute kidney injury (AKI) and dialysis-requiring AKI (AKI-D) after cardiac catheterization in the National Inpatient Sample. Brown JR, Rezaee ME, Nichols EL, et al. J Am Heart Assoc 2016 Mar 15;5(3):e002739. Access the abstract on PubMed®.

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Page last reviewed November 2017
Page originally created November 2017
Internet Citation: AHRQ-Funded Study Helps Providers Screen for and Treat Depression in Patients With Acute Coronary Syndrome. Content last reviewed November 2017. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/e-newsletter/592.html